Exchange biliary drg cath at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$8,508.19
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.
$12,154.56
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.
$21.50 with UNITED HEALTHCARE [158] vs $6,540.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE [158] | NWR UHC CORE | $21.50 | ↓ -100% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $21.50 | ↓ -100% |
| AETNA HEALTH PLAN [171] | NWR AETNA NM EMPLOYEES | $1,262.22 | ↓ -85% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $1,288.38 | ↓ -85% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $1,984.89 | ↓ -77% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $2,020.86 | ↓ -76% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $2,217.06 | ↓ -74% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $2,217.06 | ↓ -74% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $2,249.76 | ↓ -74% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $2,321.70 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $2,333.47 | ↓ -73% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $2,333.47 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $3,126.12 | ↓ -63% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $3,126.12 | ↓ -63% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $3,126.12 | ↓ -63% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $3,184.98 | ↓ -63% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $3,270.00 | ↓ -62% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $3,433.50 | ↓ -60% |
| CHOICECARE [177] | NWR CHOICE CARE | $3,479.28 | ↓ -59% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $3,597.00 | ↓ -58% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $4,200.64 | ↓ -51% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $4,578.00 | ↓ -46% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $4,774.20 | ↓ -44% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $4,905.00 | ↓ -42% |
| BEECHSTREET [176] | NWR BEECHSTREET | $5,232.00 | ↓ -39% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $6,540.00 | ↓ -23% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $6,540.00 | ↓ -23% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | NWR HUMANA MEDICARE ADVT | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NWR BLUE CROSS MEDICARE ADVT | not published by hospital | — |
| GLOBAL EXCEL [1712] | NWR MEDICARE | not published by hospital | — |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $1,750.00 | $1,728.00 – $6,215.65 |
| Advocate Christ Medical Center | Oak Lawn | $3,325.00 | $2,620.10 – $17,439.00 |
| Northwestern Memorial Hospital | Chicago | $11,136.10 | $25.89 – $25.89 |
| Advocate Condell Medical Center | Libertyville | $4,070.00 | $3,207.16 – $9,476.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $2,555.00 | $2,013.34 – $17,439.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $7,362.84 | $117.80 – $4,058.77 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $1,750.00 | $1,728.00 – $6,215.65 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $4,407.70 | $3,836.82 – $4,028.66 |