Asp & inj w/heparin pleurx cath at Uchicago Medicine Adventhealth La Grange
5101 S Willow Springs Rd, La Grange, IL · AdventHealth · · NPI 1407889652
$375.00
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.
$1,500.00
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.
$658.11 with Bcbs vs $2,208.00 with Unitedhealthcare — 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 | $658.11 | ↑ +75% |
| Aetna | Medicare Managed Care Plan | $672.23 | ↑ +79% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $678.95 | ↑ +81% |
| Cigna | Medicare Managed Care Plan | $692.40 | ↑ +85% |
| Meridian | Medicare Managed Care Plan | $705.84 | ↑ +88% |
| Aetna | Better Health Medicare Managed Care Plan | $746.17 | ↑ +99% |
| Bcbs | Access Community Health Hmo | $806.68 | ↑ +115% |
| Actin Care | All Commercial Plans | $840.29 | ↑ +124% |
| Molina | Exchange | $1,008.34 | ↑ +169% |
| Ambetter | Exchange | $1,089.01 | ↑ +190% |
| Unitedhealthcare | Hmo/Ppo | $2,208.00 | ↑ +489% |
Visitor-reported prices
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Asp & inj w/heparin pleurx cath at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $2,034.00 | $993.87 – $3,118.80 |
| MercyOne Genesis Aledo Medical Center | Aledo | $2,034.00 | $2,691.66 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $375.00 | $658.11 – $1,089.01 |
| Advocate Condell Medical Center | Libertyville | $900.00 | $709.20 – $4,681.00 |
| Advocate Illinois Masonic Medical Center | Chicago | $900.00 | $709.20 – $6,071.00 |
| Advocate Sherman Hospital | Elgin | $900.00 | $667.80 – $4,256.00 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $375.00 | $672.23 – $1,089.01 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | $375.00 | $672.23 – $1,089.01 |