Cath combo lt&rt heart w/inj/s at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$12,250.70
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.
$17,501.00
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.
$3,040.95 with AETNA HEALTH PLAN [171] vs $15,675.00 with UNITED HEALTHCARE [158] — 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 | $3,040.95 | ↓ -75% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $3,517.72 | ↓ -71% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $3,652.28 | ↓ -70% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $4,058.91 | ↓ -67% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $4,058.91 | ↓ -67% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $4,702.50 | ↓ -62% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $5,016.00 | ↓ -59% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $5,533.28 | ↓ -55% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $6,270.00 | ↓ -49% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $6,270.00 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $6,848.10 | ↓ -44% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $6,848.10 | ↓ -44% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $6,848.10 | ↓ -44% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $7,609.00 | ↓ -38% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $7,609.00 | ↓ -38% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $7,837.50 | ↓ -36% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $8,826.44 | ↓ -28% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $9,107.18 | ↓ -26% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $10,188.75 | ↓ -17% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $10,652.60 | ↓ -13% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $12,540.00 | ↑ +2% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $12,540.00 | ↑ +2% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $12,853.50 | ↑ +5% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $13,323.75 | ↑ +9% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $15,218.00 | ↑ +24% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $15,218.00 | ↑ +24% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $15,218.00 | ↑ +24% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $15,218.00 | ↑ +24% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $15,218.00 | ↑ +24% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $15,218.00 | ↑ +24% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $15,218.00 | ↑ +24% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $15,218.00 | ↑ +24% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $15,218.00 | ↑ +24% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $15,675.00 | ↑ +28% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | $15,675.00 | ↑ +28% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $15,675.00 | ↑ +28% |
| AETNA HEALTH PLAN [171] | NMH AETNA TRANSPLANT | not published by hospital | — |
| 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 | — |
Visitor-reported prices
Comments
Cath combo lt&rt heart w/inj/s at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | $6,645.00 | $4,861.63 – $18,102.00 |
| Advocate Trinity Hospital | Chicago | $3,970.00 | $3,128.36 – $18,102.00 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | not published | $6,773.00 – $6,773.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $10,615.80 | $2,435.39 – $16,277.56 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $2,375.00 | $3,401.16 – $5,628.06 |
| Advocate Christ Medical Center | Oak Lawn | $3,970.00 | $3,128.36 – $18,102.00 |
| Advocate Condell Medical Center | Libertyville | $5,910.00 | $4,657.08 – $11,479.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $4,065.00 | $3,203.22 – $18,102.00 |