Npsy tst eval phsy/qhp 1st hr at Advocate Christ Medical Center
4440 West 95th Street, Oak Lawn, IL · Advocate Health · · NPI 1548375082
$260.00
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.
$520.00
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.
$204.88 with Advocate Employee vs $1,556.00 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 | $204.88 | ↓ -21% |
| Cigna One Health | Commercial | $270.40 | ↑ +4% |
| Aetna | Commercial | $280.54 | ↑ +8% |
| Cigna | Commercial | $343.20 | ↑ +32% |
| Private Healthcare Systems | Commercial | $348.40 | ↑ +34% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $367.12 | ↑ +41% |
| Blue Cross Blue Shield | HMO | $374.40 | ↑ +44% |
| Multiplan | Commercial | $416.00 | ↑ +60% |
| Blue Cross Blue Shield City of Chicago | Commercial | $617.38 | ↑ +137% |
| United Healthcare Charter | Commercial | $628.00 | ↑ +142% |
| Blue Cross Blue Shield Choice | Commercial | $667.27 | ↑ +157% |
| Blue Cross Blue Shield | PPO | $702.61 | ↑ +170% |
| United Healthcare Nexus | Commercial | $728.00 | ↑ +180% |
| Ambetter | Medicare Advantage | $802.01 | ↑ +208% |
| Molina | Medicare Advantage | $802.01 | ↑ +208% |
| Oscar Health HMO | Medicare Advantage | $829.66 | ↑ +219% |
| HSTechnology | Medicare Advantage | $1,061.97 | ↑ +308% |
| United Healthcare Core Navigate | Commercial | $1,074.00 | ↑ +313% |
| United Healthcare | HMO | $1,556.00 | ↑ +498% |
Visitor-reported prices
Comments
Npsy tst eval phsy/qhp 1st hr at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $248.40 | $380.88 – $604.29 |
| MercyOne Genesis Aledo Medical Center | Aledo | $248.40 | $1,636.56 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $300.00 | $99.64 – $412.79 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $327.50 | $258.07 – $1,556.00 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $391.49 – $647.81 |
| Advocate Condell Medical Center | Libertyville | not published | $389.48 – $1,061.97 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $631.93 – $1,061.97 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | not published | $399.88 – $419.88 |