Aco med nutria tx/group, ea 30 min 97804aco at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$131.60
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.
$188.00
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.
$24.44 with AETNA HEALTH PLAN [171] vs $188.00 with FIRST HEALTH PLAN [6034] — 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 |
|---|---|---|---|
| AETNA HEALTH PLAN [171] | NMH AETNA NM EMPLOYEES | $24.44 | ↓ -81% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $29.36 | ↓ -78% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $34.02 | ↓ -74% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $37.80 | ↓ -71% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $40.32 | ↓ -69% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $43.99 | ↓ -67% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $44.48 | ↓ -66% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $50.40 | ↓ -62% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $50.40 | ↓ -62% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $50.76 | ↓ -61% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $56.70 | ↓ -57% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $63.00 | ↓ -52% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $63.00 | ↓ -52% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $73.21 | ↓ -44% |
| UNITED HEALTHCARE [158] | NMH UHC CORE | $73.46 | ↓ -44% |
| UNITED HEALTHCARE [158] | NMH UHC | $81.65 | ↓ -38% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $81.90 | ↓ -38% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $84.60 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $84.60 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $94.00 | ↓ -29% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $100.80 | ↓ -23% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $100.80 | ↓ -23% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $103.32 | ↓ -21% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $107.10 | ↓ -19% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $109.04 | ↓ -17% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $126.00 | ↓ -4% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $126.00 | ↓ -4% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $126.00 | ↓ -4% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $126.00 | ↓ -4% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $126.00 | ↓ -4% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $126.00 | ↓ -4% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $126.00 | ↓ -4% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $126.00 | ↓ -4% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $126.00 | ↓ -4% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | $126.00 | ↓ -4% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $131.60 | ↑ +0% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $188.00 | ↑ +43% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $188.00 | ↑ +43% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA LIFESOURCE TRANSPLANT | not published by hospital | — |
| HUMANA HEALTH PLAN [130] | NMH IL HEALTH PARTNERS IPA | not published by hospital | — |
| AETNA HEALTH PLAN [171] | NMH AETNA TRANSPLANT | not published by hospital | — |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | $20.00 | $15.76 – $429.00 |
| Advocate Trinity Hospital | Chicago | $20.00 | $15.76 – $429.00 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $24.75 | $15.06 – $41.48 |
| MercyOne Genesis Silvis Medical Center | Silvis | $48.60 | $25.92 – $296.06 |
| MercyOne Genesis Aledo Medical Center | Aledo | $48.60 | $13.68 – $38.07 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $27.50 | $12.60 – $20.85 |
| Advocate Good Samaritan Hospital | Downers Grove | $20.00 | $15.76 – $429.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $37.60 | $14.14 – $23.61 |