Biopsy of prostate at Northwestern Medicine Kishwaukee Hospital
1 Kish Hospital Drive, DeKalb, IL · Nm · · NPI 1669534517
$17,132.54
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.
$24,475.06
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.
$1,314.67 with AETNA HEALTH PLAN [171] vs $7,184.00 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 | $1,314.67 | ↓ -92% |
| AETNA HEALTH PLAN [171] | KH AETNA NIU | $2,442.56 | ↓ -86% |
| AETNA HEALTH PLAN [171] | KH AETNA IL PREFERRED | $2,579.06 | ↓ -85% |
| HEALTH'S FINEST NETWORK [126] | KH HFN NMH TIER ONE | $3,232.80 | ↓ -81% |
| UNITED HEALTHCARE [158] | KH UHC CORE | $3,606.37 | ↓ -79% |
| CIGNA HEALTH PLAN [178] | KH CIGNA BROAD | $3,785.97 | ↓ -78% |
| CIGNA HEALTH PLAN [178] | KH CIGNA ALTERNATIVE | $3,814.70 | ↓ -78% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PAR/INDEMNITY ADP | $4,015.86 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE SELECT | $4,339.14 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE PREFERRED | $4,339.14 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE OPTIONS | $4,339.14 | ↓ -75% |
| THE ALLIANCE [1703] | KH THE ALLIANCE | $4,669.60 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS HMO | $4,769.46 | ↓ -72% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS HMO | $4,769.46 | ↓ -72% |
| UNITED HEALTHCARE [158] | KH UHC HMO/PPO | $4,806.10 | ↓ -72% |
| AETNA HEALTH PLAN [171] | KH AETNA | $4,842.02 | ↓ -72% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PPO | $5,100.64 | ↓ -70% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS PPO | $5,100.64 | ↓ -70% |
| HEALTHLINK [125] | KH SEIU HEALTHLINK | $5,388.00 | ↓ -69% |
| AETNA HEALTH PLAN [171] | KH AETNA ASA | $5,395.18 | ↓ -69% |
| CHOICECARE [177] | KH CHOICE CARE | $5,431.10 | ↓ -68% |
| MULTIPLAN/PHCS [142] | KH MULTIPLAN | $5,603.52 | ↓ -67% |
| COVENTRYONE PPO [17110] | KH PERSONAL CARE | $6,178.24 | ↓ -64% |
| FIRST HEALTH PLAN [6034] | KH PERSONAL CARE | $6,178.24 | ↓ -64% |
| AETNA HEALTH PLAN [171] | KH PERSONAL CARE | $6,178.24 | ↓ -64% |
| COVENTRY [1218] | KH PERSONAL CARE | $6,178.24 | ↓ -64% |
| HEALTH'S FINEST NETWORK [126] | KH HFN | $6,609.28 | ↓ -61% |
| BLUE CROSS BLUE SHIELD [1401] | KH NON-CONTRACTED PAYORS | $7,184.00 | ↓ -58% |
| MULTIPLAN/PHCS [142] | KH NON-CONTRACTED PAYORS | $7,184.00 | ↓ -58% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | KH OPTUM UBH BHS PROF | $7,184.00 | ↓ -58% |
| UNITED HEALTHCARE [158] | KH UHC NON-CONTRACTED OON - ED ONLY | $7,184.00 | ↓ -58% |
| 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
Biopsy of prostate at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,000.20 | $533.44 – $3,343.15 |
| Advocate Christ Medical Center | Oak Lawn | $1,980.00 | $1,560.24 – $6,181.00 |
| Northwestern Memorial Hospital | Chicago | $17,132.54 | not published |
| Advocate Condell Medical Center | Libertyville | $2,930.00 | $2,308.84 – $4,688.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $2,110.00 | $1,662.68 – $6,181.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,598.82 | $116.75 – $1,593.66 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,727.00 | not published |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $2,600.00 | $2,048.80 – $6,181.00 |