Inj sulf hexa lipid microsph at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$1,335.42
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.
$1,907.75
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.
$93.22 with AETNA HEALTH PLAN [171] vs $1,907.75 with BLUE CROSS BLUE SHIELD [1401] — 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 | $93.22 | ↓ -93% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $129.74 | ↓ -90% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $144.15 | ↓ -89% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $169.62 | ↓ -87% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $192.20 | ↓ -86% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $192.20 | ↓ -86% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $216.23 | ↓ -84% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $240.25 | ↓ -82% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $240.25 | ↓ -82% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $312.33 | ↓ -77% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $384.40 | ↓ -71% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $384.40 | ↓ -71% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $394.01 | ↓ -70% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $408.43 | ↓ -69% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $446.41 | ↓ -67% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $480.50 | ↓ -64% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $480.50 | ↓ -64% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $480.50 | ↓ -64% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $480.50 | ↓ -64% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $480.50 | ↓ -64% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | $480.50 | ↓ -64% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $480.50 | ↓ -64% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $480.50 | ↓ -64% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $480.50 | ↓ -64% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $480.50 | ↓ -64% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $515.09 | ↓ -61% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $858.49 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $858.49 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $953.88 | ↓ -29% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $1,106.50 | ↓ -17% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $1,335.43 | ↑ +0% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $1,907.75 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $1,907.75 | ↑ +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 sulf hexa lipid microsph at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | not published | $31.42 – $64.36 |
| Advocate Trinity Hospital | Chicago | not published | $31.42 – $64.36 |
| MercyOne Genesis Silvis Medical Center | Silvis | $281.30 | $150.03 – $407.88 |
| MercyOne Genesis Aledo Medical Center | Aledo | $281.30 | $0.77 – $220.35 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $315.78 | $38.46 – $38.46 |
| UnityPoint Health - Trinity Moline | Rock Island | $61.15 | $16.34 – $30.08 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $315.78 | $38.46 – $38.46 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $315.78 | $29.26 – $38.46 |