Complx repair enel 1.1-2.5 cm 13151 at Northwestern Medicine Kishwaukee Hospital
1 Kish Hospital Drive, DeKalb, IL · Nm · · NPI 1669534517
$1,575.70
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.
$2,251.00
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.
$411.93 with AETNA HEALTH PLAN [171] vs $2,251.00 with MULTIPLAN/PHCS [142] — 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 | $411.93 | ↓ -74% |
| AETNA HEALTH PLAN [171] | KH AETNA NIU | $765.34 | ↓ -51% |
| AETNA HEALTH PLAN [171] | KH AETNA IL PREFERRED | $808.11 | ↓ -49% |
| HEALTH'S FINEST NETWORK [126] | KH HFN NMH TIER ONE | $1,012.95 | ↓ -36% |
| UNITED HEALTHCARE [158] | KH UHC CORE | $1,130.00 | ↓ -28% |
| CIGNA HEALTH PLAN [178] | KH CIGNA BROAD | $1,186.28 | ↓ -25% |
| CIGNA HEALTH PLAN [178] | KH CIGNA ALTERNATIVE | $1,195.28 | ↓ -24% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PAR/INDEMNITY ADP | $1,258.31 | ↓ -20% |
| THE ALLIANCE [1703] | KH THE ALLIANCE | $1,463.15 | ↓ -7% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS HMO | $1,494.44 | ↓ -5% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS HMO | $1,494.44 | ↓ -5% |
| UNITED HEALTHCARE [158] | KH UHC HMO/PPO | $1,505.92 | ↓ -4% |
| AETNA HEALTH PLAN [171] | KH AETNA | $1,517.17 | ↓ -4% |
| HEALTHLINK [125] | KH SEIU HEALTHLINK | $1,688.25 | ↑ +7% |
| AETNA HEALTH PLAN [171] | KH AETNA ASA | $1,690.50 | ↑ +7% |
| CHOICECARE [177] | KH CHOICE CARE | $1,701.76 | ↑ +8% |
| MULTIPLAN/PHCS [142] | KH MULTIPLAN | $1,755.78 | ↑ +11% |
| COVENTRYONE PPO [17110] | KH PERSONAL CARE | $1,935.86 | ↑ +23% |
| AETNA HEALTH PLAN [171] | KH PERSONAL CARE | $1,935.86 | ↑ +23% |
| FIRST HEALTH PLAN [6034] | KH PERSONAL CARE | $1,935.86 | ↑ +23% |
| COVENTRY [1218] | KH PERSONAL CARE | $1,935.86 | ↑ +23% |
| HEALTH'S FINEST NETWORK [126] | KH HFN | $2,070.92 | ↑ +31% |
| BLUE CROSS BLUE SHIELD [1401] | KH NON-CONTRACTED PAYORS | $2,251.00 | ↑ +43% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | KH OPTUM UBH BHS PROF | $2,251.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | KH UHC NON-CONTRACTED OON - ED ONLY | $2,251.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | KH NON-CONTRACTED PAYORS | $2,251.00 | ↑ +43% |
| 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 | — |
| CENPATICO BEHAVIORAL HEALTH [1603] | KH ILLINOIS MEDICAID | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | KH MEDICARE | 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 | — |
| COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | not published by hospital | — |
| BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | not published by hospital | — |
| HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair enel 1.1-2.5 cm 13151 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $774.00 | $196.80 – $957.14 |
| MercyOne Genesis Aledo Medical Center | Aledo | $774.00 | $282.90 – $688.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $300.00 | $658.00 – $1,283.05 |
| Advocate Christ Medical Center | Oak Lawn | $820.00 | $646.16 – $1,312.00 |
| Advocate Condell Medical Center | Libertyville | $820.00 | $646.16 – $1,312.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $820.00 | $646.16 – $1,312.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,049.60 | $250.70 – $591.21 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $300.00 | $658.00 – $1,283.05 |