Frenectomy 41115 at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$2,961.70
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.
$4,231.00
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.
$816.58 with AETNA HEALTH PLAN [171] vs $4,231.00 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 | $816.58 | ↓ -72% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $833.51 | ↓ -72% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $1,070.44 | ↓ -64% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $1,070.44 | ↓ -64% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $1,124.18 | ↓ -62% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $1,284.11 | ↓ -57% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $1,307.38 | ↓ -56% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $1,333.19 | ↓ -55% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $1,333.19 | ↓ -55% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $1,379.73 | ↓ -53% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $1,379.73 | ↓ -53% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $1,455.46 | ↓ -51% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $1,502.01 | ↓ -49% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $2,060.50 | ↓ -30% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $2,115.50 | ↓ -29% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $2,221.28 | ↓ -25% |
| CHOICECARE [177] | NWR CHOICE CARE | $2,250.89 | ↓ -24% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $2,327.05 | ↓ -21% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $2,717.57 | ↓ -8% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $2,961.70 | ↑ +0% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $3,088.63 | ↑ +4% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $3,173.25 | ↑ +7% |
| BEECHSTREET [176] | NWR BEECHSTREET | $3,384.80 | ↑ +14% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $4,231.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $4,231.00 | ↑ +43% |
| 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
Frenectomy 41115 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $487.20 | $747.04 – $1,399.60 |
| MercyOne Genesis Aledo Medical Center | Aledo | $487.20 | $2,970.16 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $2,961.70 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $622.40 | $131.88 – $1,152.38 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,267.75 | $1,662.71 – $1,745.84 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $1,267.75 | not published |
| OSF Little Company of Mary Medical Center | Evergreen Park | $1,197.00 | $1,094.00 – $3,533.00 |
| OSF Sacred Heart Medical Center – Urbana | Danville | $1,389.60 | $1,534.00 – $4,342.00 |