Plcmnt biliary drainage cath w/img ext at MercyOne Genesis Silvis Medical Center
801 Illini Drive, Silvis, IL · MercyOne · · NPI 1427132604
$4,359.60
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.
$7,266.00
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.
$2,259.79 with Wellmark vs $6,684.72 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 |
|---|---|---|---|
| Wellmark | All Products | $2,259.79 | ↓ -48% |
| UHC | HMO | $3,097.90 | ↓ -29% |
| Wellmark | Medicare Advantage | $3,678.76 | ↓ -16% |
| Naphcare | All Products | $4,722.90 | ↑ +8% |
| UHC | PPO | $4,887.01 | ↑ +12% |
| Oscar | All Products | $5,518.14 | ↑ +27% |
| Midlands Choice | All Products | $6,684.72 | ↑ +53% |
Visitor-reported prices
Comments
Plcmnt biliary drainage cath w/img ext at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $3,915.00 | $3,085.02 – $17,439.00 |
| Advocate Condell Medical Center | Libertyville | $5,090.00 | $4,010.92 – $9,476.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $3,615.00 | $2,848.62 – $17,439.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $7,362.84 | $234.72 – $4,058.77 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $3,501.30 | $3,836.82 – $4,028.66 |
| Advocate Illinois Masonic Medical Center | Chicago | $4,350.00 | $3,427.80 – $17,439.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $3,275.00 | $2,580.70 – $17,439.00 |
| Advocate Sherman Hospital | Elgin | $2,460.00 | $1,825.32 – $8,168.00 |