Ot evaluation low complexity patient/family at Uchicago Medicine Adventhealth Hinsdale
120 North Oak St, Hinsdale, IL · AdventHealth · · NPI 1265465439
$75.00
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.
$300.00
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.
$99.44 with Bcbs vs $164.54 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 | $99.44 | ↑ +33% |
| Aetna | Medicare Managed Care Plan | $101.57 | ↑ +35% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $102.59 | ↑ +37% |
| Cigna | Medicare Managed Care Plan | $104.62 | ↑ +39% |
| Meridian | Medicare Managed Care Plan | $106.65 | ↑ +42% |
| Aetna | Better Health Medicare Managed Care Plan | $112.74 | ↑ +50% |
| Bcbs | Villagemd Other Commercial Plan | $116.81 | ↑ +56% |
| Bcbs | Access Community Health Hmo | $121.88 | ↑ +63% |
| Actin Care | All Commercial Plans | $126.96 | ↑ +69% |
| Molina | Exchange | $152.35 | ↑ +103% |
| Ambetter | Exchange | $164.54 | ↑ +119% |
Visitor-reported prices
Comments
Ot evaluation low complexity patient/family at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $213.00 | $44.80 – $278.27 |
| MercyOne Genesis Aledo Medical Center | Aledo | $213.00 | $63.00 – $65.80 |
| Advocate Christ Medical Center | Oak Lawn | $222.50 | $29.55 – $469.00 |
| Advocate Condell Medical Center | Libertyville | $222.50 | $29.55 – $295.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $222.50 | $29.55 – $469.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $221.27 | $87.61 – $145.76 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $75.00 | $99.44 – $164.54 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $263.45 | $101.57 – $106.65 |