Ercp w/specimen collection at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$51,421.84
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.
$73,459.77
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.
$916.36 with AETNA HEALTH PLAN [171] vs $4,748.00 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 | $916.36 | ↓ -98% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $935.36 | ↓ -98% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $1,441.02 | ↓ -97% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $1,467.13 | ↓ -97% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $1,609.57 | ↓ -97% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $1,609.57 | ↓ -97% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $1,633.31 | ↓ -97% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $1,685.54 | ↓ -97% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $1,694.09 | ↓ -97% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $1,694.09 | ↓ -97% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $2,269.54 | ↓ -96% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $2,269.54 | ↓ -96% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $2,269.54 | ↓ -96% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $2,312.28 | ↓ -96% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $2,374.00 | ↓ -95% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $2,492.70 | ↓ -95% |
| CHOICECARE [177] | NWR CHOICE CARE | $2,525.94 | ↓ -95% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $3,049.64 | ↓ -94% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $3,323.60 | ↓ -94% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $3,466.04 | ↓ -93% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $3,561.00 | ↓ -93% |
| UNITED HEALTHCARE [158] | NWR UHC CORE | $3,577.00 | ↓ -93% |
| BEECHSTREET [176] | NWR BEECHSTREET | $3,798.40 | ↓ -93% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $3,975.00 | ↓ -92% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $4,551.00 | ↓ -91% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $4,748.00 | ↓ -91% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $4,748.00 | ↓ -91% |
| 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
Ercp w/specimen collection at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,110.60 | $1,702.92 – $2,650.03 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,110.60 | $2,970.16 – $2,970.16 |
| Advocate Condell Medical Center | Libertyville | $4,460.00 | $3,514.48 – $8,003.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $3,420.00 | $2,694.96 – $12,362.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $816.80 | $287.14 – $2,959.78 |
| Advocate Illinois Masonic Medical Center | Chicago | $3,300.00 | $2,600.40 – $12,362.00 |
| Advocate South Suburban Hospital | Hazel Crest | $2,710.00 | $2,135.48 – $12,362.00 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $37,463.29 | not published |