Biliary endoscopy thru skin at HSHS St. John's Hospital
800 E Carpenter St. Springfield, IL 62769|301 N. 8th St., IL · Hshs · · NPI 1205818481
$22,488.48
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.
$31,234.00
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.
$3,692.51 with WEXFORD vs $31,234.00 with ILLINOIS BREAST AND CERVICAL CANCER PROGRAM — 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 |
|---|---|---|---|
| WEXFORD | WEXFORD HEALTH SOURCES | $3,692.51 | ↓ -84% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $3,877.13 | ↓ -83% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $4,061.76 | ↓ -82% |
| AETNA | ALL COMMERCIAL AETNA | $5,393.00 | ↓ -76% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $8,745.52 | ↓ -61% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $8,745.52 | ↓ -61% |
| HUMANA | HUMANA MEDICARE | $11,391.13 | ↓ -49% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $11,391.13 | ↓ -49% |
| AETNA | AETNA MEDICARE | $11,391.13 | ↓ -49% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $11,391.13 | ↓ -49% |
| COVENTRY | COVENTRY MEDICARE ADVANTRA | $11,391.13 | ↓ -49% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $11,391.13 | ↓ -49% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $11,391.13 | ↓ -49% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $11,391.13 | ↓ -49% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $11,391.13 | ↓ -49% |
| HUMANA | HUMANA CHOICE CARE HMO | $11,556.58 | ↓ -49% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $11,960.69 | ↓ -47% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $14,739.32 | ↓ -34% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $15,617.00 | ↓ -31% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $15,617.00 | ↓ -31% |
| AETNA | AETNA HSHS | $16,928.83 | ↓ -25% |
| CIGNA | ALL COMMERCIAL CIGNA | $17,803.38 | ↓ -21% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $18,615.46 | ↓ -17% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $18,615.46 | ↓ -17% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $20,083.46 | ↓ -11% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $20,083.46 | ↓ -11% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $20,083.46 | ↓ -11% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $20,083.46 | ↓ -11% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $21,863.80 | ↓ -3% |
| RUSHVILLE DETENTION CENTER | RUSHVILLE DETENTION CENTER | $22,488.48 | ↑ +0% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $23,019.46 | ↑ +2% |
| HUMANA | HUMANA CHOICE CARE PPO | $24,737.33 | ↑ +10% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $25,060.48 | ↑ +11% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $25,630.04 | ↑ +14% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $26,548.90 | ↑ +18% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $26,548.90 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $28,110.60 | ↑ +25% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $28,477.82 | ↑ +27% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $28,477.82 | ↑ +27% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $31,234.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $31,234.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $31,234.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $31,234.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $31,234.00 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $31,234.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $31,234.00 | ↑ +39% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $31,234.00 | ↑ +39% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $31,234.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $31,234.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $31,234.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $31,234.00 | ↑ +39% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | not published by hospital | — |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL HMO PHAI | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO 470 | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $2,445.00 | $1,926.66 – $25,111.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $960.00 | $336.53 – $8,099.52 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $2,445.00 | $1,926.66 – $25,111.00 |
| Advocate Sherman Hospital | Elgin | $4,545.00 | $3,372.39 – $20,837.50 |
| Advocate Trinity Hospital | Chicago | $4,425.00 | $3,486.90 – $25,111.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $7,302.60 | $1,678.00 – $21,187.50 |
| OSF Sacred Heart Medical Center – Urbana | Danville | $1,964.40 | $2,356.00 – $11,618.95 |
| OSF Saint Anthony Medical Center | Rockford | $5,769.00 | $414.85 – $39,868.95 |