Transcath biopsy at Advocate Condell Medical Center
801 South Milwaukee Avenue, Libertyville, IL · Advocate Health · · NPI 1124272547
$4,090.00
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.
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What you pay up front if you don't use insurance.
$8,180.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$3,222.92 with Advocate Employee vs $16,667.00 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 | $3,222.92 | ↓ -21% |
| Cigna One Health | Commercial | $4,253.60 | ↑ +4% |
| Private Healthcare Systems | Commercial | $4,253.60 | ↑ +4% |
| Cigna | Commercial | $4,580.80 | ↑ +12% |
| Aetna | Commercial | $4,733.77 | ↑ +16% |
| Blue Cross Blue Shield City of Chicago | Commercial | $5,284.28 | ↑ +29% |
| Blue Cross Blue Shield Choice | Commercial | $5,709.64 | ↑ +40% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $5,946.86 | ↑ +45% |
| Blue Cross Blue Shield | PPO | $6,012.30 | ↑ +47% |
| Blue Cross Blue Shield | HMO | $6,069.56 | ↑ +48% |
| Multiplan | Commercial | $6,544.00 | ↑ +60% |
| Ambetter | Medicare Advantage | $8,170.76 | ↑ +100% |
| Molina | Medicare Advantage | $8,170.76 | ↑ +100% |
| Oscar Health HMO | Medicare Advantage | $8,452.51 | ↑ +107% |
| HSTechnology | Medicare Advantage | $10,819.22 | ↑ +165% |
| United Healthcare Charter | Commercial | $11,784.00 | ↑ +188% |
| United Healthcare Nexus | Commercial | $13,567.00 | ↑ +232% |
| United Healthcare Core Navigate | Commercial | $14,317.00 | ↑ +250% |
| United Healthcare | HMO | $16,667.00 | ↑ +308% |
Visitor-reported prices
Comments
Transcath biopsy at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $6,202.20 | $3,307.84 – $9,510.04 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $2,737.50 | $430.00 – $9,660.07 |
| Advocate Christ Medical Center | Oak Lawn | $1,715.00 | $1,351.42 – $25,111.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $3,215.00 | $2,533.42 – $25,111.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $4,298.05 | $192.07 – $4,205.42 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $2,737.50 | $430.00 – $9,660.07 |
| Advocate Illinois Masonic Medical Center | Chicago | $2,490.00 | $1,962.12 – $25,111.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $2,755.00 | $2,170.94 – $25,111.00 |