Biopsy of rectum wall anal approach 45100 at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$19,174.96
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.
$27,392.80
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.
$1,068.50 with UNITED HEALTHCARE [158] vs $9,864.00 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] | NWR UHC CORE | $1,068.50 | ↓ -94% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $1,187.00 | ↓ -94% |
| AETNA HEALTH PLAN [171] | NWR AETNA NM EMPLOYEES | $1,903.75 | ↓ -90% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $1,943.21 | ↓ -90% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $2,993.72 | ↓ -84% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $3,047.98 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $3,343.90 | ↓ -83% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $3,343.90 | ↓ -83% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $3,393.22 | ↓ -82% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $3,501.72 | ↓ -82% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $3,519.48 | ↓ -82% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $3,519.48 | ↓ -82% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $4,714.99 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $4,714.99 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $4,714.99 | ↓ -75% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $4,803.77 | ↓ -75% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $4,932.00 | ↓ -74% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $5,178.60 | ↓ -73% |
| CHOICECARE [177] | NWR CHOICE CARE | $5,247.65 | ↓ -73% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $6,335.65 | ↓ -67% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $6,904.80 | ↓ -64% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $7,200.72 | ↓ -62% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $7,398.00 | ↓ -61% |
| BEECHSTREET [176] | NWR BEECHSTREET | $7,891.20 | ↓ -59% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $9,102.00 | ↓ -53% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $9,864.00 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $9,864.00 | ↓ -49% |
| GLOBAL EXCEL [1712] | NWR MEDICARE | not published by hospital | — |
| 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 | — |
Visitor-reported prices
Comments
Biopsy of rectum wall anal approach 45100 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $565.20 | $866.64 – $1,447.67 |
| MercyOne Genesis Aledo Medical Center | Aledo | $565.20 | $2,970.16 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $15,117.93 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $740.00 | $273.33 – $2,133.47 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $3,190.00 | $2,513.72 – $6,181.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $396.60 | $1,094.00 – $5,532.48 |
| OSF Saint Francis Medical Center | Peoria | $1,803.60 | $327.28 – $10,112.00 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $15,117.93 | not published |