CT heart w/evaluation of calcium without contrast at Uchicago Medicine Adventhealth La Grange
5101 S Willow Springs Rd, La Grange, IL · AdventHealth · · NPI 1407889652
$18.75
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.
$75.00
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.
$15.76 with Cigna vs $151.08 with Ambetter — 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 | Medicare Managed Care Plan | $15.76 | ↓ -16% |
| Cigna | Exchange | $15.76 | ↓ -16% |
| Bcbs | Medicare Managed Care Plan | $91.30 | ↑ +387% |
| Aetna | Medicare Managed Care Plan | $93.26 | ↑ +397% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $94.19 | ↑ +402% |
| Meridian | Medicare Managed Care Plan | $97.92 | ↑ +422% |
| Aetna | Better Health Medicare Managed Care Plan | $103.52 | ↑ +452% |
| Bcbs | Access Community Health Hmo | $111.91 | ↑ +497% |
| Actin Care | All Commercial Plans | $116.57 | ↑ +522% |
| Molina | Exchange | $139.89 | ↑ +646% |
| Ambetter | Exchange | $151.08 | ↑ +706% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $18.75 | $16.40 – $151.08 |
| Advocate Christ Medical Center | Oak Lawn | $300.00 | $19.31 – $941.00 |
| Advocate Condell Medical Center | Libertyville | $267.50 | $19.31 – $941.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $287.50 | $19.31 – $941.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $192.00 | $25.41 – $86.28 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $95.70 | $93.26 – $97.92 |
| Advocate Illinois Masonic Medical Center | Chicago | $365.00 | $19.31 – $941.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $660.00 | $19.31 – $941.00 |