Passy muir valve metal trach at HSHS St. John's Hospital
800 E Carpenter St. Springfield, IL 62769|301 N. 8th St., IL · Hshs · · NPI 1205818481
$174.96
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.
$243.00
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.
$68.04 with AMISH COMMUNITY vs $417.26 with CLAIM DOC — 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 |
|---|---|---|---|
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $68.04 | ↓ -61% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $68.04 | ↓ -61% |
| HUMANA | HUMANA CHOICE CARE HMO | $89.91 | ↓ -49% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $114.67 | ↓ -34% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $121.50 | ↓ -31% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $123.93 | ↓ -29% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $125.39 | ↓ -28% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $125.39 | ↓ -28% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $125.39 | ↓ -28% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $125.39 | ↓ -28% |
| AETNA | AETNA HSHS | $131.71 | ↓ -25% |
| CIGNA | ALL COMMERCIAL CIGNA | $138.51 | ↓ -21% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $144.83 | ↓ -17% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $144.83 | ↓ -17% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $166.90 | ↓ -5% |
| HUMANA | HUMANA MEDICARE | $166.90 | ↓ -5% |
| COVENTRY | COVENTRY MEDICARE ADVANTRA | $166.90 | ↓ -5% |
| AETNA | AETNA MEDICARE | $166.90 | ↓ -5% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $166.90 | ↓ -5% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $166.90 | ↓ -5% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $166.90 | ↓ -5% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $166.90 | ↓ -5% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $166.90 | ↓ -5% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $170.10 | ↓ -3% |
| RUSHVILLE DETENTION CENTER | RUSHVILLE DETENTION CENTER | $174.96 | ↑ +0% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $175.25 | ↑ +0% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $179.09 | ↑ +2% |
| HUMANA | HUMANA CHOICE CARE PPO | $192.46 | ↑ +10% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $206.55 | ↑ +18% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $206.55 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $218.70 | ↑ +25% |
| UNITED HEALTHCARE | UHC MEDICAID | $243.00 | ↑ +39% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $243.00 | ↑ +39% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $243.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $243.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $243.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $243.00 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $243.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $243.00 | ↑ +39% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $243.00 | ↑ +39% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $243.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $243.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $243.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $243.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $243.00 | ↑ +39% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $375.53 | ↑ +115% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $417.26 | ↑ +138% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | 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 | 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 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
Passy muir valve metal trach at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $553.47 | $60.40 – $278.38 |
| Advocate Condell Medical Center | Libertyville | $350.92 | $150.19 – $561.46 |
| Advocate Good Samaritan Hospital | Downers Grove | $2,512.30 | $159.98 – $383.18 |
| UnityPoint Health - Trinity Moline | Rock Island | $136.92 | $67.43 – $231.98 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $214.93 | not published |
| Advocate Illinois Masonic Medical Center | Chicago | $928.83 | $152.48 – $537.37 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $928.83 | $137.68 – $315.61 |
| Advocate South Suburban Hospital | Hazel Crest | $519.62 | $210.24 – $831.38 |