Conversion ext bil drg cath at Advocate Condell Medical Center
801 South Milwaukee Avenue, Libertyville, IL · Advocate Health · · NPI 1124272547
$5,090.00
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.
?
What you pay up front if you don't use insurance.
$10,180.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4,010.92 with Advocate Employee vs $9,476.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $4,010.92 | ↓ -21% |
| Cigna One Health | Commercial | $5,293.60 | ↑ +4% |
| Private Healthcare Systems | Commercial | $5,293.60 | ↑ +4% |
| Ambetter | Medicare Advantage | $5,334.21 | ↑ +5% |
| Molina | Medicare Advantage | $5,334.21 | ↑ +5% |
| Oscar Health HMO | Medicare Advantage | $5,518.14 | ↑ +8% |
| Cigna | Commercial | $5,700.80 | ↑ +12% |
| Aetna | Commercial | $5,891.17 | ↑ +16% |
| Blue Cross Blue Shield City of Chicago | Commercial | $6,576.28 | ↑ +29% |
| United Healthcare Charter | Commercial | $6,700.00 | ↑ +32% |
| HSTechnology | Medicare Advantage | $7,063.22 | ↑ +39% |
| Blue Cross Blue Shield Choice | Commercial | $7,105.64 | ↑ +40% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $7,400.86 | ↑ +45% |
| Blue Cross Blue Shield | PPO | $7,482.30 | ↑ +47% |
| Blue Cross Blue Shield | HMO | $7,553.56 | ↑ +48% |
| United Healthcare Nexus | Commercial | $7,713.00 | ↑ +52% |
| United Healthcare Core Navigate | Commercial | $8,140.00 | ↑ +60% |
| Multiplan | Commercial | $8,144.00 | ↑ +60% |
| United Healthcare | HMO | $9,476.00 | ↑ +86% |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $2,880.00 | $2,269.44 – $17,439.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $5,080.00 | $4,003.04 – $17,439.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $7,362.84 | $174.44 – $4,058.77 |
| Advocate Illinois Masonic Medical Center | Chicago | $3,930.00 | $3,096.84 – $17,439.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $2,430.00 | $1,914.84 – $17,439.00 |
| Advocate Sherman Hospital | Elgin | $2,460.00 | $1,825.32 – $8,168.00 |
| Advocate South Suburban Hospital | Hazel Crest | $2,820.00 | $2,222.16 – $17,439.00 |
| Advocate Trinity Hospital | Chicago | $2,820.00 | $2,222.16 – $17,439.00 |