healthcosts.net
New Patient Office Visit (level 5) at MercyOne Genesis Silvis Medical Center
801 Illini Drive, Silvis, IL · MercyOne · · NPI 1427132604
$277.80
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.
$463.00
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.
$68.61 with UHC vs $261.28 with Midlands Choice — 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 |
|---|---|---|---|
| UHC | HMO | $68.61 | ↓ -75% |
| Wellmark | All Products | $90.88 | ↓ -67% |
| Oscar | All Products | $105.65 | ↓ -62% |
| UHC | PPO | $231.46 | ↓ -17% |
| Midlands Choice | All Products | $261.28 | ↓ -6% |
| Wellmark | Medicare Advantage | not published by hospital | — |
| Naphcare | All Products | not published by hospital | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Aledo Medical Center | Aledo | $277.80 | $463.00 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $207.50 | $105.00 – $332.00 |
| Advocate Condell Medical Center | Libertyville | $207.50 | $105.00 – $332.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $207.50 | $84.00 – $332.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $367.20 | $165.20 – $341.28 |
| Advocate Illinois Masonic Medical Center | Chicago | $207.50 | $105.00 – $332.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $207.50 | $105.00 – $332.00 |
| Advocate Sherman Hospital | Elgin | $207.50 | $105.00 – $373.50 |