Established Patient Office Visit (level 1) at HSHS Holy Family Hospital
200 HEALTH CARE DR, GREENVILLE, IL · Hshs · · NPI 1205850690
$210.96
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.
$293.00
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.
$70.00 with AMISH COMMUNITY vs $250.00 with UNITED HEALTHCARE — 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 | AMISH COMMUNITY DISCOUNT | $70.00 | ↓ -67% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $70.00 | ↓ -67% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $146.00 | ↓ -31% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $160.68 | ↓ -24% |
| AETNA | ALL COMMERCIAL AETNA | $175.50 | ↓ -17% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $185.25 | ↓ -12% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $188.50 | ↓ -11% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $188.50 | ↓ -11% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $188.50 | ↓ -11% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $212.50 | ↑ +1% |
| COFINITY | COFINITY | $212.50 | ↑ +1% |
| CIGNA | ALL COMMERCIAL CIGNA | $222.50 | ↑ +5% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $225.00 | ↑ +7% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $225.00 | ↑ +7% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $250.00 | ↑ +19% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $250.00 | ↑ +19% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $250.00 | ↑ +19% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $250.00 | ↑ +19% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $250.00 | ↑ +19% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $250.00 | ↑ +19% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $250.00 | ↑ +19% |
| UNITED HEALTHCARE | UHC MEDICAID | $250.00 | ↑ +19% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL HMO PHAI | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | 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 470 | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $39.00 | $20.80 – $52.98 |
| MercyOne Genesis Aledo Medical Center | Aledo | $39.00 | $20.00 – $24.91 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $47.50 | not published |
| Advocate Christ Medical Center | Oak Lawn | $90.00 | $62.82 – $144.00 |
| Northwestern Memorial Hospital | Chicago | $158.90 | not published |
| Advocate Condell Medical Center | Libertyville | $90.00 | $70.92 – $144.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $90.00 | $62.82 – $144.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $40.80 | $8.04 – $19.19 |