99397 periodic comp preventive med 65+ years est at Ascension Alexian Brothers Behavioral Health Hospital
1650 Moon Lake Blvd, Hoffman Estates, IL · Ascension · · NPI 1013017839
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.
$366.85 with CIGNA vs $438.60 with MEDICAID REPLACEMENT 100% — 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 | 1614_CIGNA (AB,SA) 20231001 | $366.85 | — |
| CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $366.85 | — |
| CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $366.85 | — |
| FAMILY HEALTH PLAN | 1750_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (SA) 20240101 | $438.60 | — |
| MEDICAID REPLACEMENT 100% | 1736_MEDICAID ADVANTAGE MOLINA 20240301 | $438.60 | — |
Visitor-reported prices
Comments
99397 periodic comp preventive med 65+ years est at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates | not published | $366.85 – $438.60 |
| MercyOne Genesis Silvis Medical Center | Silvis | $258.60 | $136.16 – $351.27 |
| MercyOne Genesis Aledo Medical Center | Aledo | $184.20 | $148.00 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $243.20 | $144.60 – $231.81 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $183.70 | not published |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $183.70 | not published |
| Advocate Christ Medical Center | Oak Lawn | not published | $685.97 – $780.67 |
| Advocate Condell Medical Center | Libertyville | not published | $432.76 – $492.30 |