Biliary endoscopy thru skin at OSF Saint Anthony Medical Center
5666 East State Street, Rockford, IL · Osfhealthcare · · NPI 1790739977
$3,510.00
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.
$5,850.00
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.
$366.07 with Humana vs $24,281.13 with The Alliance — 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 | All Commercial Plans | $366.07 | ↓ -90% |
| Caterpillar | All Commercial Plans | $6,168.00 | ↑ +76% |
| UnitedHealthCare | All Commercial Plans | $6,223.00 | ↑ +77% |
| Health Alliance Plan | Medicare Managed Care Plan | $6,937.47 | ↑ +98% |
| Aetna | Medicare Managed Care Plan | $7,006.84 | ↑ +100% |
| BCBS | Medicare Managed Care Plan | $7,076.22 | ↑ +102% |
| Zing | Medicare Managed Care Plan | $7,284.34 | ↑ +108% |
| The Alliance | All Commercial Plans | $24,281.13 | ↑ +592% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $848.00 | $297.24 – $2,745.47 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $1,680.00 | $1,323.84 – $17,439.00 |
| Advocate Sherman Hospital | Elgin | $4,655.00 | $3,454.01 – $8,379.00 |
| Advocate Trinity Hospital | Chicago | $2,820.00 | $2,222.16 – $17,439.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $3,400.20 | $1,678.00 – $12,903.69 |
| OSF Sacred Heart Medical Center – Urbana | Danville | $4,126.20 | $2,356.00 – $7,076.22 |
| OSF Saint Francis Medical Center | Peoria | $5,363.40 | $366.07 – $23,584.75 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St. | $7,622.64 | $3,692.51 – $17,343.67 |