Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$4,290.30
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.
$6,129.00
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.
$308.41 with AETNA HEALTH PLAN [171] vs $1,598.00 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 |
|---|---|---|---|
| AETNA HEALTH PLAN [171] | NWR AETNA NM EMPLOYEES | $308.41 | ↓ -93% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $314.81 | ↓ -93% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $484.99 | ↓ -89% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $493.78 | ↓ -88% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $541.72 | ↓ -87% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $541.72 | ↓ -87% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $549.71 | ↓ -87% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $567.29 | ↓ -87% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $570.17 | ↓ -87% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $570.17 | ↓ -87% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $763.84 | ↓ -82% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $763.84 | ↓ -82% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $763.84 | ↓ -82% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $778.23 | ↓ -82% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $799.00 | ↓ -81% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $838.95 | ↓ -80% |
| CHOICECARE [177] | NWR CHOICE CARE | $850.14 | ↓ -80% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $878.90 | ↓ -80% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $1,026.40 | ↓ -76% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $1,118.60 | ↓ -74% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $1,166.54 | ↓ -73% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $1,198.50 | ↓ -72% |
| BEECHSTREET [176] | NWR BEECHSTREET | $1,278.40 | ↓ -70% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $1,598.00 | ↓ -63% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $1,598.00 | ↓ -63% |
| GLOBAL EXCEL [1712] | NWR MEDICARE | not published by hospital | — |
| 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 | — |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $436.20 | $232.64 – $2,143.62 |
| MercyOne Genesis Aledo Medical Center | Aledo | $436.20 | $327.15 – $341.69 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $100.00 | $1,032.00 – $2,414.00 |
| Advocate Christ Medical Center | Oak Lawn | $915.00 | $721.02 – $6,291.00 |
| Northwestern Memorial Hospital | Chicago | $4,088.00 | $304.64 – $304.64 |
| Advocate Condell Medical Center | Libertyville | $825.00 | $650.10 – $4,528.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $565.00 | $445.22 – $6,291.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,293.12 | $45.05 – $712.83 |