Observation/inpatient hospital care hi severity 99236 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.
$283.36 with CIGNA LOCAL PLUS vs $634.68 with BCBS MEDICAID — 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 LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $283.36 | — |
| CIGNA | 1614_CIGNA (AB,SA) 20231001 | $283.36 | — |
| CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $283.36 | — |
| CIGNA IFP | 1616_CIGNA IFP (SA) 20231001 | $598.97 | — |
| MEDICAID REPLACEMENT 100% | 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101 | $634.68 | — |
| AETNA BETTER HEALTH | 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101 | $634.68 | — |
| COUNTY CARE | 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101 | $634.68 | — |
| HARMONY HEALTH PLAN | 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101 | $634.68 | — |
| ILLINICARE | 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101 | $634.68 | — |
| MERIDIAN | 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101 | $634.68 | — |
| BCBS MEDICAID | 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101 | $634.68 | — |
Visitor-reported prices
Comments
Observation/inpatient hospital care hi severity 99236 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates | not published | $236.38 – $634.68 |
| MercyOne Genesis Silvis Medical Center | Silvis | $438.60 | $672.52 – $731.00 |
| MercyOne Genesis Aledo Medical Center | Aledo | $438.60 | $731.00 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $390.40 | $189.45 – $403.68 |
| Advocate Christ Medical Center | Oak Lawn | not published | $992.65 – $1,129.68 |
| Advocate Condell Medical Center | Libertyville | not published | $626.24 – $712.39 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $1,016.04 – $1,156.42 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $1,022.73 – $1,163.94 |