Valvuloplasty pulmonary at OSF Little Company of Mary Medical Center
2800 W 95Th St, Evergreen Park, IL · Osfhealthcare · · NPI 1215572045
$9,852.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$16,421.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$3,274.00 with Aetna vs $23,010.00 with BCBS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | All Commercial Plans | $3,274.00 | ↓ -67% |
| UnitedHealthCare | All Commercial Plans | $6,885.00 | ↓ -30% |
| Allwell | Medicare Managed Care | $12,370.97 | ↑ +26% |
| WellCare | Medicare Managed Care Plan | $12,494.68 | ↑ +27% |
| Aetna | Medicare Managed Care Plan | $12,618.39 | ↑ +28% |
| IlliniCare Health Plan | Ambetter Exchange | $14,845.16 | ↑ +51% |
| Molina Healthcare | Exchange | $17,319.35 | ↑ +76% |
| BCBS | Choice PPO | $23,010.00 | ↑ +134% |
Visitor-reported prices
Comments
Valvuloplasty pulmonary at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $16,770.60 | $6,169.14 – $25,714.92 |
| Advocate Christ Medical Center | Oak Lawn | $7,140.00 | $5,626.32 – $25,111.00 |
| Northwestern Memorial Hospital | Chicago | $6,469.40 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $2,338.40 | $943.21 – $8,822.52 |
| OSF Saint Anthony Medical Center | Rockford | $10,845.00 | $1,225.66 – $43,298.39 |
| OSF Saint Francis Medical Center | Peoria | $9,225.00 | $1,225.66 – $42,056.60 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $6,469.40 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $6,469.40 | not published |