Clsd tx of ankle fracture w/manip 28435 at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$2,356.90
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.
$3,367.00
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.
$221.60 with CIGNA HEALTH PLAN [178] vs $3,367.00 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 | $221.60 | ↓ -91% |
| AETNA HEALTH PLAN [171] | NMH AETNA NM EMPLOYEES | $229.89 | ↓ -90% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $319.95 | ↓ -86% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $355.50 | ↓ -85% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $379.20 | ↓ -84% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $418.31 | ↓ -82% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $474.00 | ↓ -80% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $474.00 | ↓ -80% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $533.25 | ↓ -77% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $549.84 | ↓ -77% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $592.50 | ↓ -75% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $592.50 | ↓ -75% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $770.25 | ↓ -67% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $787.88 | ↓ -67% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $909.09 | ↓ -61% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $948.00 | ↓ -60% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $948.00 | ↓ -60% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $971.70 | ↓ -59% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $1,007.25 | ↓ -57% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $1,185.00 | ↓ -50% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $1,185.00 | ↓ -50% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $1,185.00 | ↓ -50% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $1,185.00 | ↓ -50% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $1,185.00 | ↓ -50% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $1,185.00 | ↓ -50% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $1,185.00 | ↓ -50% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $1,185.00 | ↓ -50% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $1,185.00 | ↓ -50% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $1,515.15 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $1,515.15 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $1,683.50 | ↓ -29% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $1,952.86 | ↓ -17% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $2,356.90 | ↑ +0% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $3,367.00 | ↑ +43% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $3,367.00 | ↑ +43% |
| 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 | — |
| AETNA HEALTH PLAN [171] | NMH AETNA TRANSPLANT | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx of ankle fracture w/manip 28435 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | $1,790.00 | $1,410.52 – $3,203.13 |
| Advocate Trinity Hospital | Chicago | not published | $2,419.03 – $6,181.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $696.60 | $478.73 – $1,068.12 |
| MercyOne Genesis Aledo Medical Center | Aledo | $696.60 | $1,296.52 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $1,790.00 | $1,410.52 – $3,203.13 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,790.00 | $1,410.52 – $3,203.13 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,784.00 | $304.12 – $1,245.06 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $1,790.00 | $1,410.52 – $3,203.13 |