Inj, exagamglogene autotem at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$11,764,953.00
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.
?
What you pay up front if you don't use insurance.
$16,807,076.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,260,572.80 with AETNA HEALTH PLAN [171] vs $16,807,076.00 with GALAXY HEALTH NETWORK [220] — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $3,260,572.80 | ↓ -72% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $3,916,048.80 | ↓ -67% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $4,537,910.50 | ↓ -61% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $5,042,123.00 | ↓ -57% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $5,378,264.50 | ↓ -54% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $5,932,898.00 | ↓ -50% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $6,722,830.50 | ↓ -43% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $6,722,830.50 | ↓ -43% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $7,563,184.00 | ↓ -36% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $8,403,538.00 | ↓ -29% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $8,403,538.00 | ↓ -29% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $9,764,911.00 | ↓ -17% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $10,924,599.00 | ↓ -7% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $13,445,661.00 | ↑ +14% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $13,445,661.00 | ↑ +14% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $13,781,802.00 | ↑ +17% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $14,286,015.00 | ↑ +21% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $16,807,076.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $16,807,076.00 | ↑ +43% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | $16,807,076.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $16,807,076.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $16,807,076.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $16,807,076.00 | ↑ +43% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $16,807,076.00 | ↑ +43% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $16,807,076.00 | ↑ +43% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $16,807,076.00 | ↑ +43% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $16,807,076.00 | ↑ +43% |
| 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 | — |
| AETNA HEALTH PLAN [171] | NMH AETNA TRANSPLANT | not published by hospital | — |
Visitor-reported prices
Comments
Inj, exagamglogene autotem at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | not published | $3,381,400.00 – $4,477,440.00 |
| Advocate Trinity Hospital | Chicago | not published | $3,381,400.00 – $4,477,440.00 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $1,320,000.00 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $2,430,923.44 – $3,646,385.16 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $2,332,000.00 – $2,332,000.00 |
| Advocate Christ Medical Center | Oak Lawn | not published | $3,381,400.00 – $4,477,440.00 |
| Advocate Condell Medical Center | Libertyville | not published | $3,381,400.00 – $4,477,440.00 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $3,381,400.00 – $4,477,440.00 |