Abd/low ext cath 1st at HSHS St. Anthony's Memorial Hospital
101 Coles Centre Dr., Mattoon, IL · Hshs · · NPI 1306800602
$4,763.52
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.
$6,616.00
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.
$622.30 with MOLINA HEALTHCARE vs $4,410.00 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 |
|---|---|---|---|
| MOLINA HEALTHCARE | MOLINA MEDICAID | $622.30 | ↓ -87% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $651.94 | ↓ -86% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $1,234.80 | ↓ -74% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $1,234.80 | ↓ -74% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $2,839.60 | ↓ -40% |
| AETNA | AETNA HSHS | $2,888.55 | ↓ -39% |
| AETNA | ALL COMMERCIAL AETNA | $3,104.64 | ↓ -35% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $3,281.04 | ↓ -31% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $3,505.95 | ↓ -26% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $3,505.95 | ↓ -26% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $3,505.95 | ↓ -26% |
| CIGNA | ALL COMMERCIAL CIGNA | $3,528.00 | ↓ -26% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $3,541.23 | ↓ -26% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $3,541.23 | ↓ -26% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $3,880.80 | ↓ -19% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $3,969.00 | ↓ -17% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $3,969.00 | ↓ -17% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $3,969.00 | ↓ -17% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $3,969.00 | ↓ -17% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $4,410.00 | ↓ -7% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $4,410.00 | ↓ -7% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $4,410.00 | ↓ -7% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $4,410.00 | ↓ -7% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $4,410.00 | ↓ -7% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $4,410.00 | ↓ -7% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $4,410.00 | ↓ -7% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $4,410.00 | ↓ -7% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $4,410.00 | ↓ -7% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $4,410.00 | ↓ -7% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $4,410.00 | ↓ -7% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $4,410.00 | ↓ -7% |
| WEXFORD | WEXFORD HEALTH SOURCES | $4,410.00 | ↓ -7% |
| UNITED HEALTHCARE | UHC MEDICAID | $4,410.00 | ↓ -7% |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | 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 BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | 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 | — |
Visitor-reported prices
Comments
Abd/low ext cath 1st at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $2,552.40 | $661.27 – $2,610.04 |
| MercyOne Genesis Aledo Medical Center | Aledo | $2,121.00 | $1,790.87 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $375.00 | $1,032.00 – $3,217.00 |
| Advocate Christ Medical Center | Oak Lawn | $1,955.00 | $1,540.54 – $6,291.00 |
| Advocate Condell Medical Center | Libertyville | $3,300.00 | $2,600.40 – $5,280.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $2,720.00 | $2,143.36 – $6,291.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $6,521.60 | $205.50 – $1,763.20 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $375.00 | $1,032.00 – $3,217.00 |