Alpha-fetoprotein tumor marker at Northwestern Medicine Kishwaukee Hospital
1 Kish Hospital Drive, DeKalb, IL · Nm · · NPI 1669534517
$175.00
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.
$250.00
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.
$36.42 with AETNA HEALTH PLAN [171] vs $199.00 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] | KH AETNA NM EMPLOYEES | $36.42 | ↓ -79% |
| AETNA HEALTH PLAN [171] | KH AETNA NIU | $67.66 | ↓ -61% |
| AETNA HEALTH PLAN [171] | KH AETNA IL PREFERRED | $71.44 | ↓ -59% |
| HEALTH'S FINEST NETWORK [126] | KH HFN NMH TIER ONE | $89.55 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PAR/INDEMNITY ADP | $111.24 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE OPTIONS | $120.20 | ↓ -31% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE SELECT | $120.20 | ↓ -31% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE PREFERRED | $120.20 | ↓ -31% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS HMO | $132.12 | ↓ -25% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS HMO | $132.12 | ↓ -25% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS PPO | $141.29 | ↓ -19% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PPO | $141.29 | ↓ -19% |
| HEALTHLINK [125] | KH SEIU HEALTHLINK | $149.25 | ↓ -15% |
| AETNA HEALTH PLAN [171] | KH AETNA ASA | $149.45 | ↓ -15% |
| CHOICECARE [177] | KH CHOICE CARE | $150.44 | ↓ -14% |
| MULTIPLAN/PHCS [142] | KH MULTIPLAN | $155.22 | ↓ -11% |
| COVENTRYONE PPO [17110] | KH PERSONAL CARE | $171.14 | ↓ -2% |
| FIRST HEALTH PLAN [6034] | KH PERSONAL CARE | $171.14 | ↓ -2% |
| AETNA HEALTH PLAN [171] | KH PERSONAL CARE | $171.14 | ↓ -2% |
| COVENTRY [1218] | KH PERSONAL CARE | $171.14 | ↓ -2% |
| HEALTH'S FINEST NETWORK [126] | KH HFN | $183.08 | ↑ +5% |
| MULTIPLAN/PHCS [142] | KH NON-CONTRACTED PAYORS | $199.00 | ↑ +14% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | KH OPTUM UBH BHS PROF | $199.00 | ↑ +14% |
| UNITED HEALTHCARE [158] | KH UHC NON-CONTRACTED OON - ED ONLY | $199.00 | ↑ +14% |
| BLUE CROSS BLUE SHIELD [1401] | KH NON-CONTRACTED PAYORS | $199.00 | ↑ +14% |
| FAMILY HEALTH NETWORK HMO [1610] | KH ILLINOIS MEDICAID | not published by hospital | — |
| MERIDIAN HEALTH PLAN HMO [1604] | KH ILLINOIS MEDICAID | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | KH HUMANA MEDICARE ADVT | not published by hospital | — |
| COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | not published by hospital | — |
| GLOBAL EXCEL [1712] | KH MEDICARE | not published by hospital | — |
| CENPATICO BEHAVIORAL HEALTH [1603] | KH ILLINOIS MEDICAID | not published by hospital | — |
| HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | KH MEDICARE | not published by hospital | — |
| BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | not published by hospital | — |
| CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Alpha-fetoprotein tumor marker at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $124.20 | $9.81 – $114.08 |
| MercyOne Genesis Aledo Medical Center | Aledo | $124.20 | $19.29 – $31.49 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $25.00 | $16.42 – $27.17 |
| Advocate Christ Medical Center | Oak Lawn | $90.00 | $16.77 – $132.00 |
| Northwestern Memorial Hospital | Chicago | $326.20 | not published |
| Advocate Condell Medical Center | Libertyville | $90.00 | $16.77 – $132.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $90.00 | $16.77 – $132.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $64.28 | $3.50 – $35.43 |