Fmri brain by phys/psych at Northwestern Medicine Kishwaukee Hospital
1 Kish Hospital Drive, DeKalb, IL · Nm · · NPI 1669534517
$4,162.20
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.
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What you pay up front if you don't use insurance.
$5,946.00
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.
$1,088.12 with AETNA HEALTH PLAN [171] vs $5,946.00 with BLUE CROSS BLUE SHIELD [1401] — 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 | $1,088.12 | ↓ -74% |
| AETNA HEALTH PLAN [171] | KH AETNA NIU | $2,021.64 | ↓ -51% |
| AETNA HEALTH PLAN [171] | KH AETNA IL PREFERRED | $2,134.61 | ↓ -49% |
| HEALTH'S FINEST NETWORK [126] | KH HFN NMH TIER ONE | $2,675.70 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PAR/INDEMNITY ADP | $3,323.81 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE OPTIONS | $3,591.38 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE PREFERRED | $3,591.38 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE SELECT | $3,591.38 | ↓ -14% |
| THE ALLIANCE [1703] | KH THE ALLIANCE | $3,864.90 | ↓ -7% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS HMO | $3,947.55 | ↓ -5% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS HMO | $3,947.55 | ↓ -5% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS PPO | $4,221.66 | ↑ +1% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PPO | $4,221.66 | ↑ +1% |
| HEALTHLINK [125] | KH SEIU HEALTHLINK | $4,459.50 | ↑ +7% |
| AETNA HEALTH PLAN [171] | KH AETNA ASA | $4,465.45 | ↑ +7% |
| CHOICECARE [177] | KH CHOICE CARE | $4,495.18 | ↑ +8% |
| MULTIPLAN/PHCS [142] | KH MULTIPLAN | $4,637.88 | ↑ +11% |
| COVENTRYONE PPO [17110] | KH PERSONAL CARE | $5,113.56 | ↑ +23% |
| AETNA HEALTH PLAN [171] | KH PERSONAL CARE | $5,113.56 | ↑ +23% |
| FIRST HEALTH PLAN [6034] | KH PERSONAL CARE | $5,113.56 | ↑ +23% |
| COVENTRY [1218] | KH PERSONAL CARE | $5,113.56 | ↑ +23% |
| HEALTH'S FINEST NETWORK [126] | KH HFN | $5,470.32 | ↑ +31% |
| MULTIPLAN/PHCS [142] | KH NON-CONTRACTED PAYORS | $5,946.00 | ↑ +43% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | KH OPTUM UBH BHS PROF | $5,946.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | KH UHC NON-CONTRACTED OON - ED ONLY | $5,946.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | KH NON-CONTRACTED PAYORS | $5,946.00 | ↑ +43% |
| 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
Fmri brain by phys/psych at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Northwestern Memorial Hospital | Chicago | $4,162.20 | not published |
| Advocate Good Samaritan Hospital | Downers Grove | $1,500.00 | $365.36 – $2,400.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,100.80 | $109.48 – $275.07 |
| Advocate Sherman Hospital | Elgin | $1,500.00 | $365.36 – $2,700.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $3,192.60 | $246.10 – $475.58 |
| OSF Saint Anthony Medical Center | Rockford | $3,120.60 | $255.69 – $894.92 |
| OSF St Joseph Medical Center | Bloomington | $2,392.20 | $255.69 – $260.80 |
| OSF Saint Francis Medical Center | Peoria | $3,379.80 | $255.69 – $869.25 |