Debride/rmv fb/open fx/skin/sq/musc11011 at HSHS St. John's Hospital
800 E Carpenter St. Springfield, IL 62769|301 N. 8th St., IL · Hshs · · NPI 1205818481
$3,070.08
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.
?
What you pay up front if you don't use insurance.
$4,264.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$330.88 with WEXFORD vs $4,264.00 with HEALTHSCOPE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $330.88 | ↓ -89% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $347.42 | ↓ -89% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $363.97 | ↓ -88% |
| AETNA | AETNA MEDICARE | $758.85 | ↓ -75% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $758.85 | ↓ -75% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $758.85 | ↓ -75% |
| COVENTRY | COVENTRY MEDICARE ADVANTRA | $758.85 | ↓ -75% |
| HUMANA | HUMANA MEDICARE | $758.85 | ↓ -75% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $758.85 | ↓ -75% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $758.85 | ↓ -75% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $758.85 | ↓ -75% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $758.85 | ↓ -75% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $796.79 | ↓ -74% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $1,193.92 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $1,193.92 | ↓ -61% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $1,536.00 | ↓ -50% |
| HUMANA | HUMANA CHOICE CARE HMO | $1,577.68 | ↓ -49% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $1,669.46 | ↓ -46% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $1,707.41 | ↓ -44% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $1,897.12 | ↓ -38% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $1,897.12 | ↓ -38% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $2,012.18 | ↓ -34% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $2,132.00 | ↓ -31% |
| AETNA | AETNA HSHS | $2,311.09 | ↓ -25% |
| CIGNA | ALL COMMERCIAL CIGNA | $2,430.48 | ↓ -21% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $2,541.34 | ↓ -17% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $2,541.34 | ↓ -17% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $2,741.75 | ↓ -11% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $2,741.75 | ↓ -11% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $2,741.75 | ↓ -11% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $2,741.75 | ↓ -11% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $2,984.80 | ↓ -3% |
| RUSHVILLE DETENTION CENTER | RUSHVILLE DETENTION CENTER | $3,070.08 | ↑ +0% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $3,142.57 | ↑ +2% |
| HUMANA | HUMANA CHOICE CARE PPO | $3,377.09 | ↑ +10% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $3,624.40 | ↑ +18% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $3,624.40 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $3,837.60 | ↑ +25% |
| AETNA | ALL COMMERCIAL AETNA | $4,121.00 | ↑ +34% |
| UNITED HEALTHCARE | UHC MEDICAID | $4,264.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $4,264.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $4,264.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $4,264.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $4,264.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $4,264.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $4,264.00 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $4,264.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $4,264.00 | ↑ +39% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $4,264.00 | ↑ +39% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $4,264.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $4,264.00 | ↑ +39% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | 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 | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO 470 | not published by hospital | — |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
Visitor-reported prices
Comments
Debride/rmv fb/open fx/skin/sq/musc11011 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,012.80 | $385.40 – $1,552.96 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,012.80 | $1,043.76 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $685.00 | $539.78 – $1,408.20 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,288.00 | $264.50 – $702.41 |
| OSF Saint Anthony Medical Center | Rockford | $1,287.00 | $567.03 – $2,933.00 |
| OSF St Joseph Medical Center | Bloomington | $1,156.80 | $758.85 – $2,769.00 |
| OSF Saint Elizabeth Medical Center | Ottawa | $679.20 | $758.85 – $774.02 |
| OSF Saint James John W Albrecht Medical Center | Pontiac | $1,416.80 | $758.85 – $3,541.00 |