Gen, neuro, clo loop, rechg at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$180,402.55
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.
$257,717.92
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.
$17,620.83 with CURAECHOICE [6100] vs $175,279.31 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 |
|---|---|---|---|
| CURAECHOICE [6100] | NMHC CURAECHOICE | $17,620.83 | ↓ -90% |
| AETNA HEALTH PLAN [171] | NMH AETNA NM EMPLOYEES | $19,730.11 | ↓ -89% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $20,331.72 | ↓ -89% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $20,331.72 | ↓ -89% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $23,696.47 | ↓ -87% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $30,510.48 | ↓ -83% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $32,544.51 | ↓ -82% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $35,900.66 | ↓ -80% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $40,680.64 | ↓ -77% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $40,680.64 | ↓ -77% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $45,765.72 | ↓ -75% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $50,850.80 | ↓ -72% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $50,850.80 | ↓ -72% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $59,088.63 | ↓ -67% |
| UNITED HEALTHCARE [158] | NMH UHC CORE | $59,292.03 | ↓ -67% |
| UNITED HEALTHCARE [158] | NMH UHC | $65,902.64 | ↓ -63% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $66,106.04 | ↓ -63% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $78,875.69 | ↓ -56% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $78,875.69 | ↓ -56% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $81,361.28 | ↓ -55% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $81,361.28 | ↓ -55% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $83,395.31 | ↓ -54% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $86,446.36 | ↓ -52% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $87,639.66 | ↓ -51% |
| HEALTHLINK [125] | NMHC SEIU HEALTHLINK | $96,403.63 | ↓ -47% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $101,662.01 | ↓ -44% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | $101,701.60 | ↓ -44% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $101,701.60 | ↓ -44% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $101,701.60 | ↓ -44% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $101,701.60 | ↓ -44% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $101,701.60 | ↓ -44% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $101,701.60 | ↓ -44% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $101,701.60 | ↓ -44% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $101,701.60 | ↓ -44% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $101,701.60 | ↓ -44% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $101,701.60 | ↓ -44% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $122,486.99 | ↓ -32% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $122,695.52 | ↓ -32% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $175,279.31 | ↓ -3% |
| 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
Gen, neuro, clo loop, rechg at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | $39,300.00 | $17,842.20 – $62,880.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $39,300.00 | $27,431.40 – $62,880.00 |
| Advocate Sherman Hospital | Elgin | $26,900.00 | $16,947.00 – $48,420.00 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $163,541.89 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $128,647.03 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $52,711.88 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $180,402.55 | not published |
| Northwestern Medicine McHenry Hospital | McHenry | $85,740.89 | not published |