Aqua therapy w/exercise/ea 15 min 97113 at Advocate Condell Medical Center
801 South Milwaukee Avenue, Libertyville, IL · Advocate Health · · NPI 1124272547
$100.00
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.
$200.00
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.
$54.33 with Ambetter vs $295.00 with United Healthcare — 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $54.33 | ↓ -46% |
| Molina | Medicare Advantage | $54.33 | ↓ -46% |
| Oscar Health HMO | Medicare Advantage | $56.20 | ↓ -44% |
| HSTechnology | Medicare Advantage | $71.93 | ↓ -28% |
| Advocate Employee | Commercial | $78.80 | ↓ -21% |
| Cigna | Commercial | $102.00 | ↑ +2% |
| Cigna One Health | Commercial | $104.00 | ↑ +4% |
| Private Healthcare Systems | Commercial | $104.00 | ↑ +4% |
| Blue Cross Blue Shield City of Chicago | Commercial | $106.92 | ↑ +7% |
| Blue Cross Blue Shield Choice | Commercial | $115.61 | ↑ +16% |
| Blue Cross Blue Shield | PPO | $121.63 | ↑ +22% |
| Aetna | Commercial | $134.26 | ↑ +34% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $145.40 | ↑ +45% |
| Blue Cross Blue Shield | HMO | $148.40 | ↑ +48% |
| Multiplan | Commercial | $160.00 | ↑ +60% |
| United Healthcare Charter | Commercial | $209.00 | ↑ +109% |
| United Healthcare Nexus | Commercial | $241.00 | ↑ +141% |
| United Healthcare Core Navigate | Commercial | $253.00 | ↑ +153% |
| United Healthcare | HMO | $295.00 | ↑ +195% |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $77.40 | $34.80 – $278.27 |
| MercyOne Genesis Aledo Medical Center | Aledo | $77.40 | $55.80 – $58.28 |
| Advocate Christ Medical Center | Oak Lawn | $100.00 | $54.33 – $469.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $100.00 | $54.33 – $469.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $113.54 | $32.76 – $62.59 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $100.00 | $54.33 – $469.00 |
| Advocate South Suburban Hospital | Hazel Crest | $100.00 | $54.33 – $469.00 |
| Advocate Trinity Hospital | Chicago | $100.00 | $54.33 – $469.00 |