Ercp lesion ablate w/dilate 43278 at UnityPoint Health - Trinity Moline
2701 17th St, Rock Island, IL · UnityPoint Health · · NPI 1316047632
not published by hospital
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.
not published by hospital
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.
$384.96 with Blue Cross and Blue Shield vs $2,959.78 with Iowa Total Care — 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 |
|---|---|---|---|
| Blue Cross and Blue Shield | Medicare Advantage | $384.96 | — |
| Ambetter | HMO | $384.96 | — |
| Aetna | Medicare Advantage | $384.96 | — |
| Health Alliance | Medicare Advantage | $384.96 | — |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $392.66 | — |
| Meridian Health Plan | Medicare Advantage | $404.21 | — |
| Humana | Medicare Advantage | $404.21 | — |
| Molina Medicare Options & Molina | MMAI Medicare Advantage | $404.21 | — |
| United Healthcare | Medicare Advantage | $404.21 | — |
| Amerivantage | Medicare Advantage | $404.21 | — |
| Blue Cross and Blue Shield | POS | $638.24 | — |
| BC Illinois Community | MMAI (Medicare-Medicaid) | $638.24 | — |
| Blue Cross and Blue Shield | PPO | $759.81 | — |
| Wellmark UPH Self-Funded | Commercial | $759.81 | — |
| Wellmark Blue Cross and Blue Shield | HMO | $818.20 | — |
| Health Partners Open Network | Commercial | $890.85 | — |
| Aetna | HMO | $1,013.26 | — |
| Cigna/Midlands | Commercial | $1,031.51 | — |
| Aetna | PPO | $1,233.07 | — |
| United Healthcare | PPO | $1,371.33 | — |
| United Healthcare | HMO | $1,371.33 | — |
| Iowa Total Care | Managed Medicaid | $2,959.78 | — |
Visitor-reported prices
Comments
Ercp lesion ablate w/dilate 43278 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $945.00 | $1,449.00 – $4,431.26 |
| MercyOne Genesis Aledo Medical Center | Aledo | $945.00 | $2,970.16 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $1,728.00 – $6,693.19 |
| Advocate Christ Medical Center | Oak Lawn | not published | $5,750.58 – $12,362.00 |
| Advocate Condell Medical Center | Libertyville | not published | $5,658.00 – $8,003.00 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $5,750.58 – $12,362.00 |
| Uchicago Medicine Adventhealth La Grange | La Grange | not published | $1,728.00 – $6,693.19 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | not published | $4,131.60 – $4,338.18 |