Brace knee hing pat open med at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$60.61
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.
$86.58
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.
$12.43 with AETNA HEALTH PLAN [171] vs $64.43 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 |
|---|---|---|---|
| AETNA HEALTH PLAN [171] | NWR AETNA NM EMPLOYEES | $12.43 | ↓ -79% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $12.69 | ↓ -79% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $19.55 | ↓ -68% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $19.91 | ↓ -67% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $21.84 | ↓ -64% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $21.84 | ↓ -64% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $22.16 | ↓ -63% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $22.87 | ↓ -62% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $22.99 | ↓ -62% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $22.99 | ↓ -62% |
| UNITED HEALTHCARE [158] | NWR UHC CORE | $30.54 | ↓ -50% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $30.80 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $30.80 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $30.80 | ↓ -49% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $32.22 | ↓ -47% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $33.95 | ↓ -44% |
| CHOICECARE [177] | NWR CHOICE CARE | $34.28 | ↓ -43% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $40.59 | ↓ -33% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $41.38 | ↓ -32% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $45.10 | ↓ -26% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $47.03 | ↓ -22% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $48.32 | ↓ -20% |
| BEECHSTREET [176] | NWR BEECHSTREET | $51.54 | ↓ -15% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $64.43 | ↑ +6% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $64.43 | ↑ +6% |
| 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
Brace knee hing pat open med at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $19.80 | $30.36 – $33.00 |
| MercyOne Genesis Aledo Medical Center | Aledo | $19.80 | $33.00 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $299.20 | $74.61 – $273.97 |
| Northwestern Medicine Palos Hospital | Palos Heights | $261.53 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $957.53 | not published |
| Advocate Christ Medical Center | Oak Lawn | not published | $248.28 – $328.76 |
| Advocate Condell Medical Center | Libertyville | not published | $248.28 – $328.76 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $248.28 – $328.76 |