Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital

1000 N. Westmoreland Rd., Lake Forest, IL · Nm · · NPI 1124025176

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 17, 2026

$15,716.26

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$22,451.80

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1,387.71 with AETNA HEALTH PLAN [171] vs $8,359.72 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 →

Payer
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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
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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 $1,387.71 ↓ -91%
BLUE CROSS BLUE SHIELD [1401] NLFH BCBS HMO $1,771.42 ↓ -89%
ALTERNATE BLUE CROSS [1402] NLFH BCBS HMO $1,771.42 ↓ -89%
BLUE CROSS BLUE SHIELD [1401] NLFH BCBS BLUECHOICE PREFERRED $1,956.17 ↓ -88%
BLUE CROSS BLUE SHIELD [1401] NLFH BCBS BLUECHOICE SELECT $1,956.17 ↓ -88%
BLUE CROSS BLUE SHIELD [1401] NLFH BCBS BLUECHOICE OPTIONS $1,956.17 ↓ -88%
BLUE CROSS BLUE SHIELD [1401] NLFH BCBS PPO $2,282.20 ↓ -85%
ALTERNATE BLUE CROSS [1402] NLFH BCBS PPO $2,282.20 ↓ -85%
AETNA HEALTH PLAN [171] NLFH AETNA $3,594.68 ↓ -77%
BLUE CROSS BLUE SHIELD [1401] NLFH BC LAKE COUNTY PHYS ASSOC IPA $3,761.87 ↓ -76%
AETNA HEALTH PLAN [171] NLFH AETNA ASA $3,803.67 ↓ -76%
HEALTHLINK [125] NLFH SEIU HEALTHLINK $4,179.86 ↓ -73%
HEALTH'S FINEST NETWORK [126] NLFH HFN PLATINUM/CHC ELITE $5,341.86 ↓ -66%
BEECHSTREET [176] NLFH PHCS $6,687.78 ↓ -57%
MULTIPLAN/PHCS [142] NLFH PHCS $6,687.78 ↓ -57%
FIRST HEALTH PLAN [6034] NLFH FIRST HEALTH $6,854.97 ↓ -56%
HEALTH'S FINEST NETWORK [126] NLFH HFN PPO $7,523.75 ↓ -52%
BLUE CROSS BLUE SHIELD [1401] NLFH BCBS PAR/INDEMNITY ADP $8,359.72 ↓ -47%
MULTIPLAN/PHCS [142] NLFH NON-CONTRACTED PAYORS $8,359.72 ↓ -47%
UNITED HEALTHCARE [158] NLFH UHC NON-CONTRACTED OON - ED ONLY $8,359.72 ↓ -47%
HUMANA HEALTH PLAN [130] NLFH ADVOCATE IPA not published by hospital
ALTERNATE BLUE CROSS MEDICARE ADV [2304] NLFH BLUE CROSS MEDICARE ADVT not published by hospital
GLOBAL EXCEL [1712] NLFH MEDICARE not published by hospital
ALTERNATE HUMANA MEDICARE ADV [2409] NLFH HUMANA MEDICARE ADVT not published by hospital
BLUE CROSS BLUE SHIELD [1401] NLFH ADVOCATE IPA not published by hospital

Visitor-reported prices

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Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Illinois hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $1,866.60 $676.80 – $1,840.05
OSF Saint Anthony's Health Center Alton $603.00 $133.36 – $136.02
HSHS St. Joseph's Hospital HIGHLAND $187.20 $61.69 – $260.00
Northwestern Medicine McHenry Hospital McHenry $3,573.63 not published
HSHS St. Francis Hospital LITCHFIELD $187.20 $209.78 – $260.00
MercyOne Genesis Aledo Medical Center Aledo not published $21.90 – $21.90
Uchicago Medicine Adventhealth Hinsdale Hinsdale not published $50.84 – $216.04
Advocate Christ Medical Center Oak Lawn not published $41.53 – $85.07

All Illinois hospitals for this procedure →