Interphalangeal joint spacer at Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital
1000 N. Westmoreland Rd., Lake Forest, IL · Nm · · NPI 1124025176
$9,593.68
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.
$13,705.26
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.
$2,026.10 with AETNA HEALTH PLAN [171] vs $12,205.45 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 | $2,026.10 | ↓ -79% |
| CIGNA HEALTH PLAN [178] | NLFH CIGNA ALTERNATIVE | $2,563.14 | ↓ -73% |
| ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $2,586.33 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $2,586.33 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE PREFERRED | $2,856.08 | ↓ -70% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE SELECT | $2,856.08 | ↓ -70% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE OPTIONS | $2,856.08 | ↓ -70% |
| ALTERNATE BLUE CROSS [1402] | NLFH BCBS PPO | $3,332.09 | ↓ -65% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PPO | $3,332.09 | ↓ -65% |
| AETNA HEALTH PLAN [171] | NLFH AETNA | $5,248.34 | ↓ -45% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BC LAKE COUNTY PHYS ASSOC IPA | $5,492.45 | ↓ -43% |
| AETNA HEALTH PLAN [171] | NLFH AETNA ASA | $5,553.48 | ↓ -42% |
| UNITED HEALTHCARE [158] | NLFH UHC CORE | $5,785.38 | ↓ -40% |
| CIGNA HEALTH PLAN [178] | NLFH CIGNA BROAD | $5,931.85 | ↓ -38% |
| HEALTHLINK [125] | NLFH SEIU HEALTHLINK | $6,102.73 | ↓ -36% |
| UNITED HEALTHCARE [158] | NLFH UHC HMO/PPO | $6,432.27 | ↓ -33% |
| HEALTH'S FINEST NETWORK [126] | NLFH HFN PLATINUM/CHC ELITE | $7,799.28 | ↓ -19% |
| THE ALLIANCE [1703] | NLFH THE ALLIANCE | $7,839.56 | ↓ -18% |
| FIRST HEALTH PLAN [6034] | NLFH FIRST HEALTH | $9,398.20 | ↓ -2% |
| BEECHSTREET [176] | NLFH PHCS | $9,764.36 | ↑ +2% |
| MULTIPLAN/PHCS [142] | NLFH PHCS | $9,764.36 | ↑ +2% |
| HEALTH'S FINEST NETWORK [126] | NLFH HFN PPO | $10,984.91 | ↑ +15% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PAR/INDEMNITY ADP | $12,205.45 | ↑ +27% |
| MULTIPLAN/PHCS [142] | NLFH NON-CONTRACTED PAYORS | $12,205.45 | ↑ +27% |
| UNITED HEALTHCARE [158] | NLFH UHC NON-CONTRACTED OON - ED ONLY | $12,205.45 | ↑ +27% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | NLFH HUMANA MEDICARE ADVT | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NLFH BLUE CROSS MEDICARE ADVT | not published by hospital | — |
| HUMANA HEALTH PLAN [130] | NLFH ADVOCATE IPA | not published by hospital | — |
| BLUE CROSS BLUE SHIELD [1401] | NLFH ADVOCATE IPA | not published by hospital | — |
| GLOBAL EXCEL [1712] | NLFH MEDICARE | not published by hospital | — |
Visitor-reported prices
Comments
Interphalangeal joint spacer at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Northwestern Memorial Hospital | Chicago | $8,543.81 | not published |
| Northwestern Medicine McHenry Hospital | McHenry | $4,528.16 | not published |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $432.26 – $432.26 |
| Advocate Christ Medical Center | Oak Lawn | not published | $531.16 – $1,262.86 |
| Advocate Condell Medical Center | Libertyville | not published | $531.16 – $796.36 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $531.16 – $1,292.75 |
| UnityPoint Health - Trinity Moline | Rock Island | not published | $182.75 – $586.11 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $531.16 – $1,301.16 |