Biopsy vestibule of mouth 40808 at Northwestern Medicine Central DuPage Hospital
25 N. Winfield Rd. Winfield, IL 60190, IL · Nm · · NPI 1003864810
$1,097.60
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.
$1,568.00
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.
$108.19 with HEALTH ALLIANCE MEDICAID [1310] vs $1,568.00 with BLUE CROSS BLUE SHIELD [1401] — 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 |
|---|---|---|---|
| HEALTH ALLIANCE MEDICAID [1310] | CDH ILLINOIS MEDICAID | $108.19 | ↓ -90% |
| BLUE CROSS MEDICAID [1612] | CDH ILLINOIS MEDICAID | $108.19 | ↓ -90% |
| COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | $108.19 | ↓ -90% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE OPTIONS | $174.05 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE SELECT | $174.05 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE OPTIONS | $174.05 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE PREFERRED | $174.05 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE SELECT | $174.05 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE PREFERRED | $174.05 | ↓ -84% |
| AETNA HEALTH PLAN [171] | CDH AETNA NM EMPLOYEES | $224.22 | ↓ -80% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS PPO | $275.97 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PPO | $275.97 | ↓ -75% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA ALTERNATIVE | $335.55 | ↓ -69% |
| AETNA HEALTH PLAN [171] | CDH AETNA BP | $470.40 | ↓ -57% |
| AETNA HEALTH PLAN [171] | CDH AETNA APCN/SP | $492.35 | ↓ -55% |
| AETNA HEALTH PLAN [171] | CDH AETNA IL PREFERRED | $548.80 | ↓ -50% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS HMO | $644.13 | ↓ -41% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS HMO | $644.13 | ↓ -41% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BROAD | $647.58 | ↓ -41% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN NMH TIER ONE | $784.00 | ↓ -29% |
| CARELON BEHAVIORAL HEALTH [159] | CDH VALUE OPTIONS BHS | $784.00 | ↓ -29% |
| UNITED HEALTHCARE [158] | CDH UHC CORE | $787.14 | ↓ -28% |
| AETNA HEALTH PLAN [171] | CDH AETNA | $827.90 | ↓ -25% |
| MULTIPLAN/PHCS [142] | CDH SAGAMORE HEALTH PPO | $900.03 | ↓ -18% |
| AETNA HEALTH PLAN [171] | CDH AETNA ASA | $903.17 | ↓ -18% |
| BLUE CROSS BLUE SHIELD [1401] | CDH ADVOCATE IPA | $940.80 | ↓ -14% |
| MAGELLAN BEHAVIORAL HLTH [136] | CDH MAGELLAN BHS | $940.80 | ↓ -14% |
| HUMANA HEALTH PLAN [130] | CDH ADVOCATE IPA | $940.80 | ↓ -14% |
| DREYER MED IPA ADVOCATE [1409] | CDH ADVOCATE IPA | $940.80 | ↓ -14% |
| HEALTHLINK [125] | CDH SEIU HEALTHLINK | $987.84 | ↓ -10% |
| THE ALLIANCE [1703] | CDH THE ALLIANCE | $1,007.13 | ↓ -8% |
| UNITED HEALTHCARE [158] | CDH UHC HMO/PPO | $1,048.99 | ↓ -4% |
| CHOICECARE [177] | CDH CHOICE CARE | $1,201.09 | ↑ +9% |
| FIRST HEALTH PLAN [6034] | CDH FIRST HEALTH | $1,205.79 | ↑ +10% |
| COMPSYCH [112] | CDH COMPSYCH | $1,254.40 | ↑ +14% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BEHAVIORAL BHS | $1,254.40 | ↑ +14% |
| MULTIPLAN/PHCS [142] | CDH PHCS/MULTIPLAN | $1,364.16 | ↑ +24% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN | $1,430.02 | ↑ +30% |
| UNITED HEALTHCARE [158] | CDH UHC NON-CONTRACTED OON - ED ONLY | $1,568.00 | ↑ +43% |
| HUMANA BEHAVIORAL [185] | CDH LIFESYNCH BHS | $1,568.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB EHP IPA | $1,568.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB CHS | $1,568.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | CDH NON-CONTRACTED PAYORS | $1,568.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB BLUE CROSS CHOICE | $1,568.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PAR/INDEMNITY ADP | $1,568.00 | ↑ +43% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | CDH MEDICARE | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB LITTLE COMPANY OF MARY | not published by hospital | — |
| GLOBAL EXCEL [1712] | CDH MEDICARE | not published by hospital | — |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | CDH UBH BHS | not published by hospital | — |
| JOURNEYCARE INC HOSPICE [1275] | CDH JOURNEYCARE HOSPICE | 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 | — |
Visitor-reported prices
Comments
Biopsy vestibule of mouth 40808 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $262.80 | $402.96 – $1,235.24 |
| MercyOne Genesis Aledo Medical Center | Aledo | $262.80 | $2,970.16 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $392.00 | $81.66 – $396.18 |
| OSF Saint Anthony Medical Center | Rockford | $799.20 | $195.24 – $2,022.84 |
| Northwestern Medicine Delnor Hospital | Geneva | $1,097.60 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $1,097.60 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $1,097.60 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $1,097.60 | not published |