Bx thigh/knee soft tiss supf 27323 at Northwestern Medicine Kishwaukee Hospital
1 Kish Hospital Drive, DeKalb, IL · Nm · · NPI 1669534517
$3,185.00
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.
$4,550.00
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.
$832.65 with AETNA HEALTH PLAN [171] vs $4,550.00 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 | $832.65 | ↓ -74% |
| AETNA HEALTH PLAN [171] | KH AETNA NIU | $1,547.00 | ↓ -51% |
| AETNA HEALTH PLAN [171] | KH AETNA IL PREFERRED | $1,633.45 | ↓ -49% |
| HEALTH'S FINEST NETWORK [126] | KH HFN NMH TIER ONE | $2,047.50 | ↓ -36% |
| UNITED HEALTHCARE [158] | KH UHC CORE | $2,284.10 | ↓ -28% |
| CIGNA HEALTH PLAN [178] | KH CIGNA BROAD | $2,397.85 | ↓ -25% |
| CIGNA HEALTH PLAN [178] | KH CIGNA ALTERNATIVE | $2,416.05 | ↓ -24% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PAR/INDEMNITY ADP | $2,543.45 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE SELECT | $2,748.20 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE PREFERRED | $2,748.20 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE OPTIONS | $2,748.20 | ↓ -14% |
| THE ALLIANCE [1703] | KH THE ALLIANCE | $2,957.50 | ↓ -7% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS HMO | $3,020.75 | ↓ -5% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS HMO | $3,020.75 | ↓ -5% |
| UNITED HEALTHCARE [158] | KH UHC HMO/PPO | $3,043.95 | ↓ -4% |
| AETNA HEALTH PLAN [171] | KH AETNA | $3,066.70 | ↓ -4% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PPO | $3,230.50 | ↑ +1% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS PPO | $3,230.50 | ↑ +1% |
| HEALTHLINK [125] | KH SEIU HEALTHLINK | $3,412.50 | ↑ +7% |
| AETNA HEALTH PLAN [171] | KH AETNA ASA | $3,417.05 | ↑ +7% |
| CHOICECARE [177] | KH CHOICE CARE | $3,439.80 | ↑ +8% |
| MULTIPLAN/PHCS [142] | KH MULTIPLAN | $3,549.00 | ↑ +11% |
| COVENTRYONE PPO [17110] | KH PERSONAL CARE | $3,913.00 | ↑ +23% |
| FIRST HEALTH PLAN [6034] | KH PERSONAL CARE | $3,913.00 | ↑ +23% |
| AETNA HEALTH PLAN [171] | KH PERSONAL CARE | $3,913.00 | ↑ +23% |
| COVENTRY [1218] | KH PERSONAL CARE | $3,913.00 | ↑ +23% |
| HEALTH'S FINEST NETWORK [126] | KH HFN | $4,186.00 | ↑ +31% |
| BLUE CROSS BLUE SHIELD [1401] | KH NON-CONTRACTED PAYORS | $4,550.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | KH NON-CONTRACTED PAYORS | $4,550.00 | ↑ +43% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | KH OPTUM UBH BHS PROF | $4,550.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | KH UHC NON-CONTRACTED OON - ED ONLY | $4,550.00 | ↑ +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
Bx thigh/knee soft tiss supf 27323 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $513.60 | $787.52 – $1,795.34 |
| MercyOne Genesis Aledo Medical Center | Aledo | $513.60 | $2,970.16 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $600.00 | $430.00 – $2,867.21 |
| Northwestern Memorial Hospital | Chicago | $3,185.00 | not published |
| Advocate Condell Medical Center | Libertyville | $2,470.00 | $1,946.36 – $4,681.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,358.40 | $159.24 – $1,260.48 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $600.00 | $430.00 – $2,867.21 |
| Advocate South Suburban Hospital | Hazel Crest | $1,240.00 | $977.12 – $6,071.00 |