Biliary endoscopy thru skin at OSF Saint Francis Medical Center
530 Ne Glen Oak Ave, Peoria, IL · Osfhealthcare · · NPI 1043260482
$3,162.00
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.
$5,270.00
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.
$342.02 with Humana vs $23,584.75 with Caterpillar — 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 |
|---|---|---|---|
| Humana | PPO | $342.02 | ↓ -89% |
| Humana | HMO/POS | $342.02 | ↓ -89% |
| Health Alliance Plan | Medicare Managed Care Plan | $6,937.47 | ↑ +119% |
| Aetna | Medicare Managed Care Plan | $7,006.84 | ↑ +122% |
| BCBS | Medicare Managed Care Plan | $7,076.22 | ↑ +124% |
| UnitedHealthCare | All Commercial Plans | $17,033.00 | ↑ +439% |
| Caterpillar | All Commercial Plans | $23,584.75 | ↑ +646% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $3,825.00 | $3,014.10 – $25,111.00 |
| Northwestern Memorial Hospital | Chicago | $35,792.76 | $50.75 – $50.75 |
| Advocate Condell Medical Center | Libertyville | $5,390.00 | $4,247.32 – $16,667.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $712.80 | $250.13 – $4,854.28 |
| Advocate Illinois Masonic Medical Center | Chicago | $5,110.00 | $4,026.68 – $25,111.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $3,290.00 | $2,592.52 – $25,111.00 |
| Advocate Sherman Hospital | Elgin | $3,865.00 | $2,867.83 – $14,074.00 |
| Advocate South Suburban Hospital | Hazel Crest | $2,820.00 | $2,222.16 – $25,111.00 |