Ins/rpl pm gen exist dual lead at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$37,795.73
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.
$53,993.90
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.
$2,039.24 with AETNA HEALTH PLAN [171] vs $10,566.00 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 | $2,039.24 | ↓ -95% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $2,081.50 | ↓ -94% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $3,206.78 | ↓ -92% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $3,264.89 | ↓ -91% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $3,445.57 | ↓ -91% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $3,445.57 | ↓ -91% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $3,634.70 | ↓ -90% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $3,729.80 | ↓ -90% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $3,729.80 | ↓ -90% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $3,750.93 | ↓ -90% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $4,754.70 | ↓ -87% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $4,754.70 | ↓ -87% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $4,754.70 | ↓ -87% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $5,145.64 | ↓ -86% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $5,283.00 | ↓ -86% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $5,547.15 | ↓ -85% |
| CHOICECARE [177] | NWR CHOICE CARE | $5,621.11 | ↓ -85% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $6,786.54 | ↓ -82% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $7,396.20 | ↓ -80% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $7,713.18 | ↓ -80% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $7,924.50 | ↓ -79% |
| BEECHSTREET [176] | NWR BEECHSTREET | $8,452.80 | ↓ -78% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $9,102.00 | ↓ -76% |
| UNITED HEALTHCARE [158] | NWR UHC CORE | $9,502.00 | ↓ -75% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $10,557.00 | ↓ -72% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $10,566.00 | ↓ -72% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $10,566.00 | ↓ -72% |
| 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
Ins/rpl pm gen exist dual lead at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $13,181.40 | $1,318.36 – $16,363.90 |
| MercyOne Genesis Aledo Medical Center | Aledo | $859.80 | $2,970.16 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $11,205.00 | $8,829.54 – $47,462.00 |
| Northwestern Memorial Hospital | Chicago | $7,396.20 | not published |
| Advocate Condell Medical Center | Libertyville | $12,140.00 | $9,566.32 – $24,503.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $9,090.00 | $7,162.92 – $47,462.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $18,531.40 | $293.07 – $10,215.43 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $11,198.55 | $11,200.55 – $11,760.58 |