Replace/revise brain shunt at Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
$30,002.23
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.
?
What you pay up front if you don't use insurance.
$42,860.33
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.
?
The hospital's undiscounted list price — almost no one pays this.
$425.00 with OPTUM/UNITED BEHAVIORAL HEALTH [157] vs $20,200.00 with BLUE CROSS BLUE SHIELD [1401] — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | NMH Optum UBH | $425.00 | ↓ -99% |
| AETNA HEALTH PLAN [171] | NMH AETNA NM EMPLOYEES | $3,918.80 | ↓ -87% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA ALTERNATIVE | $4,706.60 | ↓ -84% |
| CURAECHOICE [6100] | NMHC CURAECHOICE | $4,726.80 | ↓ -84% |
| IMAGINE HEALTH [6032] | NMHC IMAGINE HEALTH | $5,454.00 | ↓ -82% |
| AETNA HEALTH PLAN [171] | NMHC IMAGINE HEALTH | $5,454.00 | ↓ -82% |
| AETNA HEALTH PLAN [171] | NMH AETNA BP | $6,060.00 | ↓ -80% |
| AETNA HEALTH PLAN [171] | NMH AETNA | $6,464.00 | ↓ -78% |
| UNITED HEALTHCARE [158] | NMH UHC CORE | $6,935.00 | ↓ -77% |
| AETNA HEALTH PLAN [171] | NMH AETNA ASA | $7,130.60 | ↓ -76% |
| MULTIPLAN/PHCS [142] | NMH PHCS PPO | $7,500.00 | ↓ -75% |
| UNITED HEALTHCARE [158] | NMH UHC | $7,705.00 | ↓ -74% |
| HUMANA HEALTH PLAN [130] | NMH CHS IPA | $8,080.00 | ↓ -73% |
| HUMANA HEALTH PLAN [130] | NMH ADVOCATE IPA | $8,080.00 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC CHWN IPA | $9,090.00 | ↓ -70% |
| HUMANA HEALTH PLAN [130] | NMHC SCPP IPA | $9,090.00 | ↓ -70% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC SCPP IPA | $9,090.00 | ↓ -70% |
| HEALTHLINK [125] | NMH SEIU HEALTHLINK | $10,100.00 | ↓ -66% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC UIC IPA | $10,100.00 | ↓ -66% |
| HUMANA HEALTH PLAN [130] | NMHC UIC IPA | $10,100.00 | ↓ -66% |
| GLOBAL MEDICAL MANAGEMENT INC [6090] | NMHC GMMI | $11,716.00 | ↓ -61% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BROAD | $11,736.20 | ↓ -61% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN PLATINUM/CHC ELITE | $13,130.00 | ↓ -56% |
| MEDPARTNERS [6038] | NMHC MEDPARTNERS | $14,140.00 | ↓ -53% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/20 EPO | $16,564.00 | ↓ -45% |
| HEALTH'S FINEST NETWORK [126] | NMH HFN/10 PPO | $17,170.00 | ↓ -43% |
| MULTIPLAN/PHCS [142] | NMH NON-CONTRACTED PAYORS | $20,200.00 | ↓ -33% |
| CIGNA HEALTH PLAN [178] | NMHC NON-CONTRACTED PAYORS | $20,200.00 | ↓ -33% |
| UNITED HEALTHCARE [158] | NMHC NON-CONTRACTED PAYORS | $20,200.00 | ↓ -33% |
| UNITED HEALTHCARE [158] | NMHC UHC REF LAB JOHN DEERE | $20,200.00 | ↓ -33% |
| AETNA HEALTH PLAN [171] | NMHC NON-CONTRACTED PAYORS | $20,200.00 | ↓ -33% |
| GALAXY HEALTH NETWORK [220] | NMHC NON-CONTRACTED PAYORS | $20,200.00 | ↓ -33% |
| HEALTHLINK [125] | NMHC NON-CONTRACTED PAYORS | $20,200.00 | ↓ -33% |
| MULTIPLAN/PHCS [142] | NMHC NON-CONTRACTED PAYORS | $20,200.00 | ↓ -33% |
| FIRST HEALTH PLAN [6034] | NMHC NON-CONTRACTED PAYORS | $20,200.00 | ↓ -33% |
| BLUE CROSS BLUE SHIELD [1401] | NMHC NON-CONTRACTED PAYORS | $20,200.00 | ↓ -33% |
| CIGNA HEALTH PLAN [178] | NMH CIGNA LIFESOURCE TRANSPLANT | not published by hospital | — |
| UNITED HEALTHCARE [158] | NMH UHC NON-CONTRACTED OON - ED ONLY | not published by hospital | — |
| HUMANA HEALTH PLAN [130] | NMH IL HEALTH PARTNERS IPA | not published by hospital | — |
| CIGNA HEALTH PLAN [178] | NMH CIGNA BEHAVIORAL HEALTH (EVERNORTH) | not published by hospital | — |
| AETNA HEALTH PLAN [171] | NMH AETNA TRANSPLANT | not published by hospital | — |
Visitor-reported prices
Comments
Replace/revise brain shunt at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | not published | $9,155.00 – $18,102.00 |
| Advocate Trinity Hospital | Chicago | not published | $9,155.00 – $18,102.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $1,557.00 | $2,387.40 – $5,545.73 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,557.00 | $2,970.16 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,988.00 | $729.50 – $4,982.12 |
| OSF Holy Family Medical Center | Monmouth | $9,256.00 | not published |
| OSF Little Company of Mary Medical Center | Evergreen Park | $8,479.80 | $1,471.00 – $17,492.12 |
| OSF Sacred Heart Medical Center – Urbana | Danville | $8,043.00 | $2,059.00 – $9,592.45 |