Ot evaluation moderate complexity patient/family at Northwestern Medicine Central DuPage Hospital
25 N. Winfield Rd. Winfield, IL 60190, IL · Nm · · NPI 1003864810
$424.90
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.
$607.00
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.
$37.61 with BLUE CROSS MEDICAID [1612] vs $545.00 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 | $37.61 | ↓ -91% |
| HEALTH ALLIANCE MEDICAID [1310] | CDH ILLINOIS MEDICAID | $37.61 | ↓ -91% |
| COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | $37.61 | ↓ -91% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE PREFERRED | $60.50 | ↓ -86% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE OPTIONS | $60.50 | ↓ -86% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE PREFERRED | $60.50 | ↓ -86% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE SELECT | $60.50 | ↓ -86% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE SELECT | $60.50 | ↓ -86% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE OPTIONS | $60.50 | ↓ -86% |
| AETNA HEALTH PLAN [171] | CDH AETNA NM EMPLOYEES | $77.94 | ↓ -82% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS PPO | $95.92 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PPO | $95.92 | ↓ -77% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA ALTERNATIVE | $116.63 | ↓ -73% |
| AETNA HEALTH PLAN [171] | CDH AETNA BP | $163.50 | ↓ -62% |
| AETNA HEALTH PLAN [171] | CDH AETNA APCN/SP | $171.13 | ↓ -60% |
| AETNA HEALTH PLAN [171] | CDH AETNA IL PREFERRED | $190.75 | ↓ -55% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS HMO | $223.89 | ↓ -47% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS HMO | $223.89 | ↓ -47% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BROAD | $225.09 | ↓ -47% |
| CARELON BEHAVIORAL HEALTH [159] | CDH VALUE OPTIONS BHS | $272.50 | ↓ -36% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN NMH TIER ONE | $272.50 | ↓ -36% |
| UNITED HEALTHCARE [158] | CDH UHC CORE | $273.59 | ↓ -36% |
| AETNA HEALTH PLAN [171] | CDH AETNA | $287.76 | ↓ -32% |
| MULTIPLAN/PHCS [142] | CDH SAGAMORE HEALTH PPO | $312.83 | ↓ -26% |
| AETNA HEALTH PLAN [171] | CDH AETNA ASA | $313.92 | ↓ -26% |
| MAGELLAN BEHAVIORAL HLTH [136] | CDH MAGELLAN BHS | $327.00 | ↓ -23% |
| BLUE CROSS BLUE SHIELD [1401] | CDH ADVOCATE IPA | $327.00 | ↓ -23% |
| HUMANA HEALTH PLAN [130] | CDH ADVOCATE IPA | $327.00 | ↓ -23% |
| DREYER MED IPA ADVOCATE [1409] | CDH ADVOCATE IPA | $327.00 | ↓ -23% |
| HEALTHLINK [125] | CDH SEIU HEALTHLINK | $343.35 | ↓ -19% |
| THE ALLIANCE [1703] | CDH THE ALLIANCE | $350.05 | ↓ -18% |
| UNITED HEALTHCARE [158] | CDH UHC HMO/PPO | $364.61 | ↓ -14% |
| CHOICECARE [177] | CDH CHOICE CARE | $417.47 | ↓ -2% |
| FIRST HEALTH PLAN [6034] | CDH FIRST HEALTH | $419.11 | ↓ -1% |
| COMPSYCH [112] | CDH COMPSYCH | $436.00 | ↑ +3% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BEHAVIORAL BHS | $436.00 | ↑ +3% |
| MULTIPLAN/PHCS [142] | CDH PHCS/MULTIPLAN | $474.15 | ↑ +12% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN | $497.04 | ↑ +17% |
| UNITED HEALTHCARE [158] | CDH UHC NON-CONTRACTED OON - ED ONLY | $545.00 | ↑ +28% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PAR/INDEMNITY ADP | $545.00 | ↑ +28% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB BLUE CROSS CHOICE | $545.00 | ↑ +28% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB CHS | $545.00 | ↑ +28% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB EHP IPA | $545.00 | ↑ +28% |
| HUMANA BEHAVIORAL [185] | CDH LIFESYNCH BHS | $545.00 | ↑ +28% |
| MULTIPLAN/PHCS [142] | CDH NON-CONTRACTED PAYORS | $545.00 | ↑ +28% |
| 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
Ot evaluation moderate complexity patient/family at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $225.60 | $44.80 – $278.27 |
| MercyOne Genesis Aledo Medical Center | Aledo | $223.80 | $65.70 – $68.62 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $87.50 | $94.45 – $156.30 |
| Advocate Christ Medical Center | Oak Lawn | $225.00 | $31.52 – $469.00 |
| Northwestern Memorial Hospital | Chicago | $381.50 | not published |
| Advocate Condell Medical Center | Libertyville | $225.00 | $31.52 – $295.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $225.00 | $31.52 – $469.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $231.94 | $87.28 – $152.79 |