Intro cath dialysis circuit w/pta at Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital
1000 N. Westmoreland Rd., Lake Forest, IL · Nm · · NPI 1124025176
$19,006.86
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.
$27,152.66
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.
$8.46 with UNITED HEALTHCARE [158] vs $12,059.00 with BLUE CROSS BLUE SHIELD [1401] — 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 |
|---|---|---|---|
| UNITED HEALTHCARE [158] | NLFH UHC HMO/PPO | $8.46 | ↓ -100% |
| UNITED HEALTHCARE [158] | NLFH UHC CORE | $8.46 | ↓ -100% |
| AETNA HEALTH PLAN [171] | NLFH AETNA NM EMPLOYEES | $2,001.79 | ↓ -89% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $2,555.30 | ↓ -87% |
| ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $2,555.30 | ↓ -87% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE SELECT | $2,821.81 | ↓ -85% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE OPTIONS | $2,821.81 | ↓ -85% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE PREFERRED | $2,821.81 | ↓ -85% |
| ALTERNATE BLUE CROSS [1402] | NLFH BCBS PPO | $3,292.11 | ↓ -83% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PPO | $3,292.11 | ↓ -83% |
| CIGNA HEALTH PLAN [178] | NLFH CIGNA ALTERNATIVE | $4,546.24 | ↓ -76% |
| AETNA HEALTH PLAN [171] | NLFH AETNA | $5,185.37 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BC LAKE COUNTY PHYS ASSOC IPA | $5,426.55 | ↓ -71% |
| AETNA HEALTH PLAN [171] | NLFH AETNA ASA | $5,486.85 | ↓ -71% |
| HEALTHLINK [125] | NLFH SEIU HEALTHLINK | $6,029.50 | ↓ -68% |
| HEALTH'S FINEST NETWORK [126] | NLFH HFN PLATINUM/CHC ELITE | $7,705.70 | ↓ -59% |
| THE ALLIANCE [1703] | NLFH THE ALLIANCE | $7,745.50 | ↓ -59% |
| CIGNA HEALTH PLAN [178] | NLFH CIGNA BROAD | $7,814.23 | ↓ -59% |
| MULTIPLAN/PHCS [142] | NLFH PHCS | $9,647.20 | ↓ -49% |
| BEECHSTREET [176] | NLFH PHCS | $9,647.20 | ↓ -49% |
| FIRST HEALTH PLAN [6034] | NLFH FIRST HEALTH | $9,888.38 | ↓ -48% |
| HEALTH'S FINEST NETWORK [126] | NLFH HFN PPO | $10,853.10 | ↓ -43% |
| UNITED HEALTHCARE [158] | NLFH UHC NON-CONTRACTED OON - ED ONLY | $12,059.00 | ↓ -37% |
| MULTIPLAN/PHCS [142] | NLFH NON-CONTRACTED PAYORS | $12,059.00 | ↓ -37% |
| BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PAR/INDEMNITY ADP | $12,059.00 | ↓ -37% |
| HUMANA HEALTH PLAN [130] | NLFH ADVOCATE IPA | not published by hospital | — |
| GLOBAL EXCEL [1712] | NLFH MEDICARE | 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 | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NLFH BLUE CROSS MEDICARE ADVT | not published by hospital | — |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/pta at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $10,258.20 | $617.32 – $6,169.14 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $3,000.00 | $5,474.00 – $9,880.68 |
| Advocate Christ Medical Center | Oak Lawn | $7,740.00 | $6,099.12 – $25,111.00 |
| Northwestern Memorial Hospital | Chicago | $19,006.86 | $20.00 – $20.00 |
| Advocate Condell Medical Center | Libertyville | $6,360.00 | $5,011.68 – $16,667.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $9,470.00 | $7,462.36 – $25,111.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $14,631.21 | $210.14 – $8,065.45 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $3,000.00 | $5,474.00 – $9,880.68 |