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Breast Biopsy (ultrasound-guided, percutaneous) at MercyOne Genesis Silvis Medical Center
801 Illini Drive, Silvis, IL · MercyOne · · NPI 1427132604
$3,193.80
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.
$5,323.00
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.
$1,081.28 with Wellmark vs $3,479.10 with UHC — 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 |
|---|---|---|---|
| Wellmark | All Products | $1,081.28 | ↓ -66% |
| Oscar | All Products | $1,256.99 | ↓ -61% |
| Wellmark | Medicare Advantage | $1,688.97 | ↓ -47% |
| Naphcare | All Products | $2,306.20 | ↓ -28% |
| Midlands Choice | All Products | $3,108.68 | ↓ -3% |
| UHC | PPO | $3,343.15 | ↑ +5% |
| UHC | HMO | $3,479.10 | ↑ +9% |
Visitor-reported prices
Comments
Breast Biopsy (ultrasound-guided, percutaneous) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $1,910.00 | $1,505.08 – $6,181.00 |
| Advocate Condell Medical Center | Libertyville | $2,420.00 | $1,906.96 – $4,636.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $2,420.00 | $1,906.96 – $6,181.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $7,858.58 | $138.08 – $2,166.02 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,760.00 | $1,386.88 – $6,181.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $2,415.00 | $1,903.02 – $6,181.00 |
| Advocate Sherman Hospital | Elgin | $2,160.00 | $1,602.72 – $4,256.00 |
| Advocate South Suburban Hospital | Hazel Crest | $1,805.00 | $1,422.34 – $6,181.00 |