Cell function assay w/stim at Uchicago Medicine Adventhealth La Grange
5101 S Willow Springs Rd, La Grange, IL · AdventHealth · · NPI 1407889652
$75.00
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.
$300.00
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.
$116.76 with Unitedhealthcare vs $912.42 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 |
|---|---|---|---|
| Unitedhealthcare | Hmo/Ppo | $116.76 | ↑ +56% |
| Bcbs | Medicare Managed Care Plan | $133.01 | ↑ +77% |
| Aetna | Medicare Managed Care Plan | $135.86 | ↑ +81% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $137.22 | ↑ +83% |
| Cigna | Medicare Managed Care Plan | $139.94 | ↑ +87% |
| Meridian | Medicare Managed Care Plan | $142.65 | ↑ +90% |
| Cigna | Exchange | $146.77 | ↑ +96% |
| Aetna | Better Health Medicare Managed Care Plan | $150.80 | ↑ +101% |
| Bcbs | Access Community Health Hmo | $163.03 | ↑ +117% |
| Actin Care | All Commercial Plans | $169.82 | ↑ +126% |
| Molina | Exchange | $203.79 | ↑ +172% |
| Ambetter | Exchange | $220.09 | ↑ +193% |
| Cigna | One Health Hmo | $287.90 | ↑ +284% |
| Aetna | Hmo/Ppo | $407.58 | ↑ +443% |
| Cigna | Hmo/Ppo | $912.42 | ↑ +1117% |
Visitor-reported prices
Comments
Cell function assay w/stim at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $75.00 | $116.76 – $220.09 |
| Advocate Christ Medical Center | Oak Lawn | $545.00 | $135.86 – $648.00 |
| Advocate Condell Medical Center | Libertyville | $545.00 | $135.86 – $648.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $545.00 | $135.86 – $617.57 |
| UnityPoint Health - Trinity Moline | Rock Island | $335.20 | $3.50 – $217.38 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $672.10 | $135.86 – $142.65 |
| Advocate Illinois Masonic Medical Center | Chicago | $545.00 | $135.86 – $659.34 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $545.00 | $135.86 – $617.57 |