Ins pm gen w/exist mlt leads at Uchicago Medicine Adventhealth La Grange
5101 S Willow Springs Rd, La Grange, IL · AdventHealth · · NPI 1407889652
$5,775.00
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.
$23,100.00
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.
$4,150.00 with Aetna vs $33,438.72 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 |
|---|---|---|---|
| Aetna | Hmo/Ppo | $4,150.00 | ↓ -28% |
| Unitedhealthcare | Hmo/Ppo | $6,594.00 | ↑ +14% |
| Bcbs | Medicare Managed Care Plan | $20,207.72 | ↑ +250% |
| Aetna | Medicare Managed Care Plan | $20,641.19 | ↑ +257% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $20,847.60 | ↑ +261% |
| Cigna | Medicare Managed Care Plan | $21,260.42 | ↑ +268% |
| Meridian | Medicare Managed Care Plan | $21,673.25 | ↑ +275% |
| Aetna | Better Health Medicare Managed Care Plan | $22,911.72 | ↑ +297% |
| Bcbs | Access Community Health Hmo | $24,769.43 | ↑ +329% |
| Actin Care | All Commercial Plans | $25,801.48 | ↑ +347% |
| Molina | Exchange | $30,961.78 | ↑ +436% |
| Ambetter | Exchange | $33,438.72 | ↑ +479% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $17,245.20 | $7,456.31 – $29,820.24 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $5,775.00 | $4,150.00 – $33,438.72 |
| Advocate Christ Medical Center | Oak Lawn | $19,965.00 | $15,732.42 – $47,462.00 |
| Advocate Condell Medical Center | Libertyville | $22,150.00 | $17,324.00 – $38,169.90 |
| Advocate Good Samaritan Hospital | Downers Grove | $6,245.00 | $4,921.06 – $47,462.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $17,191.21 | $309.49 – $14,836.62 |
| Advocate Illinois Masonic Medical Center | Chicago | $13,600.00 | $10,716.80 – $47,462.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $4,315.00 | $3,400.22 – $47,462.00 |