Proctosigmoidoscopy dx 45300 at Northwestern Medicine Central DuPage Hospital
25 N. Winfield Rd. Winfield, IL 60190, IL · Nm · · NPI 1003864810
$10,898.88
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.
$15,569.83
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.
$385.43 with BLUE CROSS MEDICAID [1612] vs $5,586.00 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 | $385.43 | ↓ -96% |
| HEALTH ALLIANCE MEDICAID [1310] | CDH ILLINOIS MEDICAID | $385.43 | ↓ -96% |
| COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | $385.43 | ↓ -96% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE PREFERRED | $620.05 | ↓ -94% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE OPTIONS | $620.05 | ↓ -94% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE PREFERRED | $620.05 | ↓ -94% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE SELECT | $620.05 | ↓ -94% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE SELECT | $620.05 | ↓ -94% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE OPTIONS | $620.05 | ↓ -94% |
| AETNA HEALTH PLAN [171] | CDH AETNA NM EMPLOYEES | $798.80 | ↓ -93% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS PPO | $983.14 | ↓ -91% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PPO | $983.14 | ↓ -91% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA ALTERNATIVE | $1,195.40 | ↓ -89% |
| AETNA HEALTH PLAN [171] | CDH AETNA BP | $1,675.80 | ↓ -85% |
| AETNA HEALTH PLAN [171] | CDH AETNA APCN/SP | $1,754.00 | ↓ -84% |
| AETNA HEALTH PLAN [171] | CDH AETNA IL PREFERRED | $1,955.10 | ↓ -82% |
| ALTERNATE BLUE CROSS [1402] | CDH BCBS HMO | $2,294.73 | ↓ -79% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS HMO | $2,294.73 | ↓ -79% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BROAD | $2,307.02 | ↓ -79% |
| CARELON BEHAVIORAL HEALTH [159] | CDH VALUE OPTIONS BHS | $2,793.00 | ↓ -74% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN NMH TIER ONE | $2,793.00 | ↓ -74% |
| UNITED HEALTHCARE [158] | CDH UHC CORE | $2,804.17 | ↓ -74% |
| AETNA HEALTH PLAN [171] | CDH AETNA | $2,949.41 | ↓ -73% |
| MULTIPLAN/PHCS [142] | CDH SAGAMORE HEALTH PPO | $3,206.36 | ↓ -71% |
| AETNA HEALTH PLAN [171] | CDH AETNA ASA | $3,217.54 | ↓ -70% |
| MAGELLAN BEHAVIORAL HLTH [136] | CDH MAGELLAN BHS | $3,351.60 | ↓ -69% |
| BLUE CROSS BLUE SHIELD [1401] | CDH ADVOCATE IPA | $3,351.60 | ↓ -69% |
| HUMANA HEALTH PLAN [130] | CDH ADVOCATE IPA | $3,351.60 | ↓ -69% |
| DREYER MED IPA ADVOCATE [1409] | CDH ADVOCATE IPA | $3,351.60 | ↓ -69% |
| HEALTHLINK [125] | CDH SEIU HEALTHLINK | $3,519.18 | ↓ -68% |
| THE ALLIANCE [1703] | CDH THE ALLIANCE | $3,587.89 | ↓ -67% |
| UNITED HEALTHCARE [158] | CDH UHC HMO/PPO | $3,737.03 | ↓ -66% |
| CHOICECARE [177] | CDH CHOICE CARE | $4,278.88 | ↓ -61% |
| FIRST HEALTH PLAN [6034] | CDH FIRST HEALTH | $4,295.63 | ↓ -61% |
| COMPSYCH [112] | CDH COMPSYCH | $4,468.80 | ↓ -59% |
| CIGNA HEALTH PLAN [178] | CDH CIGNA BEHAVIORAL BHS | $4,468.80 | ↓ -59% |
| MULTIPLAN/PHCS [142] | CDH PHCS/MULTIPLAN | $4,859.82 | ↓ -55% |
| HEALTH'S FINEST NETWORK [126] | CDH HFN | $5,094.43 | ↓ -53% |
| UNITED HEALTHCARE [158] | CDH UHC NON-CONTRACTED OON - ED ONLY | $5,586.00 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PAR/INDEMNITY ADP | $5,586.00 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB BLUE CROSS CHOICE | $5,586.00 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB CHS | $5,586.00 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB EHP IPA | $5,586.00 | ↓ -49% |
| HUMANA BEHAVIORAL [185] | CDH LIFESYNCH BHS | $5,586.00 | ↓ -49% |
| MULTIPLAN/PHCS [142] | CDH NON-CONTRACTED PAYORS | $5,586.00 | ↓ -49% |
| 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
Proctosigmoidoscopy dx 45300 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $229.80 | $352.36 – $982.39 |
| MercyOne Genesis Aledo Medical Center | Aledo | $229.80 | $2,660.57 – $2,970.16 |
| Advocate Condell Medical Center | Libertyville | $1,100.00 | $866.80 – $1,824.74 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,100.00 | $866.80 – $1,824.74 |
| UnityPoint Health - Trinity Moline | Rock Island | $302.40 | $43.45 – $709.27 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,100.00 | $866.80 – $1,824.74 |
| OSF Holy Family Medical Center | Monmouth | $1,306.40 | not published |
| OSF Little Company of Mary Medical Center | Evergreen Park | $1,164.60 | $996.56 – $2,825.00 |