Repair of eye socket wound at HSHS St. John's Hospital
800 E Carpenter St. Springfield, IL 62769|301 N. 8th St., IL · Hshs · · NPI 1205818481
$8,145.36
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.
$11,313.00
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.
$450.00 with CATERPILLAR, INC. vs $11,313.00 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 |
|---|---|---|---|
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $450.00 | ↓ -94% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $450.00 | ↓ -94% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $1,049.00 | ↓ -87% |
| WEXFORD | WEXFORD HEALTH SOURCES | $2,440.45 | ↓ -70% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $2,562.47 | ↓ -69% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $2,684.49 | ↓ -67% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $3,167.64 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $3,167.64 | ↓ -61% |
| HUMANA | HUMANA CHOICE CARE HMO | $4,185.81 | ↓ -49% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $4,212.96 | ↓ -48% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $4,212.96 | ↓ -48% |
| AETNA | AETNA MEDICARE | $4,212.96 | ↓ -48% |
| COVENTRY | COVENTRY MEDICARE ADVANTRA | $4,212.96 | ↓ -48% |
| HUMANA | HUMANA MEDICARE | $4,212.96 | ↓ -48% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $4,212.96 | ↓ -48% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $4,212.96 | ↓ -48% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $4,212.96 | ↓ -48% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $4,212.96 | ↓ -48% |
| AETNA | ALL COMMERCIAL AETNA | $4,274.00 | ↓ -48% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $4,423.61 | ↓ -46% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $4,867.00 | ↓ -40% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $4,867.00 | ↓ -40% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $4,867.00 | ↓ -40% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $4,867.00 | ↓ -40% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $5,338.60 | ↓ -34% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $5,656.50 | ↓ -31% |
| AETNA | AETNA HSHS | $6,131.65 | ↓ -25% |
| CIGNA | ALL COMMERCIAL CIGNA | $6,448.41 | ↓ -21% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $7,919.10 | ↓ -3% |
| RUSHVILLE DETENTION CENTER | RUSHVILLE DETENTION CENTER | $8,145.36 | ↑ +0% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $8,337.68 | ↑ +2% |
| HUMANA | HUMANA CHOICE CARE PPO | $8,959.90 | ↑ +10% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $9,268.51 | ↑ +14% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $9,479.16 | ↑ +16% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $9,616.05 | ↑ +18% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $9,616.05 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $10,181.70 | ↑ +25% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $10,532.40 | ↑ +29% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $10,532.40 | ↑ +29% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $11,313.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $11,313.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $11,313.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $11,313.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $11,313.00 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $11,313.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $11,313.00 | ↑ +39% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $11,313.00 | ↑ +39% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $11,313.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $11,313.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $11,313.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $11,313.00 | ↑ +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
Repair of eye socket wound at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $2,441.60 | $439.07 – $2,933.69 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $2,989.75 – $5,896.45 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $1,179.00 – $8,097.00 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $658.00 – $6,824.99 |
| Advocate Christ Medical Center | Oak Lawn | not published | $5,699.90 – $17,439.00 |
| Advocate Condell Medical Center | Libertyville | not published | $5,699.90 – $9,476.00 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $5,699.90 – $17,439.00 |
| Uchicago Medicine Adventhealth La Grange | La Grange | not published | $658.00 – $6,824.99 |