Pr removal foreign body external auditory canal without anesthesia at HSHS Good Shepherd Hospital
200 S Cedar St, Shelbyville, IL · Hshs · · NPI 1053348532
not published by hospital
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.
not published by hospital
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.
$99.75 with BLUE CROSS BLUE SHIELD OF ILLINOIS vs $399.00 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 | $99.75 | — |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $99.75 | — |
| AETNA | AETNA MEDICARE | $99.75 | — |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $99.75 | — |
| HUMANA | HUMANA MEDICARE | $99.75 | — |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $99.75 | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $99.75 | — |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $104.74 | — |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $111.72 | — |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $111.72 | — |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $219.45 | — |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $249.38 | — |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $249.38 | — |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $255.20 | — |
| AETNA | ALL COMMERCIAL AETNA | $278.90 | — |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $294.46 | — |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $318.00 | — |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $318.00 | — |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $332.77 | — |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $332.77 | — |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $332.77 | — |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $339.15 | — |
| CIGNA | ALL COMMERCIAL CIGNA | $355.11 | — |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $359.10 | — |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $359.10 | — |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $399.00 | — |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $399.00 | — |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $399.00 | — |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $399.00 | — |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $399.00 | — |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $399.00 | — |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $399.00 | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | 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 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 IL BLUE CHOICE PLANS | not published by hospital | — |
Visitor-reported prices
Comments
Pr removal foreign body external auditory canal without anesthesia at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $241.20 | $59.84 – $172.04 |
| MercyOne Genesis Aledo Medical Center | Aledo | $241.20 | $84.15 – $87.89 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $62.50 | $139.58 – $230.97 |
| Advocate Christ Medical Center | Oak Lawn | $275.00 | $84.00 – $304.00 |
| Northwestern Memorial Hospital | Chicago | $406.00 | not published |
| Advocate Condell Medical Center | Libertyville | $275.00 | $94.00 – $304.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $275.00 | $84.00 – $304.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $438.40 | $42.92 – $118.19 |