Bx breast 1st lesion strtctc at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$2,353.40
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.
$3,362.00
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.
$628.69 with CIGNA HEALTH PLAN [178] vs $7,207.00 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 |
|---|---|---|---|
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $628.69 | ↓ -73% |
| AETNA HEALTH PLAN [171] | NMH AETNA NM EMPLOYEES | $652.23 | ↓ -72% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $689.13 | ↓ -71% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $907.74 | ↓ -61% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $1,008.60 | ↓ -57% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $1,075.84 | ↓ -54% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $1,186.79 | ↓ -50% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $1,344.80 | ↓ -43% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $1,344.80 | ↓ -43% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $1,353.51 | ↓ -42% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $1,512.90 | ↓ -36% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $1,559.97 | ↓ -34% |
| HEALTHLINK [125] | NMHC SEIU HEALTHLINK | $1,619.75 | ↓ -31% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $1,681.00 | ↓ -29% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $1,681.00 | ↓ -29% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $2,185.30 | ↓ -7% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $2,689.60 | ↑ +14% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $2,689.60 | ↑ +14% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $2,756.84 | ↑ +17% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $2,857.70 | ↑ +21% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $3,243.15 | ↑ +38% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $3,243.15 | ↑ +38% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $3,362.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $3,362.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $3,362.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $3,362.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $3,362.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $3,362.00 | ↑ +43% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $3,362.00 | ↑ +43% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $3,362.00 | ↑ +43% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $3,362.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $3,603.50 | ↑ +53% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $4,180.06 | ↑ +78% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $5,044.90 | ↑ +114% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $7,207.00 | ↑ +206% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $7,207.00 | ↑ +206% |
| 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
Bx breast 1st lesion strtctc at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | $2,760.00 | $2,174.88 – $6,181.00 |
| Advocate Trinity Hospital | Chicago | $2,760.00 | $2,174.88 – $6,181.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $4,607.40 | $1,305.43 – $3,869.52 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $498.75 | $658.00 – $2,867.21 |
| Advocate Christ Medical Center | Oak Lawn | $2,085.00 | $84.00 – $3,312.00 |
| Advocate Condell Medical Center | Libertyville | $2,420.00 | $1,906.96 – $4,636.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $2,420.00 | $1,906.96 – $6,181.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $8,450.52 | $146.74 – $2,329.17 |