Complx repair enel 2.6-7.5 cm 13152 at MercyOne Genesis Silvis Medical Center
801 Illini Drive, Silvis, IL · MercyOne · · NPI 1427132604
$1,071.00
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.
$1,785.00
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.
$424.56 with Wellmark vs $3,372.50 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 | $424.56 | ↓ -60% |
| Wellmark | Medicare Advantage | $638.10 | ↓ -40% |
| Naphcare | All Products | $893.34 | ↓ -17% |
| Oscar | All Products | $957.14 | ↓ -11% |
| UHC | HMO | $1,124.70 | ↑ +5% |
| Midlands Choice | All Products | $1,269.60 | ↑ +19% |
| UHC | PPO | $3,372.50 | ↑ +215% |
Visitor-reported prices
Comments
Complx repair enel 2.6-7.5 cm 13152 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Aledo Medical Center | Aledo | $1,071.00 | $634.80 – $688.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $500.00 | $658.00 – $1,283.05 |
| Advocate Christ Medical Center | Oak Lawn | $945.00 | $744.66 – $1,512.00 |
| Advocate Condell Medical Center | Libertyville | $945.00 | $744.66 – $1,512.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $945.00 | $744.66 – $1,512.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,244.80 | $301.80 – $775.44 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $500.00 | $658.00 – $1,283.05 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $841.50 | $792.00 – $831.60 |