Repair rotator cuff acute at OSF Saint Anthony Medical Center
5666 East State Street, Rockford, IL · Osfhealthcare · · NPI 1790739977
$7,153.20
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.
$11,922.00
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.
$898.19 with Humana vs $27,215.63 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 | $898.19 | ↓ -87% |
| Caterpillar | All Commercial Plans | $7,486.00 | ↑ +5% |
| Health Alliance Plan | Medicare Managed Care Plan | $7,775.89 | ↑ +9% |
| Aetna | Medicare Managed Care Plan | $7,853.65 | ↑ +10% |
| BCBS | Medicare Managed Care Plan | $7,931.41 | ↑ +11% |
| Zing | Medicare Managed Care Plan | $8,164.69 | ↑ +14% |
| UnitedHealthCare | All Commercial Plans | $12,241.00 | ↑ +71% |
| The Alliance | All Commercial Plans | $27,215.63 | ↑ +280% |
Visitor-reported prices
Comments
Repair rotator cuff acute at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $4,036.80 | $739.24 – $5,557.54 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $4,746.77 – $11,170.15 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $2,539.77 – $12,855.47 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $926.00 – $12,596.95 |
| Advocate Christ Medical Center | Oak Lawn | not published | $9,155.00 – $18,102.00 |
| Advocate Condell Medical Center | Libertyville | not published | $8,116.00 – $14,297.79 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $9,155.00 – $18,102.00 |
| Uchicago Medicine Adventhealth La Grange | La Grange | not published | $926.00 – $12,596.95 |