ER Visit (level 4) at Uchicago Medicine Adventhealth Hinsdale
120 North Oak St, Hinsdale, IL · AdventHealth · · NPI 1265465439
$715.00
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.
$2,860.00
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.
$437.76 with Bcbs vs $724.38 with Ambetter — 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 | $437.76 | ↓ -39% |
| Aetna | Medicare Managed Care Plan | $447.15 | ↓ -37% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $451.62 | ↓ -37% |
| Cigna | Medicare Managed Care Plan | $460.56 | ↓ -36% |
| Meridian | Medicare Managed Care Plan | $469.50 | ↓ -34% |
| Aetna | Better Health Medicare Managed Care Plan | $496.33 | ↓ -31% |
| Bcbs | Villagemd Other Commercial Plan | $514.22 | ↓ -28% |
| Bcbs | Access Community Health Hmo | $536.58 | ↓ -25% |
| Actin Care | All Commercial Plans | $558.93 | ↓ -22% |
| Molina | Exchange | $670.72 | ↓ -6% |
| Ambetter | Exchange | $724.38 | ↑ +1% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $4,782.60 | $346.84 – $977.19 |
| MercyOne Genesis Aledo Medical Center | Aledo | $719.40 | $209.00 – $563.53 |
| Advocate Christ Medical Center | Oak Lawn | $1,110.00 | $643.63 – $3,426.00 |
| Advocate Condell Medical Center | Libertyville | $1,020.00 | $643.63 – $3,263.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,255.00 | $643.63 – $3,426.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,036.96 | $21.67 – $331.27 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $715.00 | $437.76 – $724.38 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,451.45 | $447.15 – $469.50 |