Lens, intraocular (new tech) at HSHS St. Anthony's Memorial Hospital
101 Coles Centre Dr., Mattoon, IL · Hshs · · NPI 1306800602
$2,376.00
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.
$3,300.00
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.
$126.00 with AMISH COMMUNITY vs $450.00 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 |
|---|---|---|---|
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $126.00 | ↓ -95% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $126.00 | ↓ -95% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $289.76 | ↓ -88% |
| AETNA | AETNA HSHS | $294.75 | ↓ -88% |
| AETNA | ALL COMMERCIAL AETNA | $316.80 | ↓ -87% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $334.80 | ↓ -86% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $357.75 | ↓ -85% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $357.75 | ↓ -85% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $357.75 | ↓ -85% |
| CIGNA | ALL COMMERCIAL CIGNA | $360.00 | ↓ -85% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $361.35 | ↓ -85% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $361.35 | ↓ -85% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $396.00 | ↓ -83% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $405.00 | ↓ -83% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $405.00 | ↓ -83% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $405.00 | ↓ -83% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $405.00 | ↓ -83% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $450.00 | ↓ -81% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $450.00 | ↓ -81% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $450.00 | ↓ -81% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $450.00 | ↓ -81% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $450.00 | ↓ -81% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $450.00 | ↓ -81% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $450.00 | ↓ -81% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $450.00 | ↓ -81% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $450.00 | ↓ -81% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $450.00 | ↓ -81% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $450.00 | ↓ -81% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $450.00 | ↓ -81% |
| WEXFORD | WEXFORD HEALTH SOURCES | $450.00 | ↓ -81% |
| UNITED HEALTHCARE | UHC MEDICAID | $450.00 | ↓ -81% |
| 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
Lens, intraocular (new tech) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $326.40 | $150.08 – $431.48 |
| MercyOne Genesis Aledo Medical Center | Aledo | $326.40 | $211.05 – $220.43 |
| Northwestern Memorial Hospital | Chicago | $1,601.80 | not published |
| HSHS St. Joseph's Hospital | HIGHLAND | $2,376.00 | $450.00 – $450.00 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $3,038.32 | not published |
| HSHS St. Joseph's Hospital | Breese | $324.00 | $242.10 – $300.00 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St. | $2,376.00 | $89.40 – $150.00 |