Biopsy of rectum wall anal approach 45100 at Northwestern Medicine Central DuPage Hospital
25 N. Winfield Rd. Winfield, IL 60190, IL · Nm · · NPI 1003864810
$15,117.93
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.
$21,597.04
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.
$680.62 with BLUE CROSS MEDICAID [1612] vs $9,864.00 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 |
|---|---|---|---|
| BLUE CROSS MEDICAID [1612] | CDH ILLINOIS MEDICAID | $680.62 | ↓ -95% |
| HEALTH ALLIANCE MEDICAID [1310] | CDH ILLINOIS MEDICAID | $680.62 | ↓ -95% |
| COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | $680.62 | ↓ -95% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE PREFERRED | $1,094.90 | ↓ -93% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE OPTIONS | $1,094.90 | ↓ -93% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE PREFERRED | $1,094.90 | ↓ -93% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE SELECT | $1,094.90 | ↓ -93% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE SELECT | $1,094.90 | ↓ -93% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE OPTIONS | $1,094.90 | ↓ -93% |
| AETNA HEALTH PLAN [171] | CDH AETNA NM EMPLOYEES | $1,410.55 | ↓ -91% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS PPO | $1,736.06 | ↓ -89% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PPO | $1,736.06 | ↓ -89% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA ALTERNATIVE | $2,110.90 | ↓ -86% |
| AETNA HEALTH PLAN [171] | CDH AETNA BP | $2,959.20 | ↓ -80% |
| AETNA HEALTH PLAN [171] | CDH AETNA APCN/SP | $3,097.30 | ↓ -80% |
| AETNA HEALTH PLAN [171] | CDH AETNA IL PREFERRED | $3,452.40 | ↓ -77% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS HMO | $4,052.13 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS HMO | $4,052.13 | ↓ -73% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BROAD | $4,073.83 | ↓ -73% |
| CARELON BEHAVIORAL HEALTH [159] | CDH VALUE OPTIONS BHS | $4,932.00 | ↓ -67% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN NMH TIER ONE | $4,932.00 | ↓ -67% |
| UNITED HEALTHCARE [158] | CDH UHC CORE | $4,951.73 | ↓ -67% |
| AETNA HEALTH PLAN [171] | CDH AETNA | $5,208.19 | ↓ -66% |
| MULTIPLAN/PHCS [142] | CDH SAGAMORE HEALTH PPO | $5,661.94 | ↓ -63% |
| AETNA HEALTH PLAN [171] | CDH AETNA ASA | $5,681.66 | ↓ -62% |
| MAGELLAN BEHAVIORAL HLTH [136] | CDH MAGELLAN BHS | $5,918.40 | ↓ -61% |
| BLUE CROSS BLUE SHIELD [1401] | CDH ADVOCATE IPA | $5,918.40 | ↓ -61% |
| HUMANA HEALTH PLAN [130] | CDH ADVOCATE IPA | $5,918.40 | ↓ -61% |
| DREYER MED IPA ADVOCATE [1409] | CDH ADVOCATE IPA | $5,918.40 | ↓ -61% |
| HEALTHLINK [125] | CDH SEIU HEALTHLINK | $6,214.32 | ↓ -59% |
| THE ALLIANCE [1703] | CDH THE ALLIANCE | $6,335.65 | ↓ -58% |
| UNITED HEALTHCARE [158] | CDH UHC HMO/PPO | $6,599.02 | ↓ -56% |
| CHOICECARE [177] | CDH CHOICE CARE | $7,555.82 | ↓ -50% |
| FIRST HEALTH PLAN [6034] | CDH FIRST HEALTH | $7,585.42 | ↓ -50% |
| COMPSYCH [112] | CDH COMPSYCH | $7,891.20 | ↓ -48% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BEHAVIORAL BHS | $7,891.20 | ↓ -48% |
| MULTIPLAN/PHCS [142] | CDH PHCS/MULTIPLAN | $8,581.68 | ↓ -43% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN | $8,995.97 | ↓ -40% |
| UNITED HEALTHCARE [158] | CDH UHC NON-CONTRACTED OON - ED ONLY | $9,864.00 | ↓ -35% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PAR/INDEMNITY ADP | $9,864.00 | ↓ -35% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB BLUE CROSS CHOICE | $9,864.00 | ↓ -35% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB CHS | $9,864.00 | ↓ -35% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB EHP IPA | $9,864.00 | ↓ -35% |
| HUMANA BEHAVIORAL [185] | CDH LIFESYNCH BHS | $9,864.00 | ↓ -35% |
| MULTIPLAN/PHCS [142] | CDH NON-CONTRACTED PAYORS | $9,864.00 | ↓ -35% |
| HUMANA HEALTH PLAN [130] | CDH DUPAGE MEDICAL GROUP | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | CDH MEDICARE | not published by hospital | — |
| GLOBAL EXCEL [1712] | CDH MEDICARE | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB LITTLE COMPANY OF MARY | not published by hospital | — |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | CDH UBH BHS | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | CDH DUPAGE MEDICAL GROUP | not published by hospital | — |
| BCBS MEDICARE ADVANTAGE [1304] | CDH BLUE CROSS MMAI (MEDICARE) | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | CDH HUMANA MEDICARE ADVT | not published by hospital | — |
| JOURNEYCARE INC HOSPICE [1275] | CDH JOURNEYCARE HOSPICE | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of rectum wall anal approach 45100 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $565.20 | $866.64 – $1,447.67 |
| MercyOne Genesis Aledo Medical Center | Aledo | $565.20 | $2,970.16 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $15,117.93 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $740.00 | $273.33 – $2,133.47 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $3,190.00 | $2,513.72 – $6,181.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $396.60 | $1,094.00 – $5,532.48 |
| OSF Saint Francis Medical Center | Peoria | $1,803.60 | $327.28 – $10,112.00 |
| Northwestern Medicine Delnor Hospital | Geneva | $16,817.26 | not published |