Biopsy/removal lymph nodes at Northwestern Medicine Delnor Hospital
300 Randall Rd., Geneva, IL · Nm · · NPI 1407859655
$52,822.24
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.
$75,460.34
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.
$784.00 with AETNA HEALTH PLAN [171] vs $11,873.00 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] | DCH AETNA | $784.00 | ↓ -99% |
| FIRST HEALTH PLAN [6034] | DCH AETNA | $784.00 | ↓ -99% |
| AETNA HEALTH PLAN [171] | DCH AETNA ASA | $862.50 | ↓ -98% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE OPTIONS | $1,769.08 | ↓ -97% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE SELECT | $1,769.08 | ↓ -97% |
| AETNA HEALTH PLAN [171] | DCH AETNA NM EMPLOYEES | $1,935.30 | ↓ -96% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE PREFERRED | $2,137.14 | ↓ -96% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PPO | $2,766.41 | ↓ -95% |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS PPO | $2,766.41 | ↓ -95% |
| UNITED HEALTHCARE [158] | DCH UHC CORE | $3,577.00 | ↓ -93% |
| UNITED HEALTHCARE [158] | DCH UHC HMO/PPO | $3,975.00 | ↓ -92% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA ALTERNATIVE | $4,452.38 | ↓ -92% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN NMH TIER ONE | $5,936.50 | ↓ -89% |
| CARELON BEHAVIORAL HEALTH [159] | DCH BEACON HEALTH OPTIONS BHS | $5,936.50 | ↓ -89% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PAR/INDEMNITY ADP | $6,637.01 | ↓ -87% |
| HEALTHLINK [125] | DCH SEIU HEALTHLINK | $7,479.99 | ↓ -86% |
| THE ALLIANCE [1703] | DCH THE ALLIANCE | $7,626.03 | ↓ -86% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PLAT | $7,717.45 | ↓ -85% |
| FIRST HEALTH PLAN [6034] | DCH FIRST HEALTH | $8,192.37 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS HMO | $8,277.86 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS HMO | $8,277.86 | ↓ -84% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN EPO | $8,904.75 | ↓ -83% |
| MULTIPLAN/PHCS [142] | DCH PHCS | $8,904.75 | ↓ -83% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA BROAD | $8,928.50 | ↓ -83% |
| COMPSYCH [112] | DCH COMPSYCH | $9,498.40 | ↓ -82% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA BEHAVIORAL BHS | $9,498.40 | ↓ -82% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PPO | $10,092.05 | ↓ -81% |
| MULTIPLAN/PHCS [142] | DCH MULTIPLAN | $10,685.70 | ↓ -80% |
| BEECHSTREET [176] | DCH BEECH STREET/CAPP CARE | $10,685.70 | ↓ -80% |
| MULTIPLAN/PHCS [142] | DCH NON-CONTRACTED PAYORS | $11,873.00 | ↓ -78% |
| UNITED HEALTHCARE [158] | DCH UHC NON-CONTRACTED OON - ED ONLY | $11,873.00 | ↓ -78% |
| BCBS MEDICARE ADVANTAGE [1304] | DCH BLUE CROSS MMAI (MEDICARE) | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | DCH HUMANA MEDICARE ADVT | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | DCH BLUE CROSS MEDICARE ADVT | not published by hospital | — |
| COUNTYCARE IL COOK CO [1607] | DCH ILLINOIS MEDICAID | not published by hospital | — |
| GLOBAL EXCEL [1712] | DCH MEDICARE | not published by hospital | — |
| HEALTH ALLIANCE MEDICAID [1310] | DCH ILLINOIS MEDICAID | not published by hospital | — |
| BLUE CROSS MEDICAID [1612] | DCH ILLINOIS MEDICAID | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | DCH ADVOCATE IPA | 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 | — |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | DCH UNITED BEHAVIORAL HEALTH | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy/removal lymph nodes at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $817.20 | $1,253.04 – $3,264.24 |
| MercyOne Genesis Aledo Medical Center | Aledo | $817.20 | $2,970.16 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,140.80 | $391.26 – $2,979.03 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $1,594.80 | $1,471.00 – $7,804.28 |
| OSF Sacred Heart Medical Center – Urbana | Danville | $2,322.00 | $2,059.00 – $4,342.00 |
| OSF Saint Anthony Medical Center | Rockford | $5,527.80 | $485.08 – $14,685.48 |
| OSF Saint Francis Medical Center | Peoria | $2,014.20 | $485.08 – $14,264.30 |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $8,311.10 | not published |