Bx perianal mass at Northwestern Medicine Central DuPage Hospital
25 N. Winfield Rd. Winfield, IL 60190, IL · Nm · · NPI 1003864810
$13,742.34
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.
$19,631.91
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.
$1,166.02 with AETNA HEALTH PLAN [171] vs $8,154.00 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] | CDH AETNA NM EMPLOYEES | $1,166.02 | ↓ -92% |
| HUMANA HEALTH PLAN [130] | CDH DUPAGE MEDICAL GROUP | $1,630.80 | ↓ -88% |
| BLUE CROSS BLUE SHIELD [1401] | CDH DUPAGE MEDICAL GROUP | $1,630.80 | ↓ -88% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA ALTERNATIVE | $1,744.96 | ↓ -87% |
| AETNA HEALTH PLAN [171] | CDH AETNA BP | $2,446.20 | ↓ -82% |
| AETNA HEALTH PLAN [171] | CDH AETNA APCN/SP | $2,560.36 | ↓ -81% |
| AETNA HEALTH PLAN [171] | CDH AETNA IL PREFERRED | $2,853.90 | ↓ -79% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE SELECT | $3,104.23 | ↓ -77% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE PREFERRED | $3,104.23 | ↓ -77% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE SELECT | $3,104.23 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE PREFERRED | $3,104.23 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE OPTIONS | $3,345.59 | ↓ -76% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE OPTIONS | $3,345.59 | ↓ -76% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS HMO | $3,349.66 | ↓ -76% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS HMO | $3,349.66 | ↓ -76% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BROAD | $3,367.60 | ↓ -75% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS PPO | $3,657.88 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PPO | $3,657.88 | ↓ -73% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN NMH TIER ONE | $4,077.00 | ↓ -70% |
| CARELON BEHAVIORAL HEALTH [159] | CDH VALUE OPTIONS BHS | $4,077.00 | ↓ -70% |
| UNITED HEALTHCARE [158] | CDH UHC CORE | $4,093.31 | ↓ -70% |
| AETNA HEALTH PLAN [171] | CDH AETNA | $4,305.31 | ↓ -69% |
| MULTIPLAN/PHCS [142] | CDH SAGAMORE HEALTH PPO | $4,680.40 | ↓ -66% |
| AETNA HEALTH PLAN [171] | CDH AETNA ASA | $4,696.70 | ↓ -66% |
| MAGELLAN BEHAVIORAL HLTH [136] | CDH MAGELLAN BHS | $4,892.40 | ↓ -64% |
| HUMANA HEALTH PLAN [130] | CDH ADVOCATE IPA | $4,892.40 | ↓ -64% |
| DREYER MED IPA ADVOCATE [1409] | CDH ADVOCATE IPA | $4,892.40 | ↓ -64% |
| BLUE CROSS BLUE SHIELD [1401] | CDH ADVOCATE IPA | $4,892.40 | ↓ -64% |
| HEALTHLINK [125] | CDH SEIU HEALTHLINK | $5,137.02 | ↓ -63% |
| THE ALLIANCE [1703] | CDH THE ALLIANCE | $5,237.31 | ↓ -62% |
| UNITED HEALTHCARE [158] | CDH UHC HMO/PPO | $5,455.03 | ↓ -60% |
| CHOICECARE [177] | CDH CHOICE CARE | $6,245.96 | ↓ -55% |
| FIRST HEALTH PLAN [6034] | CDH FIRST HEALTH | $6,270.43 | ↓ -54% |
| COMPSYCH [112] | CDH COMPSYCH | $6,523.20 | ↓ -53% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BEHAVIORAL BHS | $6,523.20 | ↓ -53% |
| MULTIPLAN/PHCS [142] | CDH PHCS/MULTIPLAN | $7,093.98 | ↓ -48% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN | $7,436.45 | ↓ -46% |
| UNITED HEALTHCARE [158] | CDH UHC NON-CONTRACTED OON - ED ONLY | $8,154.00 | ↓ -41% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PAR/INDEMNITY ADP | $8,154.00 | ↓ -41% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB BLUE CROSS CHOICE | $8,154.00 | ↓ -41% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB CHS | $8,154.00 | ↓ -41% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB EHP IPA | $8,154.00 | ↓ -41% |
| HUMANA BEHAVIORAL [185] | CDH LIFESYNCH BHS | $8,154.00 | ↓ -41% |
| MULTIPLAN/PHCS [142] | CDH NON-CONTRACTED PAYORS | $8,154.00 | ↓ -41% |
| JOURNEYCARE INC HOSPICE [1275] | CDH JOURNEYCARE HOSPICE | not published by hospital | — |
| GLOBAL EXCEL [1712] | CDH MEDICARE | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | CDH MEDICARE | not published by hospital | — |
| COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | not published by hospital | — |
| BLUE CROSS MEDICAID [1612] | CDH ILLINOIS MEDICAID | not published by hospital | — |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | CDH UBH BHS | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB LITTLE COMPANY OF MARY | 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 | — |
| HEALTH ALLIANCE MEDICAID [1310] | CDH ILLINOIS MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bx perianal mass at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Northwestern Memorial Hospital | Chicago | $13,218.30 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $1,478.94 | $709.27 – $3,527.66 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $1,020.00 | $803.76 – $1,824.74 |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $5,707.80 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $13,218.30 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb | $5,707.80 | not published |
| Northwestern Medicine McHenry Hospital | McHenry | $16,473.89 | not published |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St. | $1,969.20 | $996.56 – $2,735.00 |