healthcosts.net
Avul nail plate addl at Advocate Christ Medical Center
4440 West 95th Street, Oak Lawn, IL · Advocate Health · · NPI 1548375082
$57.50
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.
$115.00
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.
$45.31 with Advocate Employee vs $6,291.00 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 |
|---|---|---|---|
| Advocate Employee | Commercial | $45.31 | ↓ -21% |
| Cigna One Health | Commercial | $59.80 | ↑ +4% |
| Aetna | Commercial | $62.04 | ↑ +8% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $63.60 | ↑ +11% |
| Cigna | Commercial | $64.40 | ↑ +12% |
| Blue Cross Blue Shield | HMO | $64.75 | ↑ +13% |
| Blue Cross Blue Shield City of Chicago | Commercial | $73.14 | ↑ +27% |
| Private Healthcare Systems | Commercial | $77.05 | ↑ +34% |
| Blue Cross Blue Shield Choice | Commercial | $79.01 | ↑ +37% |
| Blue Cross Blue Shield | PPO | $83.26 | ↑ +45% |
| Multiplan | Commercial | $92.00 | ↑ +60% |
| United Healthcare Charter | Commercial | $3,181.00 | ↑ +5432% |
| United Healthcare Nexus | Commercial | $3,686.00 | ↑ +6310% |
| United Healthcare Core Navigate | Commercial | $5,437.00 | ↑ +9356% |
| United Healthcare | HMO | $6,291.00 | ↑ +10841% |
| HSTechnology | Medicare Advantage | not published by hospital | — |
| Ambetter | Medicare Advantage | not published by hospital | — |
| Molina | Medicare Advantage | not published by hospital | — |
| Oscar Health HMO | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Avul nail plate addl at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $87.00 | $46.40 – $2,143.62 |
| MercyOne Genesis Aledo Medical Center | Aledo | $69.60 | $176.98 – $2,970.16 |
| Advocate Condell Medical Center | Libertyville | $220.00 | $173.36 – $4,528.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $120.00 | $94.56 – $6,291.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $255.23 | $15.39 – $140.69 |