Icd crtp serena MRI at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$35,380.93
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.
$50,544.19
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.
$3,238.77 with AETNA HEALTH PLAN [171] vs $16,781.20 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 | $3,238.77 | ↓ -91% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $3,305.90 | ↓ -91% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $4,900.11 | ↓ -86% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $4,900.11 | ↓ -86% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $5,093.09 | ↓ -86% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $5,185.39 | ↓ -85% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $5,688.83 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $5,688.83 | ↓ -84% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $5,772.73 | ↓ -84% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $5,957.33 | ↓ -83% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $5,987.53 | ↓ -83% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $5,987.53 | ↓ -83% |
| UNITED HEALTHCARE [158] | NWR UHC CORE | $7,954.29 | ↓ -78% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $8,021.41 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $8,021.41 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $8,021.41 | ↓ -77% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $8,390.60 | ↓ -76% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $8,843.69 | ↓ -75% |
| CHOICECARE [177] | NWR CHOICE CARE | $8,927.60 | ↓ -75% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $10,572.16 | ↓ -70% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $10,778.56 | ↓ -70% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $11,746.84 | ↓ -67% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $12,250.28 | ↓ -65% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $12,585.90 | ↓ -64% |
| BEECHSTREET [176] | NWR BEECHSTREET | $13,424.96 | ↓ -62% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $16,781.20 | ↓ -53% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $16,781.20 | ↓ -53% |
| 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
Icd crtp serena MRI at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $15,727.80 | $5,210.88 – $14,167.08 |
| MercyOne Genesis Aledo Medical Center | Aledo | $15,727.80 | $7,327.80 – $7,653.48 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $7,365.92 | not published |
| Advocate Christ Medical Center | Oak Lawn | $9,732.26 | $4,807.20 – $15,260.96 |
| Northwestern Memorial Hospital | Chicago | $39,200.94 | not published |
| Advocate Condell Medical Center | Libertyville | $10,506.71 | $4,407.16 – $16,475.36 |
| Advocate Good Samaritan Hospital | Downers Grove | $11,436.05 | $7,486.88 – $17,932.64 |
| UnityPoint Health - Trinity Moline | Rock Island | $12,654.16 | $4,286.60 – $8,335.93 |