Passy muir valve metal trach at Advocate Condell Medical Center
801 South Milwaukee Avenue, Libertyville, IL · Advocate Health · · NPI 1124272547
$350.92
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.
$701.83
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.
$150.19 with Blue Cross Blue Shield Blue Precision vs $561.46 with Multiplan — 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 |
|---|---|---|---|
| Blue Cross Blue Shield Blue Precision | Managed Care | $150.19 | ↓ -57% |
| Blue Cross Blue Shield City of Chicago | Commercial | $152.30 | ↓ -57% |
| Blue Cross Blue Shield | HMO | $153.00 | ↓ -56% |
| Blue Cross Blue Shield Choice | Commercial | $164.23 | ↓ -53% |
| Blue Cross Blue Shield | PPO | $173.35 | ↓ -51% |
| Ambetter | Medicare Advantage | $210.24 | ↓ -40% |
| Molina | Medicare Advantage | $210.24 | ↓ -40% |
| Oscar Health HMO | Medicare Advantage | $217.49 | ↓ -38% |
| Advocate Employee | Commercial | $276.52 | ↓ -21% |
| HSTechnology | Medicare Advantage | $278.38 | ↓ -21% |
| United Healthcare Charter | Commercial | $297.58 | ↓ -15% |
| Aetna | Commercial | $337.30 | ↓ -4% |
| United Healthcare Nexus | Commercial | $342.49 | ↓ -2% |
| Cigna One Health | Commercial | $350.92 | ↑ +0% |
| United Healthcare Core Navigate | Commercial | $361.44 | ↑ +3% |
| Cigna | Commercial | $364.95 | ↑ +4% |
| Private Healthcare Systems | Commercial | $364.95 | ↑ +4% |
| United Healthcare | HMO | $421.10 | ↑ +20% |
| Multiplan | Commercial | $561.46 | ↑ +60% |
Visitor-reported prices
Comments
Passy muir valve metal trach at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $553.47 | $60.40 – $278.38 |
| UnityPoint Health - Trinity Moline | Rock Island | $136.92 | $67.43 – $231.98 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $214.93 | not published |
| Advocate Illinois Masonic Medical Center | Chicago | $928.83 | $152.48 – $537.37 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $928.83 | $137.68 – $315.61 |
| Advocate South Suburban Hospital | Hazel Crest | $519.62 | $210.24 – $831.38 |
| Advocate Trinity Hospital | Chicago | $259.26 | $180.96 – $414.82 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $214.93 | not published |