All tstg perq&iq drugs/biol at Uchicago Medicine Adventhealth La Grange
5101 S Willow Springs Rd, La Grange, IL · AdventHealth · · NPI 1407889652
$25.00
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.
$100.00
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.
$39.19 with Bcbs vs $64.84 with Ambetter — 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 |
|---|---|---|---|
| Bcbs | Medicare Managed Care Plan | $39.19 | ↑ +57% |
| Aetna | Medicare Managed Care Plan | $40.03 | ↑ +60% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $40.43 | ↑ +62% |
| Cigna | Medicare Managed Care Plan | $41.23 | ↑ +65% |
| Meridian | Medicare Managed Care Plan | $42.03 | ↑ +68% |
| Aetna | Better Health Medicare Managed Care Plan | $44.43 | ↑ +78% |
| Bcbs | Access Community Health Hmo | $48.03 | ↑ +92% |
| Actin Care | All Commercial Plans | $50.03 | ↑ +100% |
| Molina | Exchange | $60.04 | ↑ +140% |
| Ambetter | Exchange | $64.84 | ↑ +159% |
Visitor-reported prices
Comments
All tstg perq&iq drugs/biol at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $25.00 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $64.80 | $6.45 – $30.54 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $25.00 | $40.03 – $64.84 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | $25.00 | $40.03 – $64.84 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $31.45 – $61.37 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $17.00 – $85.17 |
| Advocate Christ Medical Center | Oak Lawn | not published | $59.33 – $105.62 |
| Advocate Condell Medical Center | Libertyville | not published | $58.55 – $78.56 |