Fna bx w/ct gdn 1st les at Advocate South Suburban Hospital
17800 South Kedzie Avenue, Hazel Crest, IL · Advocate Health · · NPI 1467560128
$1,930.00
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.
$3,860.00
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.
$1,063.48 with Ambetter vs $6,071.00 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $1,063.48 | ↓ -45% |
| Molina | Medicare Advantage | $1,063.48 | ↓ -45% |
| Oscar Health HMO | Medicare Advantage | $1,100.15 | ↓ -43% |
| HSTechnology | Medicare Advantage | $1,408.20 | ↓ -27% |
| Advocate Employee | Commercial | $1,520.84 | ↓ -21% |
| Cigna One Health | Commercial | $2,007.20 | ↑ +4% |
| Aetna | Commercial | $2,082.47 | ↑ +8% |
| Private Healthcare Systems | Commercial | $2,084.40 | ↑ +8% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $2,435.66 | ↑ +26% |
| Blue Cross Blue Shield | HMO | $2,485.84 | ↑ +29% |
| Cigna | Commercial | $2,547.60 | ↑ +32% |
| Blue Cross Blue Shield City of Chicago | Commercial | $2,786.92 | ↑ +44% |
| Blue Cross Blue Shield Choice | Commercial | $3,010.80 | ↑ +56% |
| United Healthcare Charter | Commercial | $3,070.00 | ↑ +59% |
| Multiplan | Commercial | $3,088.00 | ↑ +60% |
| Blue Cross Blue Shield | PPO | $3,172.92 | ↑ +64% |
| United Healthcare Nexus | Commercial | $3,558.00 | ↑ +84% |
| United Healthcare Core Navigate | Commercial | $5,246.00 | ↑ +172% |
| United Healthcare | HMO | $6,071.00 | ↑ +215% |
Visitor-reported prices
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Fna bx w/ct gdn 1st les at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,641.60 | $660.37 – $2,573.12 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $225.00 | $742.91 – $1,229.33 |
| Advocate Christ Medical Center | Oak Lawn | $1,860.00 | $1,063.48 – $6,071.00 |
| Advocate Condell Medical Center | Libertyville | $2,035.00 | $1,063.48 – $4,681.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,050.00 | $827.40 – $6,071.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,293.12 | $97.91 – $712.83 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $225.00 | $742.91 – $1,229.33 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,112.10 | $758.85 – $796.79 |