Mastectomy form 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.
$142.64 with United Healthcare vs $436.70 with Ambetter — 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 |
|---|---|---|---|
| United Healthcare | PPO | $142.64 | — |
| United Healthcare | HMO | $142.64 | — |
| Blue Cross and Blue Shield | POS | $223.89 | — |
| BC Illinois Community | MMAI (Medicare-Medicaid) | $223.89 | — |
| Blue Cross and Blue Shield | PPO | $266.54 | — |
| Wellmark UPH Self-Funded | Commercial | $266.54 | — |
| Blue Cross and Blue Shield | Medicare Advantage | $272.94 | — |
| Health Alliance | Medicare Advantage | $278.40 | — |
| Aetna | Medicare Advantage | $278.40 | — |
| Molina Medicare Options & Molina | MMAI Medicare Advantage | $278.40 | — |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $278.40 | — |
| Wellmark Blue Cross and Blue Shield | HMO | $280.21 | — |
| United Healthcare | Medicare Advantage | $286.59 | — |
| Humana | Medicare Advantage | $286.59 | — |
| Meridian Health Plan | Medicare Advantage | $286.59 | — |
| Amerivantage | Medicare Advantage | $286.59 | — |
| Health Partners Open Network | Commercial | $295.35 | — |
| Aetna | HMO | $319.65 | — |
| Aetna | PPO | $319.65 | — |
| Cigna/Midlands | Commercial | $363.00 | — |
| Ambetter | HMO | $436.70 | — |
Visitor-reported prices
Comments
Mastectomy form at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $337.39 – $337.39 |
| Advocate Christ Medical Center | Oak Lawn | not published | $395.76 – $941.41 |
| Advocate Condell Medical Center | Libertyville | not published | $395.76 – $593.65 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $395.76 – $963.69 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $395.76 – $969.96 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | not published | $395.76 – $954.64 |
| Advocate Sherman Hospital | Elgin | not published | $395.76 – $524.04 |
| Advocate South Suburban Hospital | Hazel Crest | not published | $395.76 – $967.17 |