Assay of phenylketones at Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center)
1555 Barrington Rd Hoffman Estates IL 60169|1555 Barrington Rd, Hoffman Estates, IL · Ascension · · NPI 1376644385
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.
$2.99 with SMARTHEALTH vs $17.63 with HUMANA HMO — 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 |
|---|---|---|---|
| SMARTHEALTH | 1524_SMARTHEALTH (ABIL,AHIL,AGIL,AMIL) 20230101 | $2.99 | — |
| AARP | 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101 | $3.78 | — |
| UHC MCR HMO 95% | 1695_MEDICARE ADVANTAGE UHC OUTPATIENT (AB,SA) 95% 20240101 | $3.78 | — |
| UHC MCR HMO 95% | 1663_MEDICARE ADVANTAGE UHC INPATIENT (AB,SA) 95% 20231001 | $3.78 | — |
| AARP | 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001 | $3.78 | — |
| AETNA MEDICARE | 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101 | $3.98 | — |
| UHC MEDICARE 100% | 1694_MEDICARE ADVANTAGE UHC OUTPATIENT (AB,SA) 100% 20240101 | $3.98 | — |
| UHC MEDICARE 100% | 1661_MEDICARE ADVANTAGE UHC INPATIENT 100% (AB,SA) 20231001 | $3.98 | — |
| BCBS MEDICARE | 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101 | $3.98 | — |
| UHC | 1711_UHC (AB,SA) 20240101 | $3.98 | — |
| UHC INDIVIDUAL EXCHANGE | 1710_UHC INDIVIDUAL EXCHANGE (SA) 20231001 | $3.98 | — |
| CIGNA | 1614_CIGNA (AB,SA) 20231001 | $3.98 | — |
| AETNA MEDICARE | 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001 | $3.98 | — |
| MEDICARE REPLACEMENT 100% | 1686_MEDICARE ADVANTAGE 100% OUTPATIENT (AB,SA) 20240101 | $3.98 | — |
| MEDICARE REPLACEMENT 100% | 1654_MEDICARE ADVANTAGE 100% (AB,SA) INPATIENT 20231001 | $3.98 | — |
| HUMANA MEDICARE | 1691_MEDICARE ADVANTAGE HUMANA OUTPATIENT (AB,SA) 20240101 | $3.98 | — |
| HUMANA MEDICARE | 1659_MEDICARE ADVANTAGE HUMANA INPATIENT (AB,SA) 20231001 | $3.98 | — |
| COVID-19 UNINSURED | 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101 | $3.98 | — |
| COVID-19 UNINSURED | 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001 | $3.98 | — |
| BCBS MEDICARE | 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101 | $3.98 | — |
| UHC MEDICARE 101% | 1662_MEDICARE ADVANTAGE UHC INPATIENT (AB,SA) 101% 20231001 | $4.02 | — |
| MOLINA HEALTHCARE OF ILLINOIS | 1693_MEDICARE ADVANTAGE MOLINA HC OF IL OUTPATIENT (AB,SA) 103% 20240101 | $4.10 | — |
| MOLINA HEALTHCARE OF ILLINOIS | 1645_MEDICARE ADVANTAGE MOLINA HC OF IL INPATIENT 103% 20231001 | $4.10 | — |
| ILLINICARE MEDICARE REPLACEMENT | 1692_MEDICARE ADVANTAGE ILLINICARE OUTPATIENT (AB,SA) 20240101 | $4.10 | — |
| ILLINICARE MEDICARE REPLACEMENT | 1660_MEDICARE ADVANTAGE ILLINICARE INPATIENT (AB,SA) 20231001 | $4.10 | — |
| AETNA BETTER HEALTH MEDICARE REPLACEMENT | 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA) 20231001 | $4.18 | — |
| AETNA BETTER HEALTH MEDICARE REPLACEMENT | 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,SA) 20240101 | $4.18 | — |
| BRIGHT HEALTH | 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001 | $4.97 | — |
| BRIGHT HEALTH | 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101 | $4.97 | — |
| BCBS FOCUS CARE | 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240101 | $5.21 | — |
| BCBS FOCUS CARE | 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 20240101 | $5.21 | — |
| BCBS BCS | 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101 | $5.25 | — |
| SMARTHEALTH | 1696_SMARTHEALTH (AB,SA) OUTPATIENT 20240101 | $5.57 | — |
| SMARTHEALTH | 1643_SMARTHEALTH (AB,SA) INPATIENT 20231001 | $5.57 | — |
| UHC | 1672_UHC (BO,GO,HN,LG) 20231001 | $6.13 | — |
| ACTIN CARE | 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101 | $6.17 | — |
| ACTIN CARE | 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001 | $6.17 | — |
| AMBETTER | 1683_AMBETTER (AB,SA) OUTPATIENT 20240101 | $6.45 | — |
| AMBETTER | 1646_AMBETTER (AB,SA) INPATIENT 20231001 | $6.45 | — |
| BCBS BCS | 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101 | $7.04 | — |
| AETNA HMO | 1717_AETNA HMO (AB,SA) 20240101 | $9.31 | — |
| AETNA PPO | 1720_AETNA PPO (AB,SA) 20240101 | $9.31 | — |
| CIGNA IFP | 1616_CIGNA IFP (SA) 20231001 | $9.74 | — |
| CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $10.12 | — |
| CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $10.12 | — |
| MERIDIAN | 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101 | $10.32 | — |
| HARMONY HEALTH PLAN | 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101 | $10.32 | — |
| BCBS MEDICAID | 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101 | $10.32 | — |
| MEDICAID REPLACEMENT 100% | 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101 | $10.32 | — |
| ILLINICARE | 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101 | $10.32 | — |
| COUNTY CARE | 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101 | $10.32 | — |
| AETNA BETTER HEALTH | 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101 | $10.32 | — |
| HUMANA PPO | 1622_HUMANA PPO (SA) 20231001 | $17.51 | — |
| HUMANA HMO | 1620_HUMANA HMO (SA) 20231001 | $17.63 | — |
Visitor-reported prices
Comments
Assay of phenylketones at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates | not published | $2.85 – $10.32 |
| UnityPoint Health - Trinity Moline | Rock Island | $10.40 | $2.39 – $6.37 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $4.42 – $4.42 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $3.98 – $11.98 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $3.90 – $6.45 |
| Advocate Christ Medical Center | Oak Lawn | not published | $3.98 – $19.83 |
| Advocate Condell Medical Center | Libertyville | not published | $3.98 – $19.83 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $3.98 – $19.83 |