Inj, micafungin (par pharm) at Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital
1000 N. Westmoreland Rd., Lake Forest, IL · Nm · · NPI 1124025176
$129.85
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.
$185.50
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.
$17.35 with AETNA HEALTH PLAN [171] vs $104.50 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 | $17.35 | ↓ -87% |
| ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $22.14 | ↓ -83% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $22.14 | ↓ -83% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BC LAKE COUNTY PHYS ASSOC IPA | $47.03 | ↓ -64% |
| AETNA HEALTH PLAN [171] | NLFH AETNA ASA | $47.55 | ↓ -63% |
| HEALTHLINK [125] | NLFH SEIU HEALTHLINK | $52.25 | ↓ -60% |
| HEALTH'S FINEST NETWORK [126] | NLFH HFN PLATINUM/CHC ELITE | $66.78 | ↓ -49% |
| BEECHSTREET [176] | NLFH PHCS | $83.60 | ↓ -36% |
| MULTIPLAN/PHCS [142] | NLFH PHCS | $83.60 | ↓ -36% |
| FIRST HEALTH PLAN [6034] | NLFH FIRST HEALTH | $85.69 | ↓ -34% |
| HEALTH'S FINEST NETWORK [126] | NLFH HFN PPO | $94.05 | ↓ -28% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PAR/INDEMNITY ADP | $104.50 | ↓ -20% |
| MULTIPLAN/PHCS [142] | NLFH NON-CONTRACTED PAYORS | $104.50 | ↓ -20% |
| UNITED HEALTHCARE [158] | NLFH UHC NON-CONTRACTED OON - ED ONLY | $104.50 | ↓ -20% |
| HUMANA HEALTH PLAN [130] | NLFH ADVOCATE IPA | not published by hospital | — |
| GLOBAL EXCEL [1712] | NLFH MEDICARE | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NLFH BLUE CROSS MEDICARE ADVT | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | NLFH ADVOCATE IPA | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | NLFH HUMANA MEDICARE ADVT | not published by hospital | — |
Visitor-reported prices
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Inj, micafungin (par pharm) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $52.61 | $0.98 – $0.98 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $52.61 | $0.98 – $0.98 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $52.61 | $0.70 – $0.98 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | $52.61 | $0.98 – $0.98 |
| Northwestern Medicine Palos Hospital | Palos Heights | $91.87 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb | $97.30 | not published |
| Northwestern Medicine McHenry Hospital | McHenry | $105.17 | not published |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $0.31 – $0.31 |