Appl modality 1/> areas vasopneumatic devices 97016 at Northwestern Medicine Kishwaukee Hospital
1 Kish Hospital Drive, DeKalb, IL · Nm · · NPI 1669534517
$185.50
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.
$265.00
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.
$48.50 with AETNA HEALTH PLAN [171] vs $265.00 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 |
|---|---|---|---|
| AETNA HEALTH PLAN [171] | KH AETNA NM EMPLOYEES | $48.50 | ↓ -74% |
| AETNA HEALTH PLAN [171] | KH AETNA NIU | $90.10 | ↓ -51% |
| AETNA HEALTH PLAN [171] | KH AETNA IL PREFERRED | $95.14 | ↓ -49% |
| HEALTH'S FINEST NETWORK [126] | KH HFN NMH TIER ONE | $119.25 | ↓ -36% |
| UNITED HEALTHCARE [158] | KH UHC CORE | $133.03 | ↓ -28% |
| CIGNA HEALTH PLAN [178] | KH CIGNA BROAD | $139.66 | ↓ -25% |
| CIGNA HEALTH PLAN [178] | KH CIGNA ALTERNATIVE | $140.72 | ↓ -24% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PAR/INDEMNITY ADP | $148.14 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE SELECT | $160.06 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE PREFERRED | $160.06 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE OPTIONS | $160.06 | ↓ -14% |
| THE ALLIANCE [1703] | KH THE ALLIANCE | $172.25 | ↓ -7% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS HMO | $175.93 | ↓ -5% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS HMO | $175.93 | ↓ -5% |
| UNITED HEALTHCARE [158] | KH UHC HMO/PPO | $177.29 | ↓ -4% |
| AETNA HEALTH PLAN [171] | KH AETNA | $178.61 | ↓ -4% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PPO | $188.15 | ↑ +1% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS PPO | $188.15 | ↑ +1% |
| HEALTHLINK [125] | KH SEIU HEALTHLINK | $198.75 | ↑ +7% |
| AETNA HEALTH PLAN [171] | KH AETNA ASA | $199.02 | ↑ +7% |
| CHOICECARE [177] | KH CHOICE CARE | $200.34 | ↑ +8% |
| MULTIPLAN/PHCS [142] | KH MULTIPLAN | $206.70 | ↑ +11% |
| COVENTRYONE PPO [17110] | KH PERSONAL CARE | $227.90 | ↑ +23% |
| FIRST HEALTH PLAN [6034] | KH PERSONAL CARE | $227.90 | ↑ +23% |
| AETNA HEALTH PLAN [171] | KH PERSONAL CARE | $227.90 | ↑ +23% |
| COVENTRY [1218] | KH PERSONAL CARE | $227.90 | ↑ +23% |
| HEALTH'S FINEST NETWORK [126] | KH HFN | $243.80 | ↑ +31% |
| BLUE CROSS BLUE SHIELD [1401] | KH NON-CONTRACTED PAYORS | $265.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | KH NON-CONTRACTED PAYORS | $265.00 | ↑ +43% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | KH OPTUM UBH BHS PROF | $265.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | KH UHC NON-CONTRACTED OON - ED ONLY | $265.00 | ↑ +43% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | KH MEDICARE | not published by hospital | — |
| BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | KH HUMANA MEDICARE ADVT | not published by hospital | — |
| GLOBAL EXCEL [1712] | KH MEDICARE | not published by hospital | — |
| CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | not published by hospital | — |
| FAMILY HEALTH NETWORK HMO [1610] | KH ILLINOIS MEDICAID | not published by hospital | — |
| MERIDIAN HEALTH PLAN HMO [1604] | KH ILLINOIS MEDICAID | not published by hospital | — |
| COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | 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 | — |
Visitor-reported prices
Comments
Appl modality 1/> areas vasopneumatic devices 97016 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $77.40 | $27.56 – $278.27 |
| MercyOne Genesis Aledo Medical Center | Aledo | $77.40 | $25.00 – $60.63 |
| Northwestern Memorial Hospital | Chicago | $185.50 | not published |
| Advocate Condell Medical Center | Libertyville | $65.00 | $17.60 – $295.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $29.60 | $10.61 – $17.87 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $72.60 | $11.46 – $46.36 |
| OSF Holy Family Medical Center | Monmouth | $70.40 | not published |
| OSF Little Company of Mary Medical Center | Evergreen Park | $52.80 | $11.72 – $21.80 |