Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) at Northwestern Medicine Delnor Hospital
300 Randall Rd., Geneva, IL · Nm · · NPI 1407859655
$42,334.42
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.
$60,477.74
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.
$2,325.00 with FIRST HEALTH PLAN [6034] vs $7,839.00 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 |
|---|---|---|---|
| FIRST HEALTH PLAN [6034] | DCH AETNA | $2,325.00 | ↓ -95% |
| AETNA HEALTH PLAN [171] | DCH AETNA | $2,325.00 | ↓ -95% |
| AETNA HEALTH PLAN [171] | DCH AETNA ASA | $2,558.00 | ↓ -94% |
| UNITED HEALTHCARE [158] | DCH UHC CORE | $7,055.00 | ↓ -83% |
| UNITED HEALTHCARE [158] | DCH UHC HMO/PPO | $7,839.00 | ↓ -81% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | DCH HUMANA MEDICARE ADVT | not published by hospital | — |
| BCBS MEDICARE ADVANTAGE [1304] | DCH BLUE CROSS MMAI (MEDICARE) | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | DCH ADVOCATE IPA | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE OPTIONS | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE PREFERRED | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE SELECT | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS HMO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PAR/INDEMNITY ADP | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PPO | not published by hospital | — |
| BLUE CROSS MEDICAID [1612] | DCH ILLINOIS MEDICAID | not published by hospital | — |
| CARELON BEHAVIORAL HEALTH [159] | DCH BEACON HEALTH OPTIONS BHS | not published by hospital | — |
| CIGNA HEALTH PLAN [178] | DCH CIGNA ALTERNATIVE | not published by hospital | — |
| CIGNA HEALTH PLAN [178] | DCH CIGNA BEHAVIORAL BHS | not published by hospital | — |
| CIGNA HEALTH PLAN [178] | DCH CIGNA BROAD | not published by hospital | — |
| COMPSYCH [112] | DCH COMPSYCH | not published by hospital | — |
| COUNTYCARE IL COOK CO [1607] | DCH ILLINOIS MEDICAID | not published by hospital | — |
| FIRST HEALTH PLAN [6034] | DCH FIRST HEALTH | not published by hospital | — |
| GLOBAL EXCEL [1712] | DCH MEDICARE | not published by hospital | — |
| HEALTH ALLIANCE MEDICAID [1310] | DCH ILLINOIS MEDICAID | not published by hospital | — |
| HEALTH'S FINEST NETWORK [126] | DCH HFN EPO | not published by hospital | — |
| HEALTH'S FINEST NETWORK [126] | DCH HFN NMH TIER ONE | not published by hospital | — |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PLAT | not published by hospital | — |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PPO | not published by hospital | — |
| HEALTHLINK [125] | DCH SEIU HEALTHLINK | not published by hospital | — |
| HUMANA HEALTH PLAN [130] | DCH ADVOCATE IPA | not published by hospital | — |
| JOURNEYCARE INC HOSPICE [1275] | DCH JOURNEYCARE HOSPICE | not published by hospital | — |
| MULTIPLAN/PHCS [142] | DCH MULTIPLAN | not published by hospital | — |
| MULTIPLAN/PHCS [142] | DCH NON-CONTRACTED PAYORS | not published by hospital | — |
| MULTIPLAN/PHCS [142] | DCH PHCS | not published by hospital | — |
| THE ALLIANCE [1703] | DCH THE ALLIANCE | not published by hospital | — |
| UNITED HEALTHCARE [158] | DCH UHC NON-CONTRACTED OON - ED ONLY | not published by hospital | — |
| BEECHSTREET [176] | DCH BEECH STREET/CAPP CARE | not published by hospital | — |
| AETNA HEALTH PLAN [171] | DCH AETNA NM EMPLOYEES | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | DCH BLUE CROSS MEDICARE ADVT | not published by hospital | — |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS HMO | not published by hospital | — |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS PPO | not published by hospital | — |
Visitor-reported prices
Comments
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $3,321.60 | $612.55 – $2,524.18 |
| Northwestern Medicine Palos Hospital | Palos Heights | $43,266.11 | not published |
| HSHS Good Shepherd Hospital | Shelbyville | $7,008.48 | $6,775.39 – $7,452.93 |
| HSHS St. Francis Hospital | LITCHFIELD | $7,008.48 | $2,654.23 – $9,734.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $2,136.26 – $5,073.37 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $1,606.58 – $5,785.54 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $926.00 – $5,680.26 |
| Advocate Christ Medical Center | Oak Lawn | not published | $4,904.26 – $25,111.00 |