Car outp meas drg cath chd at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$556.50
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.
$795.00
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.
$153.44 with AETNA HEALTH PLAN [171] vs $795.00 with MULTIPLAN/PHCS [142] — 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 | $153.44 | ↓ -72% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $156.62 | ↓ -72% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $241.28 | ↓ -57% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $245.66 | ↓ -56% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $259.25 | ↓ -53% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $259.25 | ↓ -53% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $273.48 | ↓ -51% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $280.64 | ↓ -50% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $280.64 | ↓ -50% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $282.23 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $357.75 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $357.75 | ↓ -36% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $357.75 | ↓ -36% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $387.17 | ↓ -30% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $397.50 | ↓ -29% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $417.38 | ↓ -25% |
| CHOICECARE [177] | NWR CHOICE CARE | $422.94 | ↓ -24% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $500.85 | ↓ -10% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $510.63 | ↓ -8% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $556.50 | ↑ +0% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $580.35 | ↑ +4% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $596.25 | ↑ +7% |
| BEECHSTREET [176] | NWR BEECHSTREET | $636.00 | ↑ +14% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $795.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $795.00 | ↑ +43% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NWR BLUE CROSS MEDICARE ADVT | not published by hospital | — |
| GLOBAL EXCEL [1712] | NWR MEDICARE | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | NWR HUMANA MEDICARE ADVT | not published by hospital | — |
Visitor-reported prices
Comments
Car outp meas drg cath chd at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $1,765.00 | $270.35 – $6,291.00 |
| Northwestern Memorial Hospital | Chicago | $556.50 | not published |
| Advocate Good Samaritan Hospital | Downers Grove | $1,765.00 | $276.73 – $6,291.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $1,765.00 | $274.22 – $6,291.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $1,204.80 | $308.00 – $308.00 |
| OSF Sacred Heart Medical Center – Urbana | Danville | $1,186.80 | $4,342.00 – $4,342.00 |
| OSF Saint Anthony Medical Center | Rockford | $1,557.60 | $693.00 – $1,468.00 |
| OSF Saint Francis Medical Center | Peoria | $1,557.60 | $693.00 – $693.00 |