Ins/rplc spi npg/rcvr pocket at Northwestern Medicine Kishwaukee Hospital
1 Kish Hospital Drive, DeKalb, IL · Nm · · NPI 1669534517
$142,814.89
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.
$204,021.27
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.
$3,795.24 with AETNA HEALTH PLAN [171] vs $20,739.00 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 | $3,795.24 | ↓ -97% |
| AETNA HEALTH PLAN [171] | KH AETNA NIU | $7,051.26 | ↓ -95% |
| AETNA HEALTH PLAN [171] | KH AETNA IL PREFERRED | $7,445.30 | ↓ -95% |
| HEALTH'S FINEST NETWORK [126] | KH HFN NMH TIER ONE | $9,332.55 | ↓ -93% |
| UNITED HEALTHCARE [158] | KH UHC CORE | $10,410.98 | ↓ -93% |
| CIGNA HEALTH PLAN [178] | KH CIGNA BROAD | $10,929.45 | ↓ -92% |
| CIGNA HEALTH PLAN [178] | KH CIGNA ALTERNATIVE | $11,012.41 | ↓ -92% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PAR/INDEMNITY ADP | $11,593.10 | ↓ -92% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE SELECT | $12,526.36 | ↓ -91% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE PREFERRED | $12,526.36 | ↓ -91% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE OPTIONS | $12,526.36 | ↓ -91% |
| THE ALLIANCE [1703] | KH THE ALLIANCE | $13,480.35 | ↓ -91% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS HMO | $13,768.62 | ↓ -90% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS HMO | $13,768.62 | ↓ -90% |
| UNITED HEALTHCARE [158] | KH UHC HMO/PPO | $13,874.39 | ↓ -90% |
| AETNA HEALTH PLAN [171] | KH AETNA | $13,978.09 | ↓ -90% |
| BLUE CROSS BLUE SHIELD [1401] | KH BCBS PPO | $14,724.69 | ↓ -90% |
| ALTERNATE BLUE CROSS [1402] | KH BCBS PPO | $14,724.69 | ↓ -90% |
| HEALTHLINK [125] | KH SEIU HEALTHLINK | $15,554.25 | ↓ -89% |
| AETNA HEALTH PLAN [171] | KH AETNA ASA | $15,574.99 | ↓ -89% |
| CHOICECARE [177] | KH CHOICE CARE | $15,678.68 | ↓ -89% |
| MULTIPLAN/PHCS [142] | KH MULTIPLAN | $16,176.42 | ↓ -89% |
| COVENTRYONE PPO [17110] | KH PERSONAL CARE | $17,835.54 | ↓ -88% |
| FIRST HEALTH PLAN [6034] | KH PERSONAL CARE | $17,835.54 | ↓ -88% |
| AETNA HEALTH PLAN [171] | KH PERSONAL CARE | $17,835.54 | ↓ -88% |
| COVENTRY [1218] | KH PERSONAL CARE | $17,835.54 | ↓ -88% |
| HEALTH'S FINEST NETWORK [126] | KH HFN | $19,079.88 | ↓ -87% |
| BLUE CROSS BLUE SHIELD [1401] | KH NON-CONTRACTED PAYORS | $20,739.00 | ↓ -85% |
| MULTIPLAN/PHCS [142] | KH NON-CONTRACTED PAYORS | $20,739.00 | ↓ -85% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | KH OPTUM UBH BHS PROF | $20,739.00 | ↓ -85% |
| UNITED HEALTHCARE [158] | KH UHC NON-CONTRACTED OON - ED ONLY | $20,739.00 | ↓ -85% |
| 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
Ins/rplc spi npg/rcvr pocket at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Northwestern Memorial Hospital | Chicago | $142,814.89 | not published |
| OSF St Mary Medical Center | Galesburg | $39,290.40 | $11,661.00 – $33,729.04 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $191,308.84 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $127,826.88 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $97,969.79 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $14,517.30 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $208,186.52 | not published |
| Northwestern Medicine McHenry Hospital | McHenry | $117,880.45 | not published |