healthcosts.net
Ultrasound breast unilateral limited (both sides) at Advocate Condell Medical Center
801 South Milwaukee Avenue, Libertyville, IL · Advocate Health · · NPI 1124272547
$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.
?
What you pay up front if you don't use insurance.
$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.
?
The hospital's undiscounted list price — almost no one pays this.
$133.09 with Ambetter vs $867.00 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $133.09 | ↓ -72% |
| Molina | Medicare Advantage | $133.09 | ↓ -72% |
| Oscar Health HMO | Medicare Advantage | $137.68 | ↓ -71% |
| HSTechnology | Medicare Advantage | $176.23 | ↓ -63% |
| United Healthcare Charter | Commercial | $235.00 | ↓ -50% |
| Cigna | Commercial | $238.06 | ↓ -49% |
| Cigna One Health | Commercial | $238.06 | ↓ -49% |
| Blue Cross Blue Shield City of Chicago | Commercial | $241.84 | ↓ -49% |
| Advocate Employee | Commercial | $246.25 | ↓ -48% |
| Blue Cross Blue Shield Choice | Commercial | $261.49 | ↓ -44% |
| United Healthcare Nexus | Commercial | $269.00 | ↓ -43% |
| Blue Cross Blue Shield | PPO | $275.11 | ↓ -41% |
| United Healthcare Core Navigate | Commercial | $285.00 | ↓ -39% |
| Private Healthcare Systems | Commercial | $325.00 | ↓ -31% |
| Aetna | Commercial | $361.69 | ↓ -23% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $454.38 | ↓ -3% |
| Blue Cross Blue Shield | HMO | $463.75 | ↓ -1% |
| Multiplan | Commercial | $500.00 | ↑ +6% |
| United Healthcare | HMO | $867.00 | ↑ +84% |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $516.60 | $91.79 – $502.32 |
| MercyOne Genesis Aledo Medical Center | Aledo | $516.60 | $99.57 – $269.78 |
| Advocate Christ Medical Center | Oak Lawn | $505.00 | $133.09 – $544.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $595.00 | $133.09 – $636.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $427.00 | $29.97 – $117.69 |