Bx of breast open 19101 at Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital
1000 N. Westmoreland Rd., Lake Forest, IL · Nm · · NPI 1124025176
$7,942.90
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.
$11,347.00
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.
$1,883.60 with AETNA HEALTH PLAN [171] vs $11,347.00 with UNITED HEALTHCARE [158] — 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] | NLFH AETNA NM EMPLOYEES | $1,883.60 | ↓ -76% |
| ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $2,404.43 | ↓ -70% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $2,404.43 | ↓ -70% |
| CIGNA HEALTH PLAN [178] | NLFH CIGNA ALTERNATIVE | $4,277.82 | ↓ -46% |
| AETNA HEALTH PLAN [171] | NLFH AETNA | $4,879.21 | ↓ -39% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BC LAKE COUNTY PHYS ASSOC IPA | $5,106.15 | ↓ -36% |
| AETNA HEALTH PLAN [171] | NLFH AETNA ASA | $5,162.89 | ↓ -35% |
| HEALTHLINK [125] | NLFH SEIU HEALTHLINK | $5,673.50 | ↓ -29% |
| HEALTH'S FINEST NETWORK [126] | NLFH HFN PLATINUM/CHC ELITE | $7,250.73 | ↓ -9% |
| THE ALLIANCE [1703] | NLFH THE ALLIANCE | $7,288.18 | ↓ -8% |
| CIGNA HEALTH PLAN [178] | NLFH CIGNA BROAD | $7,352.86 | ↓ -7% |
| BEECHSTREET [176] | NLFH PHCS | $9,077.60 | ↑ +14% |
| MULTIPLAN/PHCS [142] | NLFH PHCS | $9,077.60 | ↑ +14% |
| FIRST HEALTH PLAN [6034] | NLFH FIRST HEALTH | $9,304.54 | ↑ +17% |
| HEALTH'S FINEST NETWORK [126] | NLFH HFN PPO | $10,212.30 | ↑ +29% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PAR/INDEMNITY ADP | $11,347.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | NLFH NON-CONTRACTED PAYORS | $11,347.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | NLFH UHC NON-CONTRACTED OON - ED ONLY | $11,347.00 | ↑ +43% |
| GLOBAL EXCEL [1712] | NLFH MEDICARE | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | NLFH ADVOCATE IPA | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NLFH BLUE CROSS MEDICARE ADVT | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | NLFH HUMANA MEDICARE ADVT | not published by hospital | — |
| HUMANA HEALTH PLAN [130] | NLFH ADVOCATE IPA | not published by hospital | — |
Visitor-reported prices
Comments
Bx of breast open 19101 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $637.20 | $977.04 – $1,305.43 |
| MercyOne Genesis Aledo Medical Center | Aledo | $637.20 | $2,970.16 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $7,942.90 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $1,630.40 | $197.81 – $2,979.03 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $4,632.60 | $1,471.00 – $7,804.28 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $7,942.90 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $7,942.90 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $7,942.90 | not published |