Knee arthroscopy/surgery at HSHS St. Francis Hospital
1215 FRANCISCAN DRIVE, LITCHFIELD, IL · Hshs · · NPI 1326057076
$15,430.32
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.
$21,431.00
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.
$4,500.51 with BLUE CROSS BLUE SHIELD OF ILLINOIS vs $21,431.00 with LIVE360 — 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 OF ILLINOIS | BCBS IL MEDICARE | $4,500.51 | ↓ -71% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $4,500.51 | ↓ -71% |
| HUMANA | HUMANA MEDICARE | $4,500.51 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $4,714.82 | ↓ -69% |
| AETNA | AETNA MEDICARE | $4,714.82 | ↓ -69% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $4,725.54 | ↓ -69% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $4,929.13 | ↓ -68% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $4,929.13 | ↓ -68% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $6,000.68 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $6,000.68 | ↓ -61% |
| WEXFORD | WEXFORD HEALTH SOURCES | $6,694.03 | ↓ -57% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $7,028.73 | ↓ -54% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $7,363.44 | ↓ -52% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $10,816.00 | ↓ -30% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $10,816.00 | ↓ -30% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $10,816.00 | ↓ -30% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $10,816.00 | ↓ -30% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $10,844.09 | ↓ -30% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $11,251.28 | ↓ -27% |
| AETNA | AETNA HSHS | $11,658.46 | ↓ -24% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $12,322.83 | ↓ -20% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $13,786.56 | ↓ -11% |
| AETNA | ALL COMMERCIAL AETNA | $15,065.99 | ↓ -2% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $15,901.80 | ↑ +3% |
| CIGNA | ALL COMMERCIAL CIGNA | $17,144.80 | ↑ +11% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $17,187.66 | ↑ +11% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $17,187.66 | ↑ +11% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $18,002.04 | ↑ +17% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $18,216.35 | ↑ +18% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $18,216.35 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $19,287.90 | ↑ +25% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $19,287.90 | ↑ +25% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $21,431.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $21,431.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $21,431.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $21,431.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $21,431.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $21,431.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $21,431.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $21,431.00 | ↑ +39% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $21,431.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $21,431.00 | ↑ +39% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
| 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 SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | 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 | — |
Visitor-reported prices
Comments
Knee arthroscopy/surgery at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $4,832.00 | $874.13 – $5,557.54 |
| Northwestern Medicine Delnor Hospital | Geneva | $77,478.83 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $67,084.02 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $85,032.29 | not published |
| Northwestern Medicine McHenry Hospital | McHenry | $57,602.08 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $5,543.64 – $11,170.15 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $2,697.00 – $15,013.59 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $658.00 – $12,596.95 |