healthcosts.net
Shoulder MRI (with contrast) at Advocate Condell Medical Center
801 South Milwaukee Avenue, Libertyville, IL · Advocate Health · · NPI 1124272547
$2,330.00
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.
$4,660.00
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.
$1,096.00 with Cigna vs $2,984.00 with Multiplan — 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 |
|---|---|---|---|
| Cigna | Commercial | $1,096.00 | ↓ -53% |
| Cigna One Health | Commercial | $1,096.00 | ↓ -53% |
| Ambetter | Medicare Advantage | $1,194.18 | ↓ -49% |
| Molina | Medicare Advantage | $1,194.18 | ↓ -49% |
| Oscar Health HMO | Medicare Advantage | $1,235.36 | ↓ -47% |
| United Healthcare | HMO | $1,276.00 | ↓ -45% |
| United Healthcare Charter | Commercial | $1,276.00 | ↓ -45% |
| United Healthcare Core Navigate | Commercial | $1,276.00 | ↓ -45% |
| United Healthcare Nexus | Commercial | $1,276.00 | ↓ -45% |
| Advocate Employee | Commercial | $1,469.62 | ↓ -37% |
| HSTechnology | Medicare Advantage | $1,581.26 | ↓ -32% |
| Aetna | Commercial | $1,613.00 | ↓ -31% |
| Private Healthcare Systems | Commercial | $1,939.60 | ↓ -17% |
| Blue Cross Blue Shield City of Chicago | Commercial | $2,227.46 | ↓ -4% |
| Blue Cross Blue Shield Choice | Commercial | $2,408.45 | ↑ +3% |
| Blue Cross Blue Shield | PPO | $2,533.89 | ↑ +9% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $2,711.71 | ↑ +16% |
| Blue Cross Blue Shield | HMO | $2,767.66 | ↑ +19% |
| Multiplan | Commercial | $2,984.00 | ↑ +28% |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $2,408.40 | $396.64 – $3,022.00 |
| MercyOne Genesis Aledo Medical Center | Aledo | $2,408.40 | $790.06 – $1,257.72 |
| Advocate Christ Medical Center | Oak Lawn | $1,310.00 | $1,032.28 – $2,300.93 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,605.00 | $1,096.00 – $2,568.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $4,520.28 | $71.16 – $2,491.80 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $2,250.00 | $1,096.00 – $2,880.00 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,450.00 | $1,096.00 – $2,370.82 |
| Advocate Sherman Hospital | Elgin | $1,890.00 | $1,096.00 – $3,402.00 |