Bronchial valve remov addl at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$408.80
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.
$584.00
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.
$109.21 with CIGNA HEALTH PLAN [178] vs $1,021.41 with IMAGINE HEALTH [6032] — 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 |
|---|---|---|---|
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $109.21 | ↓ -73% |
| AETNA HEALTH PLAN [171] | NMH AETNA NM EMPLOYEES | $113.30 | ↓ -72% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $157.68 | ↓ -61% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $175.20 | ↓ -57% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $186.88 | ↓ -54% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $206.15 | ↓ -50% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $233.60 | ↓ -43% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $233.60 | ↓ -43% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $262.80 | ↓ -36% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $270.98 | ↓ -34% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $292.00 | ↓ -29% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $292.00 | ↓ -29% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $379.60 | ↓ -7% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $467.20 | ↑ +14% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $467.20 | ↑ +14% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $478.88 | ↑ +17% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $496.40 | ↑ +21% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $584.00 | ↑ +43% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $584.00 | ↑ +43% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $584.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $584.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $584.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $584.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $584.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $584.00 | ↑ +43% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $584.00 | ↑ +43% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $885.22 | ↑ +117% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $1,021.41 | ↑ +150% |
| AETNA HEALTH PLAN [171] | NMH AETNA TRANSPLANT | not published by hospital | — |
| HUMANA HEALTH PLAN [130] | NMH IL HEALTH PARTNERS IPA | not published by hospital | — |
| CIGNA HEALTH PLAN [178] | NMH CIGNA LIFESOURCE TRANSPLANT | not published by hospital | — |
Visitor-reported prices
Comments
Bronchial valve remov addl at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | not published | $2,606.55 – $6,181.00 |
| Advocate Trinity Hospital | Chicago | not published | $2,606.55 – $6,181.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $174.40 | $62.09 – $1,341.57 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $2,431.20 | $1,094.00 – $3,547.71 |
| OSF Saint Francis Medical Center | Peoria | $3,115.20 | $74.47 – $6,484.34 |
| Northwestern Medicine Palos Hospital | Palos Heights | $18,393.29 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $1,797.62 – $2,696.43 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $225.00 – $10,326.86 |