Breast punct aspir cyst, bil at Uchicago Medicine Adventhealth Hinsdale
120 North Oak St, Hinsdale, IL · AdventHealth · · NPI 1265465439
$281.25
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.
$1,125.00
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.
$430.00 with Cigna 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 |
|---|---|---|---|
| Cigna | Exchange | $430.00 | ↑ +53% |
| Bcbs | Medicare Managed Care Plan | $742.91 | ↑ +164% |
| Aetna | Medicare Managed Care Plan | $758.85 | ↑ +170% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $766.44 | ↑ +173% |
| Cigna | Medicare Managed Care Plan | $781.61 | ↑ +178% |
| Meridian | Medicare Managed Care Plan | $796.79 | ↑ +183% |
| Aetna | Better Health Medicare Managed Care Plan | $842.32 | ↑ +199% |
| Bcbs | Villagemd Other Commercial Plan | $872.67 | ↑ +210% |
| Bcbs | Access Community Health Hmo | $910.62 | ↑ +224% |
| Actin Care | All Commercial Plans | $948.56 | ↑ +237% |
| Cigna | One Health Hmo | $1,062.00 | ↑ +278% |
| Molina | Exchange | $1,138.27 | ↑ +305% |
| Ambetter | Exchange | $1,229.33 | ↑ +337% |
| Unitedhealthcare | Hmo/Ppo | $2,208.00 | ↑ +685% |
| Aetna | Hmo/Ppo | $2,414.00 | ↑ +758% |
Visitor-reported prices
Comments
Breast punct aspir cyst, bil at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $825.60 | $279.36 – $2,573.12 |
| MercyOne Genesis Aledo Medical Center | Aledo | $825.60 | $412.65 – $430.99 |
| Advocate Christ Medical Center | Oak Lawn | $555.00 | $437.34 – $6,071.00 |
| Advocate Condell Medical Center | Libertyville | $840.00 | $661.92 – $4,681.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $905.00 | $713.14 – $6,071.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $672.51 | $38.10 – $547.36 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $281.25 | $430.00 – $1,229.33 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $997.70 | $758.85 – $796.79 |