Pacemaker leadless 19.5f 32.2mm ra at HSHS St. John's Hospital
800 E Carpenter St. Springfield, IL 62769|301 N. 8th St., IL · Hshs · · NPI 1205818481
$23,220.00
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.
$32,250.00
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.
$6,580.00 with AMISH COMMUNITY vs $23,500.00 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 |
|---|---|---|---|
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $6,580.00 | ↓ -72% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $6,580.00 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $7,684.50 | ↓ -67% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $7,684.50 | ↓ -67% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $7,684.50 | ↓ -67% |
| AETNA | AETNA MEDICARE | $7,684.50 | ↓ -67% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $7,684.50 | ↓ -67% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $7,684.50 | ↓ -67% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $7,684.50 | ↓ -67% |
| COVENTRY | COVENTRY MEDICARE ADVANTRA | $7,684.50 | ↓ -67% |
| HUMANA | HUMANA MEDICARE | $7,684.50 | ↓ -67% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $8,068.73 | ↓ -65% |
| HUMANA | HUMANA CHOICE CARE HMO | $8,695.00 | ↓ -63% |
| AETNA | ALL COMMERCIAL AETNA | $10,951.00 | ↓ -53% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $11,089.65 | ↓ -52% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $11,750.00 | ↓ -49% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $11,985.00 | ↓ -48% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $12,126.00 | ↓ -48% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $12,126.00 | ↓ -48% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $12,126.00 | ↓ -48% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $12,126.00 | ↓ -48% |
| AETNA | AETNA HSHS | $12,737.00 | ↓ -45% |
| CIGNA | ALL COMMERCIAL CIGNA | $13,395.00 | ↓ -42% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $14,006.00 | ↓ -40% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $14,006.00 | ↓ -40% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $16,450.00 | ↓ -29% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $16,905.90 | ↓ -27% |
| RUSHVILLE DETENTION CENTER | RUSHVILLE DETENTION CENTER | $16,920.00 | ↓ -27% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $17,290.13 | ↓ -26% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $17,319.50 | ↓ -25% |
| HUMANA | HUMANA CHOICE CARE PPO | $18,612.00 | ↓ -20% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $19,211.25 | ↓ -17% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $19,211.25 | ↓ -17% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $19,975.00 | ↓ -14% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $19,975.00 | ↓ -14% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $21,150.00 | ↓ -9% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $23,500.00 | ↑ +1% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $23,500.00 | ↑ +1% |
| UNITED HEALTHCARE | UHC MEDICAID | $23,500.00 | ↑ +1% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $23,500.00 | ↑ +1% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $23,500.00 | ↑ +1% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $23,500.00 | ↑ +1% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $23,500.00 | ↑ +1% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $23,500.00 | ↑ +1% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $23,500.00 | ↑ +1% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $23,500.00 | ↑ +1% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $23,500.00 | ↑ +1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $23,500.00 | ↑ +1% |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | 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 IL HMO PHAI | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
Visitor-reported prices
Comments
Pacemaker leadless 19.5f 32.2mm ra at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Northwestern Memorial Hospital | Chicago | $87,066.79 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $67,840.00 | $22,980.80 – $44,689.60 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $105,959.82 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $87,066.79 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $22,454.51 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $87,066.79 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb | $8,542.66 | not published |
| Northwestern Medicine McHenry Hospital | McHenry | $20,699.28 | not published |