healthcosts.net
Knee X-ray at Advocate Christ Medical Center
4440 West 95th Street, Oak Lawn, IL · Advocate Health · · NPI 1548375082
$330.00
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.
$660.00
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.
$126.93 with Aetna vs $634.00 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 |
|---|---|---|---|
| Aetna | Commercial | $126.93 | ↓ -62% |
| Ambetter | Medicare Advantage | $160.73 | ↓ -51% |
| Molina | Medicare Advantage | $160.73 | ↓ -51% |
| Cigna | Commercial | $163.65 | ↓ -50% |
| Cigna One Health | Commercial | $163.65 | ↓ -50% |
| Oscar Health HMO | Medicare Advantage | $166.28 | ↓ -50% |
| Advocate Employee | Commercial | $204.88 | ↓ -38% |
| HSTechnology | Medicare Advantage | $212.83 | ↓ -36% |
| Blue Cross Blue Shield City of Chicago | Commercial | $217.90 | ↓ -34% |
| United Healthcare Charter | Commercial | $220.00 | ↓ -33% |
| Blue Cross Blue Shield Choice | Commercial | $235.51 | ↓ -29% |
| Blue Cross Blue Shield | PPO | $247.98 | ↓ -25% |
| United Healthcare Nexus | Commercial | $293.00 | ↓ -11% |
| Private Healthcare Systems | Commercial | $348.40 | ↑ +6% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $367.12 | ↑ +11% |
| Blue Cross Blue Shield | HMO | $374.40 | ↑ +13% |
| Multiplan | Commercial | $416.00 | ↑ +26% |
| United Healthcare Core Navigate | Commercial | $549.00 | ↑ +66% |
| United Healthcare | HMO | $634.00 | ↑ +92% |
Visitor-reported prices
Comments
Knee X-ray at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $293.40 | $54.71 – $265.69 |
| MercyOne Genesis Aledo Medical Center | Aledo | $293.40 | $146.70 – $153.22 |
| Advocate Condell Medical Center | Libertyville | $440.00 | $126.93 – $568.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $515.00 | $126.93 – $656.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $314.43 | $10.22 – $173.33 |
| Advocate Illinois Masonic Medical Center | Chicago | $420.00 | $126.93 – $634.00 |
| Advocate Sherman Hospital | Elgin | $350.00 | $105.00 – $504.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $575.00 | $126.93 – $736.00 |