Cad breast MRI w/r&i at HSHS St. Francis Hospital
1215 FRANCISCAN DRIVE, LITCHFIELD, IL · Hshs · · NPI 1326057076
$66.24
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.
$92.00
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.
$19.32 with HUMANA vs $92.00 with HEALTH ALLIANCE MEDICAL PLANS — 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 |
|---|---|---|---|
| HUMANA | HUMANA MEDICARE | $19.32 | ↓ -71% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $19.32 | ↓ -71% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $19.32 | ↓ -71% |
| AETNA | AETNA MEDICARE | $20.24 | ↓ -69% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $20.24 | ↓ -69% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $20.29 | ↓ -69% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $21.16 | ↓ -68% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $21.16 | ↓ -68% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $25.76 | ↓ -61% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $25.76 | ↓ -61% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $46.55 | ↓ -30% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $48.30 | ↓ -27% |
| AETNA | AETNA HSHS | $50.05 | ↓ -24% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $52.90 | ↓ -20% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $59.18 | ↓ -11% |
| AETNA | ALL COMMERCIAL AETNA | $64.68 | ↓ -2% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $68.26 | ↑ +3% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $73.78 | ↑ +11% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $73.78 | ↑ +11% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $77.28 | ↑ +17% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $78.20 | ↑ +18% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $78.20 | ↑ +18% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $78.48 | ↑ +18% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $78.48 | ↑ +18% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $78.48 | ↑ +18% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $78.48 | ↑ +18% |
| CIGNA | ALL COMMERCIAL CIGNA | $81.88 | ↑ +24% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $82.80 | ↑ +25% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $82.80 | ↑ +25% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $92.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $92.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $92.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $92.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $92.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $92.00 | ↑ +39% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $92.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $92.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $92.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $92.00 | ↑ +39% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO 470 | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL HMO PHAI | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | not published by hospital | — |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | not published by hospital | — |
Visitor-reported prices
Comments
Cad breast MRI w/r&i at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $193.60 | not published |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $193.60 | not published |
| OSF Healthcare Saint Katharine Medical Center | Dixon | $220.50 | not published |
| HSHS Holy Family Hospital | GREENVILLE | $248.40 | $345.00 – $345.00 |
| HSHS St. Joseph's Hospital | HIGHLAND | $120.96 | $168.00 – $168.00 |
| HSHS St. Joseph's Hospital | Breese | $127.44 | $177.00 – $177.00 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St. | $68.40 | $95.00 – $95.00 |
| HSHS St. Mary's Hospital | DECATUR | $144.00 | $200.00 – $200.00 |