Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at Uchicago Medicine Adventhealth Hinsdale
120 North Oak St, Hinsdale, IL · AdventHealth · · NPI 1265465439
$375.00
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.
$1,500.00
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.
$322.03 with Bcbs vs $2,414.00 with Aetna — 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 |
|---|---|---|---|
| Bcbs | Medicare Managed Care Plan | $322.03 | ↓ -14% |
| Aetna | Medicare Managed Care Plan | $328.94 | ↓ -12% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $332.22 | ↓ -11% |
| Cigna | Medicare Managed Care Plan | $338.80 | ↓ -10% |
| Meridian | Medicare Managed Care Plan | $345.38 | ↓ -8% |
| Aetna | Better Health Medicare Managed Care Plan | $365.12 | ↓ -3% |
| Bcbs | Villagemd Other Commercial Plan | $378.28 | ↑ +1% |
| Bcbs | Access Community Health Hmo | $394.72 | ↑ +5% |
| Actin Care | All Commercial Plans | $411.17 | ↑ +10% |
| Molina | Exchange | $493.40 | ↑ +32% |
| Ambetter | Exchange | $532.87 | ↑ +42% |
| Unitedhealthcare | Hmo/Ppo | $1,032.00 | ↑ +175% |
| Aetna | Hmo/Ppo | $2,414.00 | ↑ +544% |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $97.80 | $149.96 – $438.97 |
| MercyOne Genesis Aledo Medical Center | Aledo | $97.80 | $1,188.84 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $980.00 | $446.18 – $6,291.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $517.24 | $41.78 – $285.12 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $375.00 | $322.03 – $532.87 |
| Advocate Illinois Masonic Medical Center | Chicago | $452.50 | $356.57 – $6,291.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $387.50 | $305.35 – $6,291.00 |
| Advocate Sherman Hospital | Elgin | $890.00 | $446.18 – $4,116.00 |