Fixation of knee joint at OSF Saint Anthony Medical Center
5666 East State Street, Rockford, IL · Osfhealthcare · · NPI 1790739977
$348.00
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.
?
What you pay up front if you don't use insurance.
$580.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$163.52 with Humana vs $6,031.04 with The Alliance — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $163.52 | ↓ -53% |
| Health Alliance Plan | Medicare Managed Care Plan | $1,723.15 | ↑ +395% |
| Aetna | Medicare Managed Care Plan | $1,740.39 | ↑ +400% |
| BCBS | Medicare Managed Care Plan | $1,757.62 | ↑ +405% |
| Zing | Medicare Managed Care Plan | $1,809.31 | ↑ +420% |
| UnitedHealthCare | All Commercial Plans | $4,157.00 | ↑ +1095% |
| Caterpillar | All Commercial Plans | $4,932.00 | ↑ +1317% |
| The Alliance | All Commercial Plans | $6,031.04 | ↑ +1633% |
Visitor-reported prices
Comments
Fixation of knee joint at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $740.80 | $140.30 – $1,245.06 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $4,830.00 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $4,830.00 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $4,830.00 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $4,830.00 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb | $4,830.00 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $997.04 – $2,502.45 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $492.92 – $2,700.24 |