Surgical pathology level 5 gross & microscopic examination at Uchicago Medicine Adventhealth Hinsdale
120 North Oak St, Hinsdale, IL · AdventHealth · · NPI 1265465439
$200.00
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.
$800.00
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.
$54.16 with Unitedhealthcare vs $1,430.13 with Cigna — 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 |
|---|---|---|---|
| Unitedhealthcare | Hmo/Ppo | $54.16 | ↓ -73% |
| Cigna | Medicare Managed Care Plan | $185.61 | ↓ -7% |
| Cigna | Exchange | $185.61 | ↓ -7% |
| Cigna | One Health Hmo | $350.78 | ↑ +75% |
| Bcbs | Medicare Managed Care Plan | $376.05 | ↑ +88% |
| Aetna | Medicare Managed Care Plan | $384.12 | ↑ +92% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $387.96 | ↑ +94% |
| Meridian | Medicare Managed Care Plan | $403.32 | ↑ +102% |
| Aetna | Better Health Medicare Managed Care Plan | $426.37 | ↑ +113% |
| Bcbs | Villagemd Other Commercial Plan | $441.74 | ↑ +121% |
| Bcbs | Access Community Health Hmo | $460.94 | ↑ +130% |
| Actin Care | All Commercial Plans | $480.15 | ↑ +140% |
| Molina | Exchange | $576.18 | ↑ +188% |
| Ambetter | Exchange | $622.27 | ↑ +211% |
| Cigna | Hmo/Ppo | $1,430.13 | ↑ +615% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $137.40 | $52.80 – $562.47 |
| MercyOne Genesis Aledo Medical Center | Aledo | $99.00 | $75.90 – $393.85 |
| Advocate Christ Medical Center | Oak Lawn | $675.00 | $283.41 – $1,080.00 |
| Advocate Condell Medical Center | Libertyville | $560.00 | $283.41 – $938.84 |
| Advocate Good Samaritan Hospital | Downers Grove | $675.00 | $283.41 – $1,080.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $647.20 | $74.02 – $352.48 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $200.00 | $54.16 – $622.27 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $977.90 | $384.12 – $403.32 |