Inj., guselkumab, 1 mg at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$80,557.05
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.
$115,081.50
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.
$16,906.91 with AETNA HEALTH PLAN [171] vs $115,081.50 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 | $16,906.91 | ↓ -79% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $20,080.18 | ↓ -75% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $23,169.44 | ↓ -71% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $23,169.44 | ↓ -71% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $26,144.70 | ↓ -68% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $30,763.60 | ↓ -62% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $34,859.60 | ↓ -57% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $34,859.60 | ↓ -57% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $39,217.05 | ↓ -51% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $43,574.50 | ↓ -46% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $43,574.50 | ↓ -46% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $51,786.68 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $51,786.68 | ↓ -36% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $56,646.85 | ↓ -30% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $57,540.75 | ↓ -29% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $66,747.27 | ↓ -17% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $69,719.20 | ↓ -13% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $69,719.20 | ↓ -13% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $71,462.18 | ↓ -11% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $74,076.65 | ↓ -8% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $80,557.05 | ↑ +0% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $87,149.00 | ↑ +8% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $87,149.00 | ↑ +8% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $87,149.00 | ↑ +8% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $87,149.00 | ↑ +8% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $87,149.00 | ↑ +8% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $87,149.00 | ↑ +8% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $87,149.00 | ↑ +8% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | $87,149.00 | ↑ +8% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $87,149.00 | ↑ +8% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $87,149.00 | ↑ +8% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $98,301.25 | ↑ +22% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $115,081.50 | ↑ +43% |
| 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
Inj., guselkumab, 1 mg at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $20,910.14 | $86.38 – $147.04 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $108.55 – $283.00 |
| Advocate Trinity Hospital | Chicago | not published | $108.55 – $283.00 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $54,187.16 | not published |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $135,612.40 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $80,557.05 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $60,068.92 | not published |
| Northwestern Medicine McHenry Hospital | McHenry | $68,810.87 | not published |