Ins/rpl prph sac/gstr npg/r at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$66,205.44
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.
$94,579.20
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.
$2,451.20 with CIGNA HEALTH PLAN [178] vs $20,257.00 with UNITED HEALTHCARE [158] — 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 |
|---|---|---|---|
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $2,451.20 | ↓ -96% |
| AETNA HEALTH PLAN [171] | NMH AETNA NM EMPLOYEES | $2,542.95 | ↓ -96% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $3,067.27 | ↓ -95% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $3,539.16 | ↓ -95% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $3,539.16 | ↓ -95% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $3,932.40 | ↓ -94% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $4,194.56 | ↓ -94% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $4,627.12 | ↓ -93% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $5,243.20 | ↓ -92% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $5,243.20 | ↓ -92% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $5,898.60 | ↓ -91% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $5,898.60 | ↓ -91% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $5,898.60 | ↓ -91% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $6,082.11 | ↓ -91% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $6,554.00 | ↓ -90% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $6,554.00 | ↓ -90% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $6,554.00 | ↓ -90% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $7,602.64 | ↓ -89% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $8,520.20 | ↓ -87% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $9,175.60 | ↓ -86% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $10,486.40 | ↓ -84% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $10,748.56 | ↓ -84% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $11,141.80 | ↓ -83% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $13,108.00 | ↓ -80% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $13,108.00 | ↓ -80% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $13,108.00 | ↓ -80% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $13,108.00 | ↓ -80% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $13,108.00 | ↓ -80% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $13,108.00 | ↓ -80% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $13,108.00 | ↓ -80% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $13,108.00 | ↓ -80% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $13,108.00 | ↓ -80% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $13,108.00 | ↓ -80% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $13,108.00 | ↓ -80% |
| UNITED HEALTHCARE [158] | NMH UHC CORE | $18,231.00 | ↓ -72% |
| UNITED HEALTHCARE [158] | NMH UHC | $20,257.00 | ↓ -69% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA LIFESOURCE TRANSPLANT | not published by hospital | — |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | 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
Ins/rpl prph sac/gstr npg/r at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | not published | $32,413.39 – $97,131.00 |
| Advocate Trinity Hospital | Chicago | not published | $32,413.39 – $97,131.00 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $4,341.70 | not published |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $4,341.70 | not published |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $109,523.29 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $86,186.39 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $44,669.23 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $9,175.60 | not published |