Bln press regulation 71-80cm at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$19,212.37
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.
$27,446.25
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.
$2,353.14 with AETNA HEALTH PLAN [171] vs $12,192.44 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 |
|---|---|---|---|
| AETNA HEALTH PLAN [171] | NWR AETNA NM EMPLOYEES | $2,353.14 | ↓ -88% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $2,401.91 | ↓ -87% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $3,560.19 | ↓ -81% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $3,560.19 | ↓ -81% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $3,700.41 | ↓ -81% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $3,767.46 | ↓ -80% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $4,133.24 | ↓ -78% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $4,133.24 | ↓ -78% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $4,194.20 | ↓ -78% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $4,328.32 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $4,350.26 | ↓ -77% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $4,350.26 | ↓ -77% |
| UNITED HEALTHCARE [158] | NWR UHC CORE | $5,779.22 | ↓ -70% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $5,827.99 | ↓ -70% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $5,827.99 | ↓ -70% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $5,827.99 | ↓ -70% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $6,096.22 | ↓ -68% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $6,425.42 | ↓ -67% |
| CHOICECARE [177] | NWR CHOICE CARE | $6,486.38 | ↓ -66% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $7,681.24 | ↓ -60% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $7,831.20 | ↓ -59% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $8,534.71 | ↓ -56% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $8,900.48 | ↓ -54% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $9,144.33 | ↓ -52% |
| BEECHSTREET [176] | NWR BEECHSTREET | $9,753.95 | ↓ -49% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $12,192.44 | ↓ -37% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $12,192.44 | ↓ -37% |
| GLOBAL EXCEL [1712] | NWR MEDICARE | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NWR BLUE CROSS MEDICARE ADVT | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | NWR HUMANA MEDICARE ADVT | not published by hospital | — |
Visitor-reported prices
Comments
Bln press regulation 71-80cm at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $26,224.44 | $13,217.12 – $41,959.10 |
| Northwestern Memorial Hospital | Chicago | $40,704.71 | not published |
| Advocate Condell Medical Center | Libertyville | $29,086.96 | $12,449.22 – $46,539.13 |
| Advocate Good Samaritan Hospital | Downers Grove | $30,815.46 | $20,584.73 – $49,304.74 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $36,448.96 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $28,714.48 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $11,467.45 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $42,520.32 | not published |