Ins/rpl pm gen exist sgl lead at Uchicago Medicine Adventhealth Hinsdale
120 North Oak St, Hinsdale, IL · AdventHealth · · NPI 1265465439
not published by hospital
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.
not published by hospital
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.
$658.00 with Cigna vs $14,366.26 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 |
|---|---|---|---|
| Cigna | Exchange | $658.00 | — |
| Cigna | One Health Hmo | $1,626.00 | — |
| Aetna | Hmo/Ppo | $4,150.00 | — |
| Unitedhealthcare | Hmo/Ppo | $6,594.00 | — |
| Bcbs | Medicare Managed Care Plan | $8,681.83 | — |
| Aetna | Medicare Managed Care Plan | $8,868.06 | — |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $8,956.74 | — |
| Cigna | Medicare Managed Care Plan | $9,134.10 | — |
| Meridian | Medicare Managed Care Plan | $9,311.46 | — |
| Aetna | Better Health Medicare Managed Care Plan | $9,843.55 | — |
| Bcbs | Villagemd Other Commercial Plan | $10,198.27 | — |
| Bcbs | Access Community Health Hmo | $10,641.67 | — |
| Actin Care | All Commercial Plans | $11,085.08 | — |
| Molina | Exchange | $13,302.09 | — |
| Ambetter | Exchange | $14,366.26 | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $4,548.00 | $2,425.60 – $12,940.57 |
| Advocate Christ Medical Center | Oak Lawn | $8,305.00 | $6,544.34 – $47,462.00 |
| Advocate Condell Medical Center | Libertyville | $8,770.00 | $6,910.76 – $24,503.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $4,150.00 | $3,270.20 – $47,462.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $14,592.40 | $281.24 – $8,044.06 |
| Advocate Illinois Masonic Medical Center | Chicago | $10,945.00 | $8,624.66 – $47,462.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $4,315.00 | $3,400.22 – $47,462.00 |
| Advocate Sherman Hospital | Elgin | $4,505.00 | $3,342.71 – $19,537.00 |