Tracheostoma revision; simple, without flap rotation at OSF Saint James John W Albrecht Medical Center
2500 West Reynolds Street, Pontiac, IL · Osfhealthcare · · NPI 1407808090
$5,650.40
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.
$7,063.00
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.
$3,552.91 with Health Alliance Plan vs $6,314.00 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 |
|---|---|---|---|
| Health Alliance Plan | Medicare Managed Care Plan | $3,552.91 | ↓ -37% |
| Aetna | Medicare Managed Care Plan | $3,588.44 | ↓ -36% |
| BCBS | Medicare Managed Care Plan | $3,623.97 | ↓ -36% |
| Caterpillar | All Commercial Plans | $6,314.00 | ↑ +12% |
Visitor-reported prices
Comments
Tracheostoma revision; simple, without flap rotation at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $878.40 | $1,346.88 – $2,196.53 |
| MercyOne Genesis Aledo Medical Center | Aledo | $878.40 | $2,970.16 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,069.60 | $376.96 – $2,522.98 |
| OSF Holy Family Medical Center | Monmouth | $5,836.00 | not published |
| OSF Little Company of Mary Medical Center | Evergreen Park | $5,517.60 | $1,471.00 – $6,608.41 |
| OSF Sacred Heart Medical Center – Urbana | Danville | $4,761.60 | $2,059.00 – $4,342.00 |
| OSF Saint Anthony's Health Center | Alton | $3,981.60 | $1,054.73 – $3,623.97 |
| OSF Saint Anthony Medical Center | Rockford | $6,205.20 | $472.30 – $12,435.18 |