Fixation of knee joint at Northwestern Medicine Delnor Hospital
300 Randall Rd., Geneva, IL · Nm · · NPI 1407859655
$4,830.00
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.
$6,900.00
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.
$1,028.10 with BLUE CROSS BLUE SHIELD [1401] vs $6,900.00 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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE SELECT | $1,028.10 | ↓ -79% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE OPTIONS | $1,028.10 | ↓ -79% |
| AETNA HEALTH PLAN [171] | DCH AETNA NM EMPLOYEES | $1,124.70 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE PREFERRED | $1,242.00 | ↓ -74% |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS PPO | $1,607.70 | ↓ -67% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PPO | $1,607.70 | ↓ -67% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA ALTERNATIVE | $2,587.50 | ↓ -46% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN NMH TIER ONE | $3,450.00 | ↓ -29% |
| CARELON BEHAVIORAL HEALTH [159] | DCH BEACON HEALTH OPTIONS BHS | $3,450.00 | ↓ -29% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PAR/INDEMNITY ADP | $3,857.10 | ↓ -20% |
| FIRST HEALTH PLAN [6034] | DCH AETNA | $4,278.00 | ↓ -11% |
| AETNA HEALTH PLAN [171] | DCH AETNA | $4,278.00 | ↓ -11% |
| HEALTHLINK [125] | DCH SEIU HEALTHLINK | $4,347.00 | ↓ -10% |
| THE ALLIANCE [1703] | DCH THE ALLIANCE | $4,431.87 | ↓ -8% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PLAT | $4,485.00 | ↓ -7% |
| AETNA HEALTH PLAN [171] | DCH AETNA ASA | $4,685.10 | ↓ -3% |
| FIRST HEALTH PLAN [6034] | DCH FIRST HEALTH | $4,761.00 | ↓ -1% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS HMO | $4,810.68 | ↓ -0% |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS HMO | $4,810.68 | ↓ -0% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN EPO | $5,175.00 | ↑ +7% |
| MULTIPLAN/PHCS [142] | DCH PHCS | $5,175.00 | ↑ +7% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA BROAD | $5,188.80 | ↑ +7% |
| COMPSYCH [112] | DCH COMPSYCH | $5,520.00 | ↑ +14% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA BEHAVIORAL BHS | $5,520.00 | ↑ +14% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PPO | $5,865.00 | ↑ +21% |
| MULTIPLAN/PHCS [142] | DCH MULTIPLAN | $6,210.00 | ↑ +29% |
| BEECHSTREET [176] | DCH BEECH STREET/CAPP CARE | $6,210.00 | ↑ +29% |
| MULTIPLAN/PHCS [142] | DCH NON-CONTRACTED PAYORS | $6,900.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | DCH UHC NON-CONTRACTED OON - ED ONLY | $6,900.00 | ↑ +43% |
| BCBS MEDICARE ADVANTAGE [1304] | DCH BLUE CROSS MMAI (MEDICARE) | not published by hospital | — |
| HUMANA HEALTH PLAN [130] | DCH ADVOCATE IPA | not published by hospital | — |
| GLOBAL EXCEL [1712] | DCH MEDICARE | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | DCH HUMANA MEDICARE ADVT | not published by hospital | — |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | DCH UNITED BEHAVIORAL HEALTH | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | DCH BLUE CROSS MEDICARE ADVT | not published by hospital | — |
| JOURNEYCARE INC HOSPICE [1275] | DCH JOURNEYCARE HOSPICE | not published by hospital | — |
| HEALTH ALLIANCE MEDICAID [1310] | DCH ILLINOIS MEDICAID | not published by hospital | — |
| COUNTYCARE IL COOK CO [1607] | 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 | — |
Visitor-reported prices
Comments
Fixation of knee joint at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $740.80 | $140.30 – $1,245.06 |
| OSF Saint Anthony Medical Center | Rockford | $348.00 | $163.52 – $6,031.04 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $4,830.00 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $4,830.00 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $4,830.00 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $4,830.00 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb | $4,830.00 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $997.04 – $2,502.45 |