Mapping functional cort/subcort ea add'l hr at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$1,719.90
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.
$2,457.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$267.91 with AETNA HEALTH PLAN [171] vs $2,457.00 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 | $267.91 | ↓ -84% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $321.77 | ↓ -81% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $372.87 | ↓ -78% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $414.30 | ↓ -76% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $441.92 | ↓ -74% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $487.49 | ↓ -72% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $544.75 | ↓ -68% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $552.40 | ↓ -68% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $552.40 | ↓ -68% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $621.45 | ↓ -64% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $628.56 | ↓ -63% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $690.50 | ↓ -60% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $690.50 | ↓ -60% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $802.36 | ↓ -53% |
| UNITED HEALTHCARE [158] | NMH UHC CORE | $805.12 | ↓ -53% |
| UNITED HEALTHCARE [158] | NMH UHC | $894.89 | ↓ -48% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $897.65 | ↓ -48% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | $1,104.80 | ↓ -36% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $1,104.80 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $1,105.65 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $1,105.65 | ↓ -36% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $1,132.42 | ↓ -34% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $1,173.85 | ↓ -32% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $1,228.50 | ↓ -29% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $1,381.00 | ↓ -20% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $1,381.00 | ↓ -20% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $1,381.00 | ↓ -20% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | $1,381.00 | ↓ -20% |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | $1,381.00 | ↓ -20% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $1,381.00 | ↓ -20% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $1,381.00 | ↓ -20% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $1,381.00 | ↓ -20% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $1,381.00 | ↓ -20% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $1,381.00 | ↓ -20% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $1,425.06 | ↓ -17% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $1,719.90 | ↑ +0% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $2,457.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $2,457.00 | ↑ +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
Mapping functional cort/subcort ea add'l hr at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $250.14 | $491.70 – $727.12 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $1,238.92 – $1,409.98 |
| Advocate Trinity Hospital | Chicago | not published | $1,230.82 – $1,400.87 |
| UnityPoint Health - Trinity Moline | Rock Island | $584.80 | $98.34 – $381.15 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $915.00 | $721.02 – $1,464.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $2,044.80 | not published |
| OSF St Joseph Medical Center | Bloomington | $728.40 | not published |
| OSF Saint Francis Medical Center | Peoria | $2,458.80 | $89.06 – $89.06 |