Consultation pathology during surgery at Uchicago Medicine Adventhealth La Grange
5101 S Willow Springs Rd, La Grange, IL · AdventHealth · · NPI 1407889652
$26.25
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.
$105.00
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.
$17.81 with Unitedhealthcare vs $148.92 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 | $17.81 | ↓ -32% |
| Cigna | Medicare Managed Care Plan | $30.10 | ↑ +15% |
| Cigna | Exchange | $30.10 | ↑ +15% |
| Cigna | One Health Hmo | $37.01 | ↑ +41% |
| Bcbs | Medicare Managed Care Plan | $61.89 | ↑ +136% |
| Aetna | Medicare Managed Care Plan | $63.22 | ↑ +141% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $63.85 | ↑ +143% |
| Meridian | Medicare Managed Care Plan | $66.38 | ↑ +153% |
| Aetna | Better Health Medicare Managed Care Plan | $70.17 | ↑ +167% |
| Bcbs | Access Community Health Hmo | $75.86 | ↑ +189% |
| Actin Care | All Commercial Plans | $79.02 | ↑ +201% |
| Molina | Exchange | $94.83 | ↑ +261% |
| Ambetter | Exchange | $102.41 | ↑ +290% |
| Cigna | Hmo/Ppo | $148.92 | ↑ +467% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $40.80 | $17.28 – $92.88 |
| MercyOne Genesis Aledo Medical Center | Aledo | $32.40 | $24.84 – $67.02 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $26.25 | $17.81 – $102.41 |
| UnityPoint Health - Trinity Moline | Rock Island | $100.00 | $31.71 – $65.62 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $36.30 | $23.67 – $158.60 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $26.25 | $17.81 – $102.41 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | $26.25 | $17.81 – $102.41 |
| Advocate Christ Medical Center | Oak Lawn | not published | $33.43 – $298.49 |