Ligation/biopsy of temporal artery 37609 at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$10,659.66
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.
$15,228.09
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.
$868.14 with CURAECHOICE [6100] vs $9,962.00 with AETNA HEALTH PLAN [171] — 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 | $868.14 | ↓ -92% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $1,862.89 | ↓ -83% |
| AETNA HEALTH PLAN [171] | NMH AETNA NM EMPLOYEES | $1,932.63 | ↓ -82% |
| HEALTHLINK [125] | NMHC SEIU HEALTHLINK | $2,040.50 | ↓ -81% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $2,689.74 | ↓ -75% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $2,689.74 | ↓ -75% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $2,988.60 | ↓ -72% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $3,187.84 | ↓ -70% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $3,516.59 | ↓ -67% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $3,984.80 | ↓ -63% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $3,984.80 | ↓ -63% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $4,482.90 | ↓ -58% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $4,482.90 | ↓ -58% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $4,482.90 | ↓ -58% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $4,622.37 | ↓ -57% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $4,981.00 | ↓ -53% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $4,981.00 | ↓ -53% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $4,981.00 | ↓ -53% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $5,777.96 | ↓ -46% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $6,475.30 | ↓ -39% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $6,973.40 | ↓ -35% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $7,969.60 | ↓ -25% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $8,168.84 | ↓ -23% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $8,467.70 | ↓ -21% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $9,962.00 | ↓ -7% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $9,962.00 | ↓ -7% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $9,962.00 | ↓ -7% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $9,962.00 | ↓ -7% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $9,962.00 | ↓ -7% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $9,962.00 | ↓ -7% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $9,962.00 | ↓ -7% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $9,962.00 | ↓ -7% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $9,962.00 | ↓ -7% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $9,962.00 | ↓ -7% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $9,962.00 | ↓ -7% |
| AETNA HEALTH PLAN [171] | NMH AETNA TRANSPLANT | not published by hospital | — |
| HUMANA HEALTH PLAN [130] | NMH IL HEALTH PARTNERS IPA | not published by hospital | — |
| CIGNA HEALTH PLAN [178] | NMH CIGNA LIFESOURCE TRANSPLANT | not published by hospital | — |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | not published by hospital | — |
Visitor-reported prices
Comments
Ligation/biopsy of temporal artery 37609 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | not published | $2,449.01 – $6,181.00 |
| Advocate Trinity Hospital | Chicago | not published | $2,449.01 – $6,181.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $599.40 | $919.08 – $2,093.33 |
| MercyOne Genesis Aledo Medical Center | Aledo | $599.40 | $2,970.16 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,521.60 | $179.29 – $1,260.48 |
| OSF Saint Anthony Medical Center | Rockford | $3,949.20 | $330.66 – $6,194.59 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $8,860.60 | $101.50 – $237.84 |
| Northwestern Medicine Delnor Hospital | Geneva | $10,659.66 | not published |