Clsd tx trimall ankle fx without manip 27816 at HSHS St. Anthony's Memorial Hospital
101 Coles Centre Dr., Mattoon, IL · Hshs · · NPI 1306800602
$425.52
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.
$591.00
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.
$165.48 with AMISH COMMUNITY vs $613.52 with NAPHCARE — 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 | $165.48 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $165.48 | ↓ -61% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $283.10 | ↓ -33% |
| AETNA | AETNA MEDICARE | $283.10 | ↓ -33% |
| HUMANA | HUMANA MEDICARE | $283.10 | ↓ -33% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $283.10 | ↓ -33% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $283.10 | ↓ -33% |
| HEALTH PARTNERS | HEALTH PARTNERS MEDICARE | $283.10 | ↓ -33% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $283.10 | ↓ -33% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $283.10 | ↓ -33% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $283.10 | ↓ -33% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $296.32 | ↓ -30% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $380.54 | ↓ -11% |
| AETNA | AETNA HSHS | $387.11 | ↓ -9% |
| AETNA | ALL COMMERCIAL AETNA | $416.06 | ↓ -2% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $418.59 | ↓ -2% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $438.53 | ↑ +3% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $439.70 | ↑ +3% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $469.85 | ↑ +10% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $469.85 | ↑ +10% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $469.85 | ↑ +10% |
| CIGNA | ALL COMMERCIAL CIGNA | $472.80 | ↑ +11% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $474.57 | ↑ +12% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $474.57 | ↑ +12% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $520.08 | ↑ +22% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $531.90 | ↑ +25% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $531.90 | ↑ +25% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $531.90 | ↑ +25% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $531.90 | ↑ +25% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $581.53 | ↑ +37% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $591.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $591.00 | ↑ +39% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $591.00 | ↑ +39% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $591.00 | ↑ +39% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $591.00 | ↑ +39% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $591.00 | ↑ +39% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $591.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $591.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $591.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $591.00 | ↑ +39% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $591.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $591.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $591.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $591.00 | ↑ +39% |
| WEXFORD | WEXFORD HEALTH SOURCES | $591.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $591.00 | ↑ +39% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $613.52 | ↑ +44% |
| 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 | 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 | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx trimall ankle fx without manip 27816 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $597.60 | $110.08 – $375.08 |
| MercyOne Genesis Aledo Medical Center | Aledo | $597.60 | $158.24 – $258.39 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,600.00 | $94.34 – $653.80 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $287.10 | $264.33 – $277.55 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $287.10 | $264.33 – $277.55 |
| OSF Holy Family Medical Center | Monmouth | $4,060.00 | not published |
| OSF Little Company of Mary Medical Center | Evergreen Park | $297.60 | $264.33 – $1,400.00 |
| OSF Sacred Heart Medical Center – Urbana | Danville | $333.60 | $264.33 – $4,342.00 |