Valvuloplasty mitral at Advocate Christ Medical Center
4440 West 95th Street, Oak Lawn, IL · Advocate Health · · NPI 1548375082
$5,805.00
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.
$11,610.00
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.
$4,574.34 with Advocate Employee vs $25,111.00 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 | $4,574.34 | ↓ -21% |
| Cigna One Health | Commercial | $6,037.20 | ↑ +4% |
| Aetna | Commercial | $6,263.60 | ↑ +8% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $6,420.33 | ↑ +11% |
| Cigna | Commercial | $6,501.60 | ↑ +12% |
| Blue Cross Blue Shield | HMO | $6,536.43 | ↑ +13% |
| Private Healthcare Systems | Commercial | $7,778.70 | ↑ +34% |
| Blue Cross Blue Shield City of Chicago | Commercial | $8,824.92 | ↑ +52% |
| Multiplan | Commercial | $9,288.00 | ↑ +60% |
| Blue Cross Blue Shield Choice | Commercial | $9,538.04 | ↑ +64% |
| Blue Cross Blue Shield | PPO | $10,043.17 | ↑ +73% |
| United Healthcare Charter | Commercial | $12,700.00 | ↑ +119% |
| United Healthcare Nexus | Commercial | $14,716.00 | ↑ +154% |
| Molina | Medicare Advantage | $17,141.37 | ↑ +195% |
| Ambetter | Medicare Advantage | $17,141.37 | ↑ +195% |
| Oscar Health HMO | Medicare Advantage | $17,732.46 | ↑ +205% |
| United Healthcare Core Navigate | Commercial | $21,695.00 | ↑ +274% |
| HSTechnology | Medicare Advantage | $22,697.54 | ↑ +291% |
| United Healthcare | HMO | $25,111.00 | ↑ +333% |
Visitor-reported prices
Comments
Valvuloplasty mitral at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $2,892.00 | $4,434.40 – $8,407.35 |
| MercyOne Genesis Aledo Medical Center | Aledo | $2,892.00 | $2,970.16 – $2,970.16 |
| Advocate Good Samaritan Hospital | Downers Grove | $11,775.00 | $9,032.91 – $25,111.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,933.60 | $1,178.51 – $8,822.52 |
| Advocate Illinois Masonic Medical Center | Chicago | $12,885.00 | $9,092.34 – $25,111.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $17,995.00 | $8,951.20 – $28,792.00 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $5,474.00 – $20,040.97 |
| Advocate Condell Medical Center | Libertyville | not published | $5,567.37 – $22,697.54 |