Caloric vstblr test w/rec at SSM Health Good Samaritan Hospital - Mt. Vernon
1 Good Samaritan Way, Mount Vernon, IL · SSM Health · · NPI 1609897339
$432.85
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.
$787.00
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.
$231.39 with Molina vs $242.96 with Essence 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 | Dual Eligible Medicare/Medicaid | $231.39 | ↓ -47% |
| UnitedHealthCare | Medicare Managed Care Plan | $240.64 | ↓ -44% |
| Essence Healthcare | Medicare Managed Care Plan | $242.96 | ↓ -44% |
Visitor-reported prices
Comments
Caloric vstblr test w/rec at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $310.00 | $173.51 – $617.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $50.40 | $5.46 – $121.72 |
| Advocate Illinois Masonic Medical Center | Chicago | $310.00 | $178.77 – $617.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $310.00 | $175.99 – $617.00 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $432.85 | $231.39 – $242.96 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $182.49 | $70.95 – $264.22 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $135.00 – $244.65 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $47.00 – $365.62 |