Unlisted procedure rectum at OSF Saint Francis Medical Center
530 Ne Glen Oak Ave, Peoria, IL · Osfhealthcare · · NPI 1043260482
$564.60
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.
$941.00
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.
$357.00 with Humana vs $3,387.93 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 | HMO/POS | $357.00 | ↓ -37% |
| Health Alliance Plan | Medicare Managed Care Plan | $996.56 | ↑ +77% |
| Aetna | Medicare Managed Care Plan | $1,006.53 | ↑ +78% |
| BCBS | Medicare Managed Care Plan | $1,016.49 | ↑ +80% |
| Humana | PPO | $1,116.00 | ↑ +98% |
| UnitedHealthCare | All Commercial Plans | $1,963.00 | ↑ +248% |
| Caterpillar | All Commercial Plans | $3,387.93 | ↑ +500% |
Visitor-reported prices
Comments
Unlisted procedure rectum at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $1,524.56 | $709.27 – $3,527.66 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,125.00 | $886.50 – $6,071.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $574.20 | $996.56 – $2,825.00 |
| OSF Saint Anthony Medical Center | Rockford | $574.20 | $418.00 – $3,487.96 |
| OSF Saint Elizabeth Medical Center | Ottawa | $574.20 | $996.56 – $1,016.49 |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $12,129.60 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $12,129.60 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb | $12,129.60 | not published |