Drainage of mouth lesion at OSF Saint Anthony Medical Center
5666 East State Street, Rockford, IL · Osfhealthcare · · NPI 1790739977
$299.40
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.
$499.00
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.
$547.78 with Humana vs $5,819.47 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 | $547.78 | ↑ +83% |
| Health Alliance Plan | Medicare Managed Care Plan | $1,662.71 | ↑ +455% |
| Aetna | Medicare Managed Care Plan | $1,679.33 | ↑ +461% |
| BCBS | Medicare Managed Care Plan | $1,695.96 | ↑ +466% |
| Zing | Medicare Managed Care Plan | $1,745.84 | ↑ +483% |
| UnitedHealthCare | All Commercial Plans | $4,157.00 | ↑ +1288% |
| Caterpillar | All Commercial Plans | $4,932.00 | ↑ +1547% |
| The Alliance | All Commercial Plans | $5,819.47 | ↑ +1844% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $1,265.60 | $364.95 – $1,152.38 |
| HSHS St. Joseph's Hospital | HIGHLAND | $3,087.36 | $3,666.44 – $4,288.00 |
| HSHS St. Joseph's Hospital | Breese | $4,096.08 | $1,575.35 – $5,689.00 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St. | $3,458.16 | $1,575.35 – $4,803.00 |
| HSHS St. Mary's Hospital | DECATUR | $3,199.68 | $1,654.11 – $4,444.00 |
| HSHS St. Anthony's Memorial Hospital | Mattoon | $2,941.92 | $1,654.11 – $4,086.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $1,544.12 – $2,316.17 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $900.00 – $5,158.41 |