Inj proc sialogram at Northwestern Medicine Central DuPage Hospital
25 N. Winfield Rd. Winfield, IL 60190, IL · Nm · · NPI 1003864810
$1,299.20
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.
$1,856.00
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.
$128.06 with HEALTH ALLIANCE MEDICAID [1310] vs $1,856.00 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 | $128.06 | ↓ -90% |
| BLUE CROSS MEDICAID [1612] | CDH ILLINOIS MEDICAID | $128.06 | ↓ -90% |
| COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | $128.06 | ↓ -90% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE OPTIONS | $206.02 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE SELECT | $206.02 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE OPTIONS | $206.02 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE PREFERRED | $206.02 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE SELECT | $206.02 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE PREFERRED | $206.02 | ↓ -84% |
| AETNA HEALTH PLAN [171] | CDH AETNA NM EMPLOYEES | $265.41 | ↓ -80% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS PPO | $326.66 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PPO | $326.66 | ↓ -75% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA ALTERNATIVE | $397.18 | ↓ -69% |
| AETNA HEALTH PLAN [171] | CDH AETNA BP | $556.80 | ↓ -57% |
| AETNA HEALTH PLAN [171] | CDH AETNA APCN/SP | $582.78 | ↓ -55% |
| AETNA HEALTH PLAN [171] | CDH AETNA IL PREFERRED | $649.60 | ↓ -50% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS HMO | $762.44 | ↓ -41% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS HMO | $762.44 | ↓ -41% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BROAD | $766.53 | ↓ -41% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN NMH TIER ONE | $928.00 | ↓ -29% |
| CARELON BEHAVIORAL HEALTH [159] | CDH VALUE OPTIONS BHS | $928.00 | ↓ -29% |
| UNITED HEALTHCARE [158] | CDH UHC CORE | $931.71 | ↓ -28% |
| AETNA HEALTH PLAN [171] | CDH AETNA | $979.97 | ↓ -25% |
| MULTIPLAN/PHCS [142] | CDH SAGAMORE HEALTH PPO | $1,065.34 | ↓ -18% |
| AETNA HEALTH PLAN [171] | CDH AETNA ASA | $1,069.06 | ↓ -18% |
| BLUE CROSS BLUE SHIELD [1401] | CDH ADVOCATE IPA | $1,113.60 | ↓ -14% |
| MAGELLAN BEHAVIORAL HLTH [136] | CDH MAGELLAN BHS | $1,113.60 | ↓ -14% |
| HUMANA HEALTH PLAN [130] | CDH ADVOCATE IPA | $1,113.60 | ↓ -14% |
| DREYER MED IPA ADVOCATE [1409] | CDH ADVOCATE IPA | $1,113.60 | ↓ -14% |
| HEALTHLINK [125] | CDH SEIU HEALTHLINK | $1,169.28 | ↓ -10% |
| THE ALLIANCE [1703] | CDH THE ALLIANCE | $1,192.11 | ↓ -8% |
| UNITED HEALTHCARE [158] | CDH UHC HMO/PPO | $1,241.66 | ↓ -4% |
| CHOICECARE [177] | CDH CHOICE CARE | $1,421.70 | ↑ +9% |
| FIRST HEALTH PLAN [6034] | CDH FIRST HEALTH | $1,427.26 | ↑ +10% |
| COMPSYCH [112] | CDH COMPSYCH | $1,484.80 | ↑ +14% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BEHAVIORAL BHS | $1,484.80 | ↑ +14% |
| MULTIPLAN/PHCS [142] | CDH PHCS/MULTIPLAN | $1,614.72 | ↑ +24% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN | $1,692.67 | ↑ +30% |
| UNITED HEALTHCARE [158] | CDH UHC NON-CONTRACTED OON - ED ONLY | $1,856.00 | ↑ +43% |
| HUMANA BEHAVIORAL [185] | CDH LIFESYNCH BHS | $1,856.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB EHP IPA | $1,856.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB CHS | $1,856.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | CDH NON-CONTRACTED PAYORS | $1,856.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB BLUE CROSS CHOICE | $1,856.00 | ↑ +43% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PAR/INDEMNITY ADP | $1,856.00 | ↑ +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
Inj proc sialogram at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $209.40 | $111.68 – $2,143.62 |
| Advocate Christ Medical Center | Oak Lawn | $442.50 | $348.69 – $6,291.00 |
| Northwestern Memorial Hospital | Chicago | $1,684.48 | not published |
| Advocate Good Samaritan Hospital | Downers Grove | $262.50 | $206.85 – $6,291.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $478.43 | $55.79 – $263.73 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $510.95 | not published |
| Advocate Illinois Masonic Medical Center | Chicago | $265.00 | $208.82 – $6,291.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $535.00 | $421.58 – $6,291.00 |