Biopsy of rectum wall anal approach 45100 at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$15,117.93
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.
$21,597.04
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.
$1,335.67 with CURAECHOICE [6100] vs $9,864.00 with GALAXY HEALTH NETWORK [220] — 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 |
|---|---|---|---|
| CURAECHOICE [6100] | NMHC CURAECHOICE | $1,335.67 | ↓ -91% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $1,844.57 | ↓ -88% |
| AETNA HEALTH PLAN [171] | NMH AETNA NM EMPLOYEES | $1,913.62 | ↓ -87% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $2,663.28 | ↓ -82% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $2,663.28 | ↓ -82% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $2,959.20 | ↓ -80% |
| UNITED HEALTHCARE [158] | NMH UHC CORE | $3,132.00 | ↓ -79% |
| HEALTHLINK [125] | NMHC SEIU HEALTHLINK | $3,139.40 | ↓ -79% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $3,156.48 | ↓ -79% |
| UNITED HEALTHCARE [158] | NMH UHC | $3,480.00 | ↓ -77% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $3,481.99 | ↓ -77% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $3,945.60 | ↓ -74% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $3,945.60 | ↓ -74% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $4,438.80 | ↓ -71% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $4,438.80 | ↓ -71% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $4,438.80 | ↓ -71% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $4,576.90 | ↓ -70% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $4,932.00 | ↓ -67% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $4,932.00 | ↓ -67% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $4,932.00 | ↓ -67% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $5,721.12 | ↓ -62% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $6,411.60 | ↓ -58% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $6,904.80 | ↓ -54% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $7,891.20 | ↓ -48% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $8,088.48 | ↓ -46% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $8,384.40 | ↓ -45% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $9,864.00 | ↓ -35% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $9,864.00 | ↓ -35% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $9,864.00 | ↓ -35% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $9,864.00 | ↓ -35% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $9,864.00 | ↓ -35% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $9,864.00 | ↓ -35% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $9,864.00 | ↓ -35% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $9,864.00 | ↓ -35% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $9,864.00 | ↓ -35% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $9,864.00 | ↓ -35% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $9,864.00 | ↓ -35% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | 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 | — |
| CIGNA HEALTH PLAN [178] | NMH CIGNA LIFESOURCE TRANSPLANT | not published by hospital | — |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of rectum wall anal approach 45100 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | not published | $3,126.00 – $6,181.00 |
| Advocate Trinity Hospital | Chicago | not published | $3,126.00 – $6,181.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $565.20 | $866.64 – $1,447.67 |
| MercyOne Genesis Aledo Medical Center | Aledo | $565.20 | $2,970.16 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $740.00 | $273.33 – $2,133.47 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $3,190.00 | $2,513.72 – $6,181.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $396.60 | $1,094.00 – $5,532.48 |
| OSF Saint Francis Medical Center | Peoria | $1,803.60 | $327.28 – $10,112.00 |