Cymetra injectable at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$579.07
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.
$827.25
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.
$178.02 with AETNA HEALTH PLAN [171] vs $3,125.96 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 |
|---|---|---|---|
| AETNA HEALTH PLAN [171] | NMH AETNA NM EMPLOYEES | $178.02 | ↓ -69% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $223.36 | ↓ -61% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $275.29 | ↓ -52% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $293.64 | ↓ -49% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $304.84 | ↓ -47% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $323.92 | ↓ -44% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $367.05 | ↓ -37% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $367.05 | ↓ -37% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $412.93 | ↓ -29% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $458.82 | ↓ -21% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $458.82 | ↓ -21% |
| UNITED HEALTHCARE [158] | NMH UHC CORE | $534.98 | ↓ -8% |
| UNITED HEALTHCARE [158] | NMH UHC | $594.62 | ↑ +3% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $596.46 | ↑ +3% |
| HEALTHLINK [125] | NMHC SEIU HEALTHLINK | $716.51 | ↑ +24% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $734.10 | ↑ +27% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $734.10 | ↑ +27% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $752.46 | ↑ +30% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $779.99 | ↑ +35% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $827.25 | ↑ +43% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $827.25 | ↑ +43% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $827.25 | ↑ +43% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $827.25 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $827.25 | ↑ +43% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $827.25 | ↑ +43% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $827.25 | ↑ +43% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $827.25 | ↑ +43% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $844.01 | ↑ +46% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $917.63 | ↑ +58% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | $917.63 | ↑ +58% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $917.63 | ↑ +58% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $1,406.68 | ↑ +143% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $1,406.68 | ↑ +143% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $1,562.98 | ↑ +170% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $1,813.06 | ↑ +213% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $2,188.17 | ↑ +278% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $3,125.96 | ↑ +440% |
| 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
Cymetra injectable at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | not published | $1,638.04 – $1,864.21 |
| Advocate Trinity Hospital | Chicago | not published | $1,627.34 – $1,852.17 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $2,188.17 | not published |
| Northwestern Medicine McHenry Hospital | McHenry | $579.07 | not published |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St. | $648.00 | $536.40 – $900.00 |
| Advocate Christ Medical Center | Oak Lawn | not published | $1,589.86 – $1,809.34 |
| Advocate Condell Medical Center | Libertyville | not published | $1,002.99 – $1,744.16 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $1,627.34 – $1,852.17 |