Surgical pathology level 4 gross & microscopic examination 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.
$32.52 with UHC vs $245.10 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 |
|---|---|---|---|
| UHC | 1672_UHC (BO,GO,HN,LG) 20231001 | $32.52 | — |
| SMARTHEALTH | 1302_SMARTHEALTH (ABBHH) 20230101 | $37.52 | — |
| UHC | 1711_UHC (AB,SA) 20240101 | $49.76 | — |
| AETNA HMO | 1717_AETNA HMO (AB,SA) 20240101 | $78.81 | — |
| AETNA PPO | 1720_AETNA PPO (AB,SA) 20240101 | $78.81 | — |
| SMARTHEALTH | 1643_SMARTHEALTH (AB,SA) INPATIENT 20231001 | $105.03 | — |
| SMARTHEALTH | 1524_SMARTHEALTH (ABIL,AHIL,AGIL,AMIL) 20230101 | $105.03 | — |
| SMARTHEALTH | 1696_SMARTHEALTH (AB,SA) OUTPATIENT 20240101 | $105.03 | — |
| CIGNA | 1614_CIGNA (AB,SA) 20231001 | $240.35 | — |
| CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $240.35 | — |
| CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $240.35 | — |
| FAMILY HEALTH PLAN | 1750_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (SA) 20240101 | $245.10 | — |
| MEDICAID REPLACEMENT 100% | 1736_MEDICAID ADVANTAGE MOLINA 20240301 | $245.10 | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination 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 | $32.52 – $245.10 |
| MercyOne Genesis Silvis Medical Center | Silvis | $88.20 | $32.05 – $98.44 |
| MercyOne Genesis Aledo Medical Center | Aledo | $64.20 | $21.62 – $59.37 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $116.25 | $28.37 – $90.47 |
| Advocate Christ Medical Center | Oak Lawn | $237.50 | $49.47 – $414.32 |
| Advocate Condell Medical Center | Libertyville | $237.50 | $49.47 – $380.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $237.50 | $49.47 – $424.32 |
| UnityPoint Health - Trinity Moline | Rock Island | $164.00 | $28.96 – $64.27 |