Drainage of pelvis lesion 26990 at OSF Saint Francis Medical Center
530 Ne Glen Oak Ave, Peoria, IL · Osfhealthcare · · NPI 1043260482
$3,216.00
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.
$5,360.00
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.
$692.80 with Humana vs $11,920.21 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 | $692.80 | ↓ -78% |
| Humana | HMO/POS | $692.80 | ↓ -78% |
| Health Alliance Plan | Medicare Managed Care Plan | $3,506.34 | ↑ +9% |
| Aetna | Medicare Managed Care Plan | $3,541.40 | ↑ +10% |
| BCBS | Medicare Managed Care Plan | $3,576.46 | ↑ +11% |
| UnitedHealthCare | All Commercial Plans | $5,543.00 | ↑ +72% |
| Caterpillar | All Commercial Plans | $11,920.21 | ↑ +271% |
Visitor-reported prices
Comments
Drainage of pelvis lesion 26990 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,176.60 | $1,804.12 – $3,796.78 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,176.60 | $2,970.16 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,605.60 | $609.36 – $2,524.18 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $9,736.20 | $1,094.00 – $6,521.79 |
| OSF Saint Anthony Medical Center | Rockford | $3,473.40 | $692.80 – $12,272.18 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $430.00 – $5,680.26 |
| Advocate Christ Medical Center | Oak Lawn | not published | $4,904.26 – $12,362.00 |
| Advocate Condell Medical Center | Libertyville | not published | $4,904.26 – $8,003.00 |