F-18 fluciclovine per mci at UnityPoint Health - Trinity Moline

2701 17th St, Rock Island, IL · UnityPoint Health · · NPI 1316047632

Source: hospital's published price file ↗ · Published Jan 28, 2026 · Ingested Aug 12, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$252.31 with BC Illinois Community vs $593.28 with Wellmark UPH Self-Funded — 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 →

Payer
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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
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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
BC Illinois Community MMAI (Medicare-Medicaid) $252.31
Blue Cross and Blue Shield Medicare Advantage $268.42
United Healthcare HMO $268.42
United Healthcare PPO $268.42
Health Alliance Medicare Advantage $273.79
Wellmark Blue Cross and Blue Shield Medicare Advantage $273.79
Molina Medicare Options & Molina MMAI Medicare Advantage $273.79
Aetna Medicare Advantage $273.79
Humana Medicare Advantage $281.84
United Healthcare Medicare Advantage $281.84
Meridian Health Plan Medicare Advantage $281.84
Amerivantage Medicare Advantage $281.84
Health Partners Open Network Commercial $426.75
Ambetter HMO $429.47
Blue Cross and Blue Shield POS $498.36
Wellmark Blue Cross and Blue Shield HMO $516.65
Aetna HMO $558.31
Aetna PPO $558.31
Blue Cross and Blue Shield PPO $593.28
Wellmark UPH Self-Funded Commercial $593.28

Visitor-reported prices

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F-18 fluciclovine per mci at other Illinois hospitals

Hospital City Cash price Negotiated range
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago $4,036.56 $1,053.96 – $1,053.96
MercyOne Genesis Silvis Medical Center Silvis not published $279.81 – $419.71
MercyOne Genesis Aledo Medical Center Aledo not published $268.42 – $268.42
Advocate Christ Medical Center Oak Lawn not published $389.21 – $1,008.58
Advocate Condell Medical Center Libertyville not published $389.21 – $1,008.58
Advocate Good Samaritan Hospital Downers Grove not published $389.21 – $1,008.58
Advocate Illinois Masonic Medical Center Chicago not published $389.21 – $1,008.58
Advocate Childrens Hospital - Park Ridge Park Ridge not published $389.21 – $1,008.58

All Illinois hospitals for this procedure →