Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) at HSHS Good Shepherd Hospital
200 S Cedar St, Shelbyville, IL · Hshs · · NPI 1053348532
$7,008.48
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.
$9,734.00
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.
$2,433.50 with BLUE CROSS BLUE SHIELD OF ILLINOIS vs $9,734.00 with INTERPLAN — 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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $2,433.50 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $2,433.50 | ↓ -65% |
| AETNA | AETNA MEDICARE | $2,433.50 | ↓ -65% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $2,433.50 | ↓ -65% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $2,433.50 | ↓ -65% |
| HUMANA | HUMANA MEDICARE | $2,433.50 | ↓ -65% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $2,433.50 | ↓ -65% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $2,555.18 | ↓ -64% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $2,725.52 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $2,725.52 | ↓ -61% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $5,353.70 | ↓ -24% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $6,083.75 | ↓ -13% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $6,083.75 | ↓ -13% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $6,225.87 | ↓ -11% |
| WEXFORD | WEXFORD HEALTH SOURCES | $6,775.39 | ↓ -3% |
| AETNA | ALL COMMERCIAL AETNA | $6,804.07 | ↓ -3% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $7,114.16 | ↑ +2% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $7,183.69 | ↑ +2% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $7,452.93 | ↑ +6% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $7,758.00 | ↑ +11% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $7,758.00 | ↑ +11% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $8,118.16 | ↑ +16% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $8,118.16 | ↑ +16% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $8,118.16 | ↑ +16% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $8,273.90 | ↑ +18% |
| CIGNA | ALL COMMERCIAL CIGNA | $8,663.26 | ↑ +24% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $8,760.60 | ↑ +25% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $8,760.60 | ↑ +25% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $9,734.00 | ↑ +39% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $9,734.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $9,734.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $9,734.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $9,734.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $9,734.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $9,734.00 | ↑ +39% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO 470 | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL HMO PHAI | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
Visitor-reported prices
Comments
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $3,321.60 | $612.55 – $2,524.18 |
| HSHS St. Francis Hospital | LITCHFIELD | $7,008.48 | $2,654.23 – $9,734.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $2,136.26 – $5,073.37 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $1,606.58 – $5,785.54 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $926.00 – $5,680.26 |
| Advocate Christ Medical Center | Oak Lawn | not published | $4,904.26 – $25,111.00 |
| Advocate Condell Medical Center | Libertyville | not published | $4,904.26 – $16,667.00 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $4,904.26 – $25,111.00 |