Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$27,252.05
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.
$38,931.50
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.
$3,908.97 with AETNA HEALTH PLAN [171] vs $20,253.75 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 | $3,908.97 | ↓ -86% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $6,147.01 | ↓ -77% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $6,866.02 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $6,866.02 | ↓ -75% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $6,967.29 | ↓ -74% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $7,190.08 | ↓ -74% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $7,226.54 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $7,226.54 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $9,681.29 | ↓ -64% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $9,681.29 | ↓ -64% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $9,681.29 | ↓ -64% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $10,126.88 | ↓ -63% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $10,633.22 | ↓ -61% |
| CHOICECARE [177] | NWR CHOICE CARE | $10,775.00 | ↓ -60% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $12,759.86 | ↓ -53% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $14,177.63 | ↓ -48% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $14,785.24 | ↓ -46% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $15,190.31 | ↓ -44% |
| BEECHSTREET [176] | NWR BEECHSTREET | $16,203.00 | ↓ -41% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $20,253.75 | ↓ -26% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $20,253.75 | ↓ -26% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | NWR HUMANA MEDICARE ADVT | not published by hospital | — |
| GLOBAL EXCEL [1712] | NWR MEDICARE | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NWR BLUE CROSS MEDICARE ADVT | not published by hospital | — |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $10,638.62 | $4.68 – $15,426.00 |
| MercyOne Genesis Aledo Medical Center | Aledo | $10,638.62 | $4.49 – $8,333.58 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $2,274.64 | $3.83 – $6.34 |
| Northwestern Memorial Hospital | Chicago | $23,031.75 | not published |
| Uchicago Medicine Adventhealth La Grange | La Grange | $2,274.64 | $3.83 – $6.34 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $2,274.64 | $3.91 – $6.34 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | $2,274.64 | $3.91 – $6.34 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $18,782.75 | not published |