Surgical pathology level 5 gross & microscopic examination at Advocate Christ Medical Center
4440 West 95th Street, Oak Lawn, IL · Advocate Health · · NPI 1548375082
$675.00
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.
$1,350.00
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.
$283.41 with United Healthcare Nexus vs $1,080.00 with Multiplan — 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 |
|---|---|---|---|
| United Healthcare Nexus | Commercial | $283.41 | ↓ -58% |
| United Healthcare | HMO | $283.41 | ↓ -58% |
| United Healthcare Charter | Commercial | $283.41 | ↓ -58% |
| United Healthcare Core Navigate | Commercial | $283.41 | ↓ -58% |
| Aetna | Commercial | $488.80 | ↓ -28% |
| Advocate Employee | Commercial | $531.90 | ↓ -21% |
| Ambetter | Medicare Advantage | $543.72 | ↓ -19% |
| Molina | Medicare Advantage | $543.72 | ↓ -19% |
| Oscar Health HMO | Medicare Advantage | $562.47 | ↓ -17% |
| Blue Cross Blue Shield City of Chicago | Commercial | $710.19 | ↑ +5% |
| HSTechnology | Medicare Advantage | $719.96 | ↑ +7% |
| Blue Cross Blue Shield Choice | Commercial | $767.58 | ↑ +14% |
| Blue Cross Blue Shield | PPO | $808.23 | ↑ +20% |
| Private Healthcare Systems | Commercial | $904.50 | ↑ +34% |
| Cigna One Health | Commercial | $938.84 | ↑ +39% |
| Cigna | Commercial | $938.84 | ↑ +39% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $953.10 | ↑ +41% |
| Blue Cross Blue Shield | HMO | $972.00 | ↑ +44% |
| Multiplan | Commercial | $1,080.00 | ↑ +60% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $137.40 | $52.80 – $562.47 |
| MercyOne Genesis Aledo Medical Center | Aledo | $99.00 | $75.90 – $393.85 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $200.00 | $54.16 – $622.27 |
| Advocate Condell Medical Center | Libertyville | $560.00 | $283.41 – $938.84 |
| Advocate Good Samaritan Hospital | Downers Grove | $675.00 | $283.41 – $1,080.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $647.20 | $74.02 – $352.48 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $200.00 | $54.16 – $622.27 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $977.90 | $384.12 – $403.32 |