Breast Biopsy (ultrasound-guided, percutaneous) at Uchicago Medicine Adventhealth La Grange
5101 S Willow Springs Rd, La Grange, IL · AdventHealth · · NPI 1407889652
$498.75
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.
$1,995.00
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.
$658.00 with Cigna vs $3,217.00 with Aetna — 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 |
|---|---|---|---|
| Cigna | Exchange | $658.00 | ↑ +32% |
| Cigna | One Health Hmo | $1,626.00 | ↑ +226% |
| Bcbs | Medicare Managed Care Plan | $1,732.71 | ↑ +247% |
| Aetna | Medicare Managed Care Plan | $1,769.88 | ↑ +255% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $1,787.58 | ↑ +258% |
| Cigna | Medicare Managed Care Plan | $1,822.98 | ↑ +266% |
| Meridian | Medicare Managed Care Plan | $1,858.38 | ↑ +273% |
| Aetna | Better Health Medicare Managed Care Plan | $1,964.57 | ↑ +294% |
| Bcbs | Access Community Health Hmo | $2,123.86 | ↑ +326% |
| Actin Care | All Commercial Plans | $2,212.35 | ↑ +344% |
| Molina | Exchange | $2,654.82 | ↑ +432% |
| Ambetter | Exchange | $2,867.21 | ↑ +475% |
| Unitedhealthcare | Hmo/Ppo | $2,954.00 | ↑ +492% |
| Aetna | Hmo/Ppo | $3,217.00 | ↑ +545% |
Visitor-reported prices
Comments
Breast Biopsy (ultrasound-guided, percutaneous) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $3,193.80 | $1,081.28 – $3,343.15 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $498.75 | $658.00 – $2,867.21 |
| Advocate Christ Medical Center | Oak Lawn | $1,910.00 | $1,505.08 – $6,181.00 |
| Advocate Condell Medical Center | Libertyville | $2,420.00 | $1,906.96 – $4,636.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $2,420.00 | $1,906.96 – $6,181.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $7,858.58 | $138.08 – $2,166.02 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $2,335.30 | $1,769.88 – $1,858.38 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,760.00 | $1,386.88 – $6,181.00 |