Bx thigh/knee soft tiss supf 27323 at Advocate Condell Medical Center
801 South Milwaukee Avenue, Libertyville, IL · Advocate Health · · NPI 1124272547
$2,470.00
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.
$4,940.00
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.
$1,946.36 with Advocate Employee vs $4,681.00 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 | $1,946.36 | ↓ -21% |
| Ambetter | Medicare Advantage | $2,449.01 | ↓ -1% |
| Molina | Medicare Advantage | $2,449.01 | ↓ -1% |
| Oscar Health HMO | Medicare Advantage | $2,533.46 | ↑ +3% |
| Cigna One Health | Commercial | $2,568.80 | ↑ +4% |
| Private Healthcare Systems | Commercial | $2,568.80 | ↑ +4% |
| Cigna | Commercial | $2,766.40 | ↑ +12% |
| Aetna | Commercial | $2,858.78 | ↑ +16% |
| Blue Cross Blue Shield City of Chicago | Commercial | $3,191.24 | ↑ +29% |
| HSTechnology | Medicare Advantage | $3,242.82 | ↑ +31% |
| United Healthcare Charter | Commercial | $3,310.00 | ↑ +34% |
| Blue Cross Blue Shield Choice | Commercial | $3,448.12 | ↑ +40% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $3,591.38 | ↑ +45% |
| Blue Cross Blue Shield | PPO | $3,630.90 | ↑ +47% |
| Blue Cross Blue Shield | HMO | $3,665.48 | ↑ +48% |
| United Healthcare Nexus | Commercial | $3,811.00 | ↑ +54% |
| Multiplan | Commercial | $3,952.00 | ↑ +60% |
| United Healthcare Core Navigate | Commercial | $4,021.00 | ↑ +63% |
| United Healthcare | HMO | $4,681.00 | ↑ +90% |
Visitor-reported prices
Comments
Bx thigh/knee soft tiss supf 27323 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $513.60 | $787.52 – $1,795.34 |
| MercyOne Genesis Aledo Medical Center | Aledo | $513.60 | $2,970.16 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $600.00 | $430.00 – $2,867.21 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,358.40 | $159.24 – $1,260.48 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $600.00 | $430.00 – $2,867.21 |
| Advocate South Suburban Hospital | Hazel Crest | $1,240.00 | $977.12 – $6,071.00 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $600.00 | $430.00 – $2,867.21 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | $600.00 | $398.00 – $2,867.21 |