Sm-153 lexidron ther at Northwestern Medicine Delnor Hospital
300 Randall Rd., Geneva, IL · Nm · · NPI 1407859655
$28,298.90
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.
$40,427.00
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.
$6,589.60 with AETNA HEALTH PLAN [171] vs $40,427.00 with MULTIPLAN/PHCS [142] — 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 NM EMPLOYEES | $6,589.60 | ↓ -77% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN NMH TIER ONE | $20,213.50 | ↓ -29% |
| CARELON BEHAVIORAL HEALTH [159] | DCH BEACON HEALTH OPTIONS BHS | $20,213.50 | ↓ -29% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PAR/INDEMNITY ADP | $22,598.69 | ↓ -20% |
| AETNA HEALTH PLAN [171] | DCH AETNA | $25,064.74 | ↓ -11% |
| FIRST HEALTH PLAN [6034] | DCH AETNA | $25,064.74 | ↓ -11% |
| HEALTHLINK [125] | DCH SEIU HEALTHLINK | $25,469.01 | ↓ -10% |
| THE ALLIANCE [1703] | DCH THE ALLIANCE | $25,966.26 | ↓ -8% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PLAT | $26,277.55 | ↓ -7% |
| AETNA HEALTH PLAN [171] | DCH AETNA ASA | $27,449.93 | ↓ -3% |
| FIRST HEALTH PLAN [6034] | DCH FIRST HEALTH | $27,894.63 | ↓ -1% |
| BLUE CROSS BLUE SHIELD [1401] | DCH BCBS HMO | $28,185.70 | ↓ -0% |
| ALTERNATE BLUE CROSS [1402] | DCH BCBS HMO | $28,185.70 | ↓ -0% |
| MULTIPLAN/PHCS [142] | DCH PHCS | $30,320.25 | ↑ +7% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN EPO | $30,320.25 | ↑ +7% |
| COMPSYCH [112] | DCH COMPSYCH | $32,341.60 | ↑ +14% |
| CIGNA HEALTH PLAN [178] | DCH CIGNA BEHAVIORAL BHS | $32,341.60 | ↑ +14% |
| HEALTH'S FINEST NETWORK [126] | DCH HFN PPO | $34,362.95 | ↑ +21% |
| BEECHSTREET [176] | DCH BEECH STREET/CAPP CARE | $36,384.30 | ↑ +29% |
| MULTIPLAN/PHCS [142] | DCH MULTIPLAN | $36,384.30 | ↑ +29% |
| UNITED HEALTHCARE [158] | DCH UHC NON-CONTRACTED OON - ED ONLY | $40,427.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | DCH NON-CONTRACTED PAYORS | $40,427.00 | ↑ +43% |
| GLOBAL EXCEL [1712] | DCH MEDICARE | 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 | — |
| BLUE CROSS MEDICAID [1612] | DCH ILLINOIS MEDICAID | not published by hospital | — |
| COUNTYCARE IL COOK CO [1607] | DCH ILLINOIS MEDICAID | 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 | — |
| BCBS MEDICARE ADVANTAGE [1304] | DCH BLUE CROSS MMAI (MEDICARE) | not published by hospital | — |
| HEALTH ALLIANCE MEDICAID [1310] | DCH ILLINOIS MEDICAID | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | DCH HUMANA MEDICARE ADVT | not published by hospital | — |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Aledo Medical Center | Aledo | $4,471.80 | $3,428.38 – $19,848.83 |
| Northwestern Memorial Hospital | Chicago | $28,298.90 | not published |
| Advocate Illinois Masonic Medical Center | Chicago | $16,305.00 | $6,256.62 – $58,338.29 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $16,305.00 | $6,256.62 – $58,338.29 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $28,298.90 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $28,298.90 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $28,298.90 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $28,298.90 | not published |