Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at Uchicago Medicine Adventhealth La Grange
5101 S Willow Springs Rd, La Grange, IL · AdventHealth · · NPI 1407889652
$5,750.00
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.
$23,000.00
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.
$6,594.00 with Unitedhealthcare vs $18,144.90 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 |
|---|---|---|---|
| Unitedhealthcare | Hmo/Ppo | $6,594.00 | ↑ +15% |
| Aetna | Hmo/Ppo | $10,750.00 | ↑ +87% |
| Bcbs | Medicare Managed Care Plan | $10,965.34 | ↑ +91% |
| Aetna | Medicare Managed Care Plan | $11,200.55 | ↑ +95% |
| Unitedhealthcare | Centene Medicare Managed Care Plan | $11,312.56 | ↑ +97% |
| Cigna | Medicare Managed Care Plan | $11,536.57 | ↑ +101% |
| Meridian | Medicare Managed Care Plan | $11,760.58 | ↑ +105% |
| Aetna | Better Health Medicare Managed Care Plan | $12,432.61 | ↑ +116% |
| Bcbs | Access Community Health Hmo | $13,440.66 | ↑ +134% |
| Actin Care | All Commercial Plans | $14,000.69 | ↑ +143% |
| Molina | Exchange | $16,800.83 | ↑ +192% |
| Ambetter | Exchange | $18,144.90 | ↑ +216% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $13,837.20 | $7,379.84 – $21,217.04 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $5,750.00 | $6,594.00 – $18,144.90 |
| Advocate Christ Medical Center | Oak Lawn | $5,740.00 | $4,523.12 – $47,462.00 |
| Advocate Condell Medical Center | Libertyville | $11,825.00 | $9,318.10 – $24,503.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $8,155.00 | $6,426.14 – $47,462.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $17,991.82 | $414.32 – $9,917.99 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $15,761.35 | $11,200.55 – $11,760.58 |
| Advocate Illinois Masonic Medical Center | Chicago | $11,385.00 | $8,971.38 – $47,462.00 |