HIV prep, ftc/tdf 200/300mg at Northwestern Medicine Delnor Hospital
300 Randall Rd., Geneva, IL · Nm · · NPI 1407859655
$996.97
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.
$1,424.25
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.
$3.02 with AETNA HEALTH PLAN [171] vs $18.50 with MULTIPLAN/PHCS [142] — 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 |
|---|---|---|---|
| AETNA HEALTH PLAN [171] | DCH AETNA NM EMPLOYEES | $3.02 | ↓ -100% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE SELECT | $5.18 | ↓ -99% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE PREFERRED | $5.23 | ↓ -99% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE OPTIONS | $5.34 | ↓ -99% |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS PPO | $6.67 | ↓ -99% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PPO | $6.67 | ↓ -99% |
| UNITED HEALTHCARE [158] | DCH UHC CORE | $8.77 | ↓ -99% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN NMH TIER ONE | $9.25 | ↓ -99% |
| CARELON BEHAVIORAL HEALTH [159] | DCH BEACON HEALTH OPTIONS BHS | $9.25 | ↓ -99% |
| UNITED HEALTHCARE [158] | DCH UHC HMO/PPO | $9.75 | ↓ -99% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PAR/INDEMNITY ADP | $10.34 | ↓ -99% |
| HEALTHLINK [125] | DCH SEIU HEALTHLINK | $11.66 | ↓ -99% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PLAT | $12.03 | ↓ -99% |
| FIRST HEALTH PLAN [6034] | DCH FIRST HEALTH | $12.77 | ↓ -99% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS HMO | $12.90 | ↓ -99% |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS HMO | $12.90 | ↓ -99% |
| MULTIPLAN/PHCS [142] | DCH PHCS | $13.88 | ↓ -99% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN EPO | $13.88 | ↓ -99% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA BEHAVIORAL BHS | $14.80 | ↓ -99% |
| COMPSYCH [112] | DCH COMPSYCH | $14.80 | ↓ -99% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PPO | $15.73 | ↓ -98% |
| BEECHSTREET [176] | DCH BEECH STREET/CAPP CARE | $16.65 | ↓ -98% |
| MULTIPLAN/PHCS [142] | DCH MULTIPLAN | $16.65 | ↓ -98% |
| UNITED HEALTHCARE [158] | DCH UHC NON-CONTRACTED OON - ED ONLY | $18.50 | ↓ -98% |
| MULTIPLAN/PHCS [142] | DCH NON-CONTRACTED PAYORS | $18.50 | ↓ -98% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | DCH HUMANA 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 BLUE SHIELD [1401] | DCH ADVOCATE IPA | not published by hospital | — |
| BCBS MEDICARE ADVANTAGE [1304] | DCH BLUE CROSS MMAI (MEDICARE) | not published by hospital | — |
| BLUE CROSS MEDICAID [1612] | DCH ILLINOIS MEDICAID | 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 | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | DCH BLUE CROSS MEDICARE ADVT | not published by hospital | — |
Visitor-reported prices
Comments
HIV prep, ftc/tdf 200/300mg at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Northwestern Medicine Palos Hospital | Palos Heights | $9.45 | not published |
| Northwestern Medicine McHenry Hospital | McHenry | $283.32 | not published |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St. | $75.64 | $1.34 – $105.05 |
| HSHS St. Anthony's Memorial Hospital | Mattoon | $106.13 | $1.34 – $147.40 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $1.81 – $2.72 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $1.74 – $1.74 |
| Advocate Christ Medical Center | Oak Lawn | not published | $2.04 – $221.56 |
| Advocate Condell Medical Center | Libertyville | not published | $2.04 – $173.71 |