ER Visit (level 5, high severity) at Uchicago Medicine Adventhealth Hinsdale
120 North Oak St, Hinsdale, IL · AdventHealth · · NPI 1265465439
$997.50
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.
$3,990.00
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.
$624.78 with Bcbs vs $1,033.86 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 | $624.78 | ↓ -37% |
| Aetna | Medicare Managed Care Plan | $638.18 | ↓ -36% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $644.56 | ↓ -35% |
| Cigna | Medicare Managed Care Plan | $657.33 | ↓ -34% |
| Meridian | Medicare Managed Care Plan | $670.09 | ↓ -33% |
| Aetna | Better Health Medicare Managed Care Plan | $708.38 | ↓ -29% |
| Bcbs | Villagemd Other Commercial Plan | $733.91 | ↓ -26% |
| Bcbs | Access Community Health Hmo | $765.82 | ↓ -23% |
| Actin Care | All Commercial Plans | $797.73 | ↓ -20% |
| Molina | Exchange | $957.27 | ↓ -4% |
| Ambetter | Exchange | $1,033.86 | ↑ +4% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $4,962.60 | $317.44 – $808.48 |
| MercyOne Genesis Aledo Medical Center | Aledo | $899.40 | $327.00 – $674.55 |
| Advocate Christ Medical Center | Oak Lawn | $1,690.00 | $926.71 – $4,020.00 |
| Advocate Condell Medical Center | Libertyville | $1,505.00 | $926.71 – $2,869.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $2,040.00 | $926.71 – $4,020.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,508.39 | $21.67 – $476.97 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $997.50 | $624.78 – $1,033.86 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,707.20 | $638.18 – $670.09 |