After cataract laser surgery at HSHS Holy Family Hospital
200 HEALTH CARE DR, GREENVILLE, IL · Hshs · · NPI 1205850690
$519.84
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.
$722.00
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.
$202.16 with AMISH COMMUNITY vs $1,473.47 with CLAIM DOC — 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 |
|---|---|---|---|
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $202.16 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $202.16 | ↓ -61% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $464.03 | ↓ -11% |
| AETNA | ALL COMMERCIAL AETNA | $506.84 | ↓ -3% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $517.87 | ↓ -0% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $535.00 | ↑ +3% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $542.53 | ↑ +4% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $544.39 | ↑ +5% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $544.39 | ↑ +5% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $544.39 | ↑ +5% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $589.39 | ↑ +13% |
| LIVE360 | LIVE360 MEDICARE COST PLAN | $589.39 | ↑ +13% |
| AETNA | AETNA MEDICARE | $589.39 | ↑ +13% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $589.39 | ↑ +13% |
| HUMANA | HUMANA MEDICARE | $589.39 | ↑ +13% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $589.39 | ↑ +13% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $589.39 | ↑ +13% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $589.39 | ↑ +13% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $589.39 | ↑ +13% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $613.70 | ↑ +18% |
| COFINITY | COFINITY | $613.70 | ↑ +18% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $618.86 | ↑ +19% |
| CIGNA | ALL COMMERCIAL CIGNA | $642.58 | ↑ +24% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $649.80 | ↑ +25% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $649.80 | ↑ +25% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $722.00 | ↑ +39% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $722.00 | ↑ +39% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $722.00 | ↑ +39% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $722.00 | ↑ +39% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $722.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $722.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $722.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $722.00 | ↑ +39% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $722.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $722.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $722.00 | ↑ +39% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $1,267.18 | ↑ +144% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $1,473.47 | ↑ +183% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL HMO PHAI | not published by hospital | — |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO 470 | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | not published by hospital | — |
Visitor-reported prices
Comments
After cataract laser surgery at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Aledo Medical Center | Aledo | $1,017.00 | $508.50 – $531.10 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,640.00 | $278.82 – $565.32 |
| Advocate South Suburban Hospital | Hazel Crest | $915.00 | $721.02 – $6,071.00 |
| OSF Saint Elizabeth Medical Center | Ottawa | $1,305.00 | $589.39 – $601.18 |
| OSF Saint James John W Albrecht Medical Center | Pontiac | $1,516.80 | $589.39 – $3,541.00 |
| HSHS St. Anthony's Memorial Hospital | Mattoon | $1,441.44 | $517.87 – $2,002.00 |
| HSHS St. Francis Hospital | LITCHFIELD | $1,606.32 | $706.11 – $2,231.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $566.08 – $857.81 |