Diagnostic Mammogram (both breasts) at HSHS Good Shepherd Hospital
200 S Cedar St, Shelbyville, IL · Hshs · · NPI 1053348532
$474.48
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.
$659.00
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.
$148.28 with BLUE CROSS BLUE SHIELD OF ILLINOIS vs $659.00 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 | BCBS IL MMAI | $148.28 | ↓ -69% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $148.28 | ↓ -69% |
| AETNA | AETNA MEDICARE | $148.28 | ↓ -69% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $148.28 | ↓ -69% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $148.28 | ↓ -69% |
| HUMANA | HUMANA MEDICARE | $148.28 | ↓ -69% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $148.28 | ↓ -69% |
| WEXFORD | WEXFORD HEALTH SOURCES | $151.27 | ↓ -68% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $155.69 | ↓ -67% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $158.83 | ↓ -67% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $166.39 | ↓ -65% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $184.52 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $184.52 | ↓ -61% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $362.45 | ↓ -24% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $411.88 | ↓ -13% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $411.88 | ↓ -13% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $421.50 | ↓ -11% |
| AETNA | ALL COMMERCIAL AETNA | $460.64 | ↓ -3% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $486.34 | ↑ +2% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $525.22 | ↑ +11% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $525.22 | ↑ +11% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $549.61 | ↑ +16% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $549.61 | ↑ +16% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $549.61 | ↑ +16% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $560.15 | ↑ +18% |
| CIGNA | ALL COMMERCIAL CIGNA | $586.51 | ↑ +24% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $593.10 | ↑ +25% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $593.10 | ↑ +25% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $593.10 | ↑ +25% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $659.00 | ↑ +39% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $659.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $659.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $659.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $659.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $659.00 | ↑ +39% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO 470 | 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 | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $295.80 | $40.00 – $264.30 |
| MercyOne Genesis Aledo Medical Center | Aledo | $295.80 | $119.25 – $124.55 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $125.00 | $109.62 – $181.39 |
| Advocate Christ Medical Center | Oak Lawn | $282.50 | $161.67 – $524.00 |
| Advocate Condell Medical Center | Libertyville | $282.50 | $161.67 – $452.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $282.50 | $161.67 – $524.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $484.25 | $43.57 – $266.94 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $125.00 | $109.62 – $181.39 |