Athrectomy tib/pero/unilat/ini ves 37229 at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$60,141.21
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.
?
What you pay up front if you don't use insurance.
$85,916.01
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.
?
The hospital's undiscounted list price — almost no one pays this.
$229.00 with UNITED HEALTHCARE [158] vs $22,829.00 with BLUE CROSS BLUE SHIELD [1401] — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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] | NWR UHC CORE | $229.00 | ↓ -100% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $255.00 | ↓ -100% |
| AETNA HEALTH PLAN [171] | NWR AETNA NM EMPLOYEES | $4,406.00 | ↓ -93% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $4,497.31 | ↓ -93% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $6,928.60 | ↓ -88% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $7,054.16 | ↓ -88% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $7,739.03 | ↓ -87% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $7,739.03 | ↓ -87% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $7,853.18 | ↓ -87% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $8,104.30 | ↓ -87% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $8,145.39 | ↓ -86% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $8,145.39 | ↓ -86% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $10,912.26 | ↓ -82% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $10,912.26 | ↓ -82% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $10,912.26 | ↓ -82% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $11,117.72 | ↓ -82% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $11,414.50 | ↓ -81% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $11,985.23 | ↓ -80% |
| CHOICECARE [177] | NWR CHOICE CARE | $12,145.03 | ↓ -80% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $12,555.95 | ↓ -79% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $14,663.07 | ↓ -76% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $15,980.30 | ↓ -73% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $16,665.17 | ↓ -72% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $17,121.75 | ↓ -72% |
| BEECHSTREET [176] | NWR BEECHSTREET | $18,263.20 | ↓ -70% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $22,829.00 | ↓ -62% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $22,829.00 | ↓ -62% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | NWR HUMANA MEDICARE ADVT | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NWR BLUE CROSS MEDICARE ADVT | not published by hospital | — |
| GLOBAL EXCEL [1712] | NWR MEDICARE | not published by hospital | — |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $21,123.60 | $1,815.16 – $28,077.67 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,183.80 | $2,970.16 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $6,125.00 | $5,580.00 – $6,594.00 |
| Advocate Christ Medical Center | Oak Lawn | $8,870.00 | $6,989.56 – $47,462.00 |
| Northwestern Memorial Hospital | Chicago | $7,987.70 | not published |
| Advocate Condell Medical Center | Libertyville | $12,795.00 | $10,082.46 – $35,939.41 |
| Advocate Good Samaritan Hospital | Downers Grove | $13,870.00 | $10,929.56 – $47,462.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $54,907.20 | $594.53 – $14,324.91 |