Established Patient Office Visit (level 3) at Northwestern Medicine Delnor Hospital
300 Randall Rd., Geneva, IL · Nm · · NPI 1407859655
$291.20
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.
$416.00
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.
$32.18 with BLUE CROSS BLUE SHIELD [1401] vs $290.04 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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE SELECT | $32.18 | ↓ -89% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE OPTIONS | $32.18 | ↓ -89% |
| AETNA HEALTH PLAN [171] | DCH AETNA NM EMPLOYEES | $35.21 | ↓ -88% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE PREFERRED | $38.88 | ↓ -87% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA ALTERNATIVE | $47.09 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS PPO | $50.33 | ↓ -83% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PPO | $50.33 | ↓ -83% |
| UNITED HEALTHCARE [158] | DCH UHC CORE | $102.38 | ↓ -65% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA BROAD | $105.84 | ↓ -64% |
| CARELON BEHAVIORAL HEALTH [159] | DCH BEACON HEALTH OPTIONS BHS | $108.00 | ↓ -63% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN NMH TIER ONE | $108.00 | ↓ -63% |
| UNITED HEALTHCARE [158] | DCH UHC HMO/PPO | $113.83 | ↓ -61% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PAR/INDEMNITY ADP | $120.74 | ↓ -59% |
| FIRST HEALTH PLAN [6034] | DCH AETNA | $133.92 | ↓ -54% |
| AETNA HEALTH PLAN [171] | DCH AETNA | $133.92 | ↓ -54% |
| HEALTHLINK [125] | DCH SEIU HEALTHLINK | $136.08 | ↓ -53% |
| THE ALLIANCE [1703] | DCH THE ALLIANCE | $138.74 | ↓ -52% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PLAT | $140.40 | ↓ -52% |
| AETNA HEALTH PLAN [171] | DCH AETNA ASA | $146.66 | ↓ -50% |
| FIRST HEALTH PLAN [6034] | DCH FIRST HEALTH | $149.04 | ↓ -49% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN EPO | $162.00 | ↓ -44% |
| MULTIPLAN/PHCS [142] | DCH PHCS | $162.00 | ↓ -44% |
| COMPSYCH [112] | DCH COMPSYCH | $172.80 | ↓ -41% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA BEHAVIORAL BHS | $172.80 | ↓ -41% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PPO | $183.60 | ↓ -37% |
| MULTIPLAN/PHCS [142] | DCH MULTIPLAN | $194.40 | ↓ -33% |
| BEECHSTREET [176] | DCH BEECH STREET/CAPP CARE | $194.40 | ↓ -33% |
| UNITED HEALTHCARE [158] | DCH UHC NON-CONTRACTED OON - ED ONLY | $216.00 | ↓ -26% |
| MULTIPLAN/PHCS [142] | DCH NON-CONTRACTED PAYORS | $216.00 | ↓ -26% |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS HMO | $290.04 | ↓ -0% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS HMO | $290.04 | ↓ -0% |
| 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 | — |
| BCBS MEDICARE ADVANTAGE [1304] | DCH BLUE CROSS MMAI (MEDICARE) | 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
Established Patient Office Visit (level 3) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $117.60 | $62.72 – $149.96 |
| MercyOne Genesis Aledo Medical Center | Aledo | $117.60 | $77.00 – $92.12 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $87.50 | not published |
| Advocate Christ Medical Center | Oak Lawn | $147.50 | $102.96 – $236.00 |
| Northwestern Memorial Hospital | Chicago | $291.20 | not published |
| Advocate Condell Medical Center | Libertyville | $147.50 | $105.00 – $236.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $147.50 | $84.00 – $236.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $160.80 | $60.36 – $152.67 |