Assay of phenylketones at Uchicago Medicine Adventhealth La Grange
5101 S Willow Springs Rd, La Grange, IL · AdventHealth · · NPI 1407889652
not published by hospital
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.
not published by hospital
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.
$3.90 with Bcbs vs $27.30 with Cigna — 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 | $3.90 | — |
| Cigna | Medicare Managed Care Plan | $3.95 | — |
| Cigna | Exchange | $3.95 | — |
| Aetna | Medicare Managed Care Plan | $3.98 | — |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $4.02 | — |
| Meridian | Medicare Managed Care Plan | $4.18 | — |
| Aetna | Better Health Medicare Managed Care Plan | $4.42 | — |
| Bcbs | Access Community Health Hmo | $4.78 | — |
| Actin Care | All Commercial Plans | $4.97 | — |
| Molina | Exchange | $5.97 | — |
| Unitedhealthcare | Hmo/Ppo | $6.13 | — |
| Ambetter | Exchange | $6.45 | — |
| Cigna | One Health Hmo | $7.80 | — |
| Aetna | Hmo/Ppo | $11.94 | — |
| Cigna | Hmo/Ppo | $27.30 | — |
Visitor-reported prices
Comments
Assay of phenylketones at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $10.40 | $2.39 – $6.37 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $4.42 – $4.42 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $3.98 – $11.98 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $3.90 – $6.45 |
| Advocate Christ Medical Center | Oak Lawn | not published | $3.98 – $19.83 |
| Advocate Condell Medical Center | Libertyville | not published | $3.98 – $19.83 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $3.98 – $19.83 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | not published | $3.98 – $4.18 |