App high cost ss t/a/l >100sq cm 1st 100sq cm at HSHS St. Anthony's Memorial Hospital
101 Coles Centre Dr., Mattoon, IL · Hshs · · NPI 1306800602
$4,283.28
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.
$5,949.00
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.
$1,665.72 with AMISH COMMUNITY vs $5,949.00 with INTERPLAN — 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 |
|---|---|---|---|
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $1,665.72 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $1,665.72 | ↓ -61% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $1,767.04 | ↓ -59% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $1,851.19 | ↓ -57% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $2,368.03 | ↓ -45% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $2,368.03 | ↓ -45% |
| HEALTH PARTNERS | HEALTH PARTNERS MEDICARE | $2,368.03 | ↓ -45% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $2,368.03 | ↓ -45% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $2,368.03 | ↓ -45% |
| HUMANA | HUMANA MEDICARE | $2,368.03 | ↓ -45% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $2,368.03 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $2,368.03 | ↓ -45% |
| AETNA | AETNA MEDICARE | $2,368.03 | ↓ -45% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $2,478.59 | ↓ -42% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $3,830.56 | ↓ -11% |
| AETNA | AETNA HSHS | $3,896.60 | ↓ -9% |
| AETNA | ALL COMMERCIAL AETNA | $4,188.10 | ↓ -2% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $4,426.06 | ↑ +3% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $4,729.46 | ↑ +10% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $4,729.46 | ↑ +10% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $4,729.46 | ↑ +10% |
| CIGNA | ALL COMMERCIAL CIGNA | $4,759.20 | ↑ +11% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $4,777.05 | ↑ +12% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $4,777.05 | ↑ +12% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $4,864.31 | ↑ +14% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $5,131.85 | ↑ +20% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $5,235.12 | ↑ +22% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $5,354.10 | ↑ +25% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $5,354.10 | ↑ +25% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $5,354.10 | ↑ +25% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $5,354.10 | ↑ +25% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $5,684.61 | ↑ +33% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $5,920.09 | ↑ +38% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $5,949.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $5,949.00 | ↑ +39% |
| WEXFORD | WEXFORD HEALTH SOURCES | $5,949.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $5,949.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $5,949.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $5,949.00 | ↑ +39% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $5,949.00 | ↑ +39% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $5,949.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $5,949.00 | ↑ +39% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $5,949.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $5,949.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $5,949.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $5,949.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $5,949.00 | ↑ +39% |
| 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 | — |
| 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 | — |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $848.40 | $452.48 – $5,724.40 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $625.00 | $430.00 – $3,581.90 |
| Advocate Christ Medical Center | Oak Lawn | $3,150.00 | $84.00 – $7,327.24 |
| Advocate Condell Medical Center | Libertyville | $3,150.00 | $116.00 – $7,327.24 |
| Advocate Good Samaritan Hospital | Downers Grove | $3,150.00 | $84.00 – $7,327.24 |
| UnityPoint Health - Trinity Moline | Rock Island | $7,073.49 | $171.55 – $3,899.26 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $625.00 | $430.00 – $3,581.90 |
| Advocate Illinois Masonic Medical Center | Chicago | $3,150.00 | $84.00 – $7,327.24 |