Consult comp w/report rfrd material at Advocate South Suburban Hospital
17800 South Kedzie Avenue, Hazel Crest, IL · Advocate Health · · NPI 1467560128
not published by hospital
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.
not published by hospital
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.
$49.47 with United Healthcare Core Navigate vs $1,174.75 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| United Healthcare Core Navigate | Commercial | $49.47 | — |
| United Healthcare Nexus | Commercial | $49.47 | — |
| United Healthcare Charter | Commercial | $49.47 | — |
| United Healthcare | HMO | $49.47 | — |
| Ambetter | Medicare Advantage | $259.01 | — |
| Molina | Medicare Advantage | $259.01 | — |
| Oscar Health HMO | Medicare Advantage | $267.94 | — |
| HSTechnology | Medicare Advantage | $342.97 | — |
| Cigna One Health | Commercial | $364.59 | — |
| Cigna | Commercial | $364.59 | — |
| Aetna | Commercial | $502.20 | — |
| Blue Cross Blue Shield City of Chicago | Commercial | $1,032.66 | — |
| Blue Cross Blue Shield Choice | Commercial | $1,116.39 | — |
| Blue Cross Blue Shield | PPO | $1,174.75 | — |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $365.60 | $76.94 – $244.10 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $877.25 | $182.57 – $191.70 |
| Advocate Sherman Hospital | Elgin | $570.00 | $49.47 – $1,026.00 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $877.25 | $182.57 – $191.70 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $71.61 | $90.10 – $607.56 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $94.23 – $267.94 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $171.36 – $255.19 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $54.16 – $295.77 |