Biopsy thigh soft tissues at Advocate Condell Medical Center
801 South Milwaukee Avenue, Libertyville, IL · Advocate Health · · NPI 1124272547
$3,550.00
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.
$7,100.00
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.
$2,797.40 with Advocate Employee vs $8,003.00 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 |
|---|---|---|---|
| Advocate Employee | Commercial | $2,797.40 | ↓ -21% |
| Cigna One Health | Commercial | $3,692.00 | ↑ +4% |
| Private Healthcare Systems | Commercial | $3,692.00 | ↑ +4% |
| Cigna | Commercial | $3,976.00 | ↑ +12% |
| Aetna | Commercial | $4,108.77 | ↑ +16% |
| Ambetter | Medicare Advantage | $4,326.01 | ↑ +22% |
| Molina | Medicare Advantage | $4,326.01 | ↑ +22% |
| Oscar Health HMO | Medicare Advantage | $4,475.19 | ↑ +26% |
| Blue Cross Blue Shield City of Chicago | Commercial | $4,586.60 | ↑ +29% |
| Blue Cross Blue Shield Choice | Commercial | $4,955.80 | ↑ +40% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $5,161.70 | ↑ +45% |
| Blue Cross Blue Shield | PPO | $5,218.50 | ↑ +47% |
| Blue Cross Blue Shield | HMO | $5,268.20 | ↑ +48% |
| United Healthcare Charter | Commercial | $5,658.00 | ↑ +59% |
| Multiplan | Commercial | $5,680.00 | ↑ +60% |
| HSTechnology | Medicare Advantage | $5,728.24 | ↑ +61% |
| United Healthcare Nexus | Commercial | $6,514.00 | ↑ +83% |
| United Healthcare Core Navigate | Commercial | $6,874.00 | ↑ +94% |
| United Healthcare | HMO | $8,003.00 | ↑ +125% |
Visitor-reported prices
Comments
Biopsy thigh soft tissues at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $1,974.40 | $371.84 – $2,226.56 |
| Advocate South Suburban Hospital | Hazel Crest | $2,065.00 | $1,627.22 – $12,362.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $1,795.34 – $4,475.19 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $1,165.96 – $4,862.25 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $430.00 – $5,042.65 |
| Advocate Christ Medical Center | Oak Lawn | not published | $4,326.01 – $12,362.00 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $4,326.01 – $12,362.00 |
| Uchicago Medicine Adventhealth La Grange | La Grange | not published | $430.00 – $5,042.65 |