Bronch w/debrdmt subgltc & uppr trach at HSHS St. Anthony's Memorial Hospital
101 Coles Centre Dr., Mattoon, IL · Hshs · · NPI 1306800602
$443.52
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.
$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.
$172.48 with AMISH COMMUNITY vs $616.00 with WEXFORD — 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 | $172.48 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $172.48 | ↓ -61% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $229.09 | ↓ -48% |
| HEALTH PARTNERS | HEALTH PARTNERS MEDICARE | $229.09 | ↓ -48% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $229.09 | ↓ -48% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $229.09 | ↓ -48% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $229.09 | ↓ -48% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $229.09 | ↓ -48% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $229.09 | ↓ -48% |
| AETNA | AETNA MEDICARE | $229.09 | ↓ -48% |
| HUMANA | HUMANA MEDICARE | $229.09 | ↓ -48% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $239.78 | ↓ -46% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $396.64 | ↓ -11% |
| AETNA | AETNA HSHS | $403.48 | ↓ -9% |
| AETNA | ALL COMMERCIAL AETNA | $433.66 | ↓ -2% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $458.30 | ↑ +3% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $470.58 | ↑ +6% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $489.72 | ↑ +10% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $489.72 | ↑ +10% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $489.72 | ↑ +10% |
| CIGNA | ALL COMMERCIAL CIGNA | $492.80 | ↑ +11% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $494.65 | ↑ +12% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $494.65 | ↑ +12% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $496.47 | ↑ +12% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $542.08 | ↑ +22% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $549.94 | ↑ +24% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $554.40 | ↑ +25% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $554.40 | ↑ +25% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $554.40 | ↑ +25% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $554.40 | ↑ +25% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $572.72 | ↑ +29% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $616.00 | ↑ +39% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $616.00 | ↑ +39% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $616.00 | ↑ +39% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $616.00 | ↑ +39% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $616.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $616.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $616.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $616.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $616.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $616.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $616.00 | ↑ +39% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $616.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $616.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $616.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $616.00 | ↑ +39% |
| WEXFORD | WEXFORD HEALTH SOURCES | $616.00 | ↑ +39% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO 470 | 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 | 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 | — |
Visitor-reported prices
Comments
Bronch w/debrdmt subgltc & uppr trach at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $878.40 | $1,346.88 – $1,801.98 |
| MercyOne Genesis Aledo Medical Center | Aledo | $878.40 | $2,970.16 – $2,970.16 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $329.45 | not published |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $329.45 | not published |
| OSF Little Company of Mary Medical Center | Evergreen Park | $1,969.20 | $213.90 – $397.86 |
| OSF St Joseph Medical Center | Bloomington | $2,143.20 | $213.90 – $1,383.00 |
| OSF Saint James John W Albrecht Medical Center | Pontiac | $3,258.40 | $213.90 – $1,766.00 |
| OSF Saint Francis Medical Center | Peoria | $2,092.80 | $213.90 – $4,983.00 |