Consult comp w/report rfrd material at Northwestern Medicine Kishwaukee Hospital
1 Kish Hospital Drive, DeKalb, IL · Nm · · NPI 1669534517
$312.20
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.
?
What you pay up front if you don't use insurance.
$446.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$80.34 with AETNA HEALTH PLAN [171] vs $439.00 with BLUE CROSS BLUE SHIELD [1401] — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $80.34 | ↓ -74% |
| AETNA HEALTH PLAN [171] | KH AETNA NIU | $149.26 | ↓ -52% |
| AETNA HEALTH PLAN [171] | KH AETNA IL PREFERRED | $157.60 | ↓ -50% |
| HEALTH'S FINEST NETWORK [126] | KH HFN NMH TIER ONE | $197.55 | ↓ -37% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PAR/INDEMNITY ADP | $245.40 | ↓ -21% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE OPTIONS | $265.16 | ↓ -15% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE PREFERRED | $265.16 | ↓ -15% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE SELECT | $265.16 | ↓ -15% |
| THE ALLIANCE [1703] | KH THE ALLIANCE | $285.35 | ↓ -9% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS HMO | $291.45 | ↓ -7% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS HMO | $291.45 | ↓ -7% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS PPO | $311.69 | ↓ -0% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PPO | $311.69 | ↓ -0% |
| HEALTHLINK [125] | KH SEIU HEALTHLINK | $329.25 | ↑ +5% |
| AETNA HEALTH PLAN [171] | KH AETNA ASA | $329.69 | ↑ +6% |
| CHOICECARE [177] | KH CHOICE CARE | $331.88 | ↑ +6% |
| MULTIPLAN/PHCS [142] | KH MULTIPLAN | $342.42 | ↑ +10% |
| COVENTRYONE PPO [17110] | KH PERSONAL CARE | $377.54 | ↑ +21% |
| AETNA HEALTH PLAN [171] | KH PERSONAL CARE | $377.54 | ↑ +21% |
| FIRST HEALTH PLAN [6034] | KH PERSONAL CARE | $377.54 | ↑ +21% |
| COVENTRY [1218] | KH PERSONAL CARE | $377.54 | ↑ +21% |
| HEALTH'S FINEST NETWORK [126] | KH HFN | $403.88 | ↑ +29% |
| MULTIPLAN/PHCS [142] | KH NON-CONTRACTED PAYORS | $439.00 | ↑ +41% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | KH OPTUM UBH BHS PROF | $439.00 | ↑ +41% |
| UNITED HEALTHCARE [158] | KH UHC NON-CONTRACTED OON - ED ONLY | $439.00 | ↑ +41% |
| BLUE CROSS BLUE SHIELD [1401] | KH NON-CONTRACTED PAYORS | $439.00 | ↑ +41% |
| 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 | — |
| HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | 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 | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | KH HUMANA MEDICARE ADVT | not published by hospital | — |
| CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $365.60 | $76.94 – $244.10 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $877.25 | $182.57 – $191.70 |
| Advocate Sherman Hospital | Elgin | $570.00 | $49.47 – $1,026.00 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $877.25 | $182.57 – $191.70 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $71.61 | $90.10 – $607.56 |
| OSF Holy Family Medical Center | Monmouth | $1,240.80 | not published |
| OSF Little Company of Mary Medical Center | Evergreen Park | $599.40 | $42.98 – $339.58 |
| OSF Saint Anthony Medical Center | Rockford | $1,104.00 | $182.57 – $639.00 |