Biopsy of heart lining 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.
$2,775.73 with CIGNA IFP vs $10,153.00 with HUMANA PPO — 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 IFP | 1616_CIGNA IFP (SA) 20231001 | $2,775.73 | — |
| BCBS MEDICAID | 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101 | $2,941.20 | — |
| AETNA BETTER HEALTH | 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101 | $2,941.20 | — |
| MERIDIAN | 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101 | $2,941.20 | — |
| ILLINICARE | 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101 | $2,941.20 | — |
| MEDICAID REPLACEMENT 100% | 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101 | $2,941.20 | — |
| HARMONY HEALTH PLAN | 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101 | $2,941.20 | — |
| COUNTY CARE | 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101 | $2,941.20 | — |
| AETNA PPO | 1720_AETNA PPO (AB,SA) 20240101 | $5,623.00 | — |
| AETNA HMO | 1717_AETNA HMO (AB,SA) 20240101 | $5,678.00 | — |
| UHC | 1672_UHC (BO,GO,HN,LG) 20231001 | $6,855.00 | — |
| HUMANA HMO | 1620_HUMANA HMO (SA) 20231001 | $8,349.00 | — |
| CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $9,297.75 | — |
| CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $9,297.75 | — |
| CIGNA | 1614_CIGNA (AB,SA) 20231001 | $9,297.75 | — |
| HUMANA PPO | 1622_HUMANA PPO (SA) 20231001 | $10,153.00 | — |
Visitor-reported prices
Comments
Biopsy of heart lining at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates | not published | $2,941.20 – $9,297.75 |
| MercyOne Genesis Silvis Medical Center | Silvis | $3,648.60 | $1,945.92 – $5,594.52 |
| Advocate Christ Medical Center | Oak Lawn | $3,035.00 | $2,391.58 – $17,439.00 |
| Advocate Condell Medical Center | Libertyville | $4,895.00 | $2,902.06 – $9,476.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $3,390.00 | $2,671.32 – $17,439.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,276.64 | $196.63 – $2,448.63 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $2,781.90 | $3,383.62 – $3,552.80 |
| Advocate Illinois Masonic Medical Center | Chicago | $3,590.00 | $2,828.92 – $17,439.00 |