CT t-spine w /wo contrast at HSHS Good Shepherd Hospital
200 S Cedar St, Shelbyville, IL · Hshs · · NPI 1053348532
$2,927.52
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.
$4,066.00
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.
$962.88 with WEXFORD vs $4,066.00 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 |
|---|---|---|---|
| WEXFORD | WEXFORD HEALTH SOURCES | $962.88 | ↓ -67% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $1,011.02 | ↓ -65% |
| AETNA | AETNA MEDICARE | $1,016.50 | ↓ -65% |
| HUMANA | HUMANA MEDICARE | $1,016.50 | ↓ -65% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $1,016.50 | ↓ -65% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $1,016.50 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $1,016.50 | ↓ -65% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $1,016.50 | ↓ -65% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $1,016.50 | ↓ -65% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $1,059.16 | ↓ -64% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $1,067.33 | ↓ -64% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $1,138.48 | ↓ -61% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $1,138.48 | ↓ -61% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $2,236.30 | ↓ -24% |
| CIGNA | ALL COMMERCIAL CIGNA | $2,290.00 | ↓ -22% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $2,541.25 | ↓ -13% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $2,541.25 | ↓ -13% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $2,600.61 | ↓ -11% |
| AETNA | ALL COMMERCIAL AETNA | $2,842.13 | ↓ -3% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $3,000.71 | ↑ +3% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $3,240.60 | ↑ +11% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $3,240.60 | ↑ +11% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $3,391.04 | ↑ +16% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $3,391.04 | ↑ +16% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $3,391.04 | ↑ +16% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $3,456.10 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $3,659.40 | ↑ +25% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $3,659.40 | ↑ +25% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $4,066.00 | ↑ +39% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $4,066.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $4,066.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $4,066.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $4,066.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $4,066.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $4,066.00 | ↑ +39% |
| 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 | BLUE CROSS BLUE SHIELD IL HMO 470 | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | not published by hospital | — |
Visitor-reported prices
Comments
CT t-spine w /wo contrast at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,612.20 | $1.00 – $2,472.04 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,612.20 | $201.32 – $1,262.89 |
| Advocate Christ Medical Center | Oak Lawn | $1,275.00 | $269.08 – $2,040.00 |
| Advocate Condell Medical Center | Libertyville | $1,815.00 | $269.08 – $2,904.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,285.00 | $269.08 – $2,056.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,753.13 | $55.55 – $1,517.66 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $2,654.85 | $187.96 – $197.36 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,385.00 | $269.08 – $2,216.00 |