Biopsy of heart lining at HSHS St. John's Hospital
800 E Carpenter St. Springfield, IL 62769|301 N. 8th St., IL · Hshs · · NPI 1205818481
$6,798.24
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.
$9,442.00
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.
$2,090.90 with WEXFORD vs $9,442.00 with UNITED HEALTHCARE — 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 | $2,090.90 | ↓ -69% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $2,195.44 | ↓ -68% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $2,299.99 | ↓ -66% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $2,643.76 | ↓ -61% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $2,643.76 | ↓ -61% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $3,383.62 | ↓ -50% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $3,383.62 | ↓ -50% |
| HUMANA | HUMANA MEDICARE | $3,383.62 | ↓ -50% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $3,383.62 | ↓ -50% |
| AETNA | AETNA MEDICARE | $3,383.62 | ↓ -50% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $3,383.62 | ↓ -50% |
| COVENTRY | COVENTRY MEDICARE ADVANTRA | $3,383.62 | ↓ -50% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $3,383.62 | ↓ -50% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $3,383.62 | ↓ -50% |
| HUMANA | HUMANA CHOICE CARE HMO | $3,493.54 | ↓ -49% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $3,552.80 | ↓ -48% |
| AETNA | ALL COMMERCIAL AETNA | $4,324.44 | ↓ -36% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $4,455.68 | ↓ -34% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $4,721.00 | ↓ -31% |
| AETNA | AETNA HSHS | $5,117.56 | ↓ -25% |
| CIGNA | ALL COMMERCIAL CIGNA | $5,381.94 | ↓ -21% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $5,627.43 | ↓ -17% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $5,627.43 | ↓ -17% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $6,071.21 | ↓ -11% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $6,071.21 | ↓ -11% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $6,071.21 | ↓ -11% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $6,071.21 | ↓ -11% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $6,609.40 | ↓ -3% |
| RUSHVILLE DETENTION CENTER | RUSHVILLE DETENTION CENTER | $6,798.24 | ↑ +0% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $6,958.75 | ↑ +2% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $7,443.95 | ↑ +9% |
| HUMANA | HUMANA CHOICE CARE PPO | $7,478.06 | ↑ +10% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $7,613.13 | ↑ +12% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $8,025.70 | ↑ +18% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $8,025.70 | ↑ +18% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $8,459.04 | ↑ +24% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $8,459.04 | ↑ +24% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $8,497.80 | ↑ +25% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $8,520.00 | ↑ +25% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $9,442.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $9,442.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $9,442.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $9,442.00 | ↑ +39% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $9,442.00 | ↑ +39% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $9,442.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $9,442.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $9,442.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $9,442.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $9,442.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $9,442.00 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $9,442.00 | ↑ +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 OF ILLINOIS PPO | 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 | — |
Visitor-reported prices
Comments
Biopsy of heart lining at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 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 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $4,180.00 | $3,293.84 – $17,439.00 |