Ins/rpl wireless pulm art sensor incl s&i at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$123,188.81
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.
$175,984.02
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.
$16,985.93 with AETNA HEALTH PLAN [171] vs $88,010.00 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 | $16,985.93 | ↓ -86% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $17,337.97 | ↓ -86% |
| UNITED HEALTHCARE [158] | NWR UHC CORE | $26,183.00 | ↓ -79% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $26,711.04 | ↓ -78% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $27,195.09 | ↓ -78% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $28,700.06 | ↓ -77% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $28,700.06 | ↓ -77% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $29,092.00 | ↓ -76% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $30,275.44 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $31,067.53 | ↓ -75% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $31,067.53 | ↓ -75% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $31,243.55 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $39,604.50 | ↓ -68% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $39,604.50 | ↓ -68% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $39,604.50 | ↓ -68% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $42,860.87 | ↓ -65% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $44,005.00 | ↓ -64% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $46,205.25 | ↓ -62% |
| CHOICECARE [177] | NWR CHOICE CARE | $46,821.32 | ↓ -62% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $48,405.50 | ↓ -61% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $56,528.82 | ↓ -54% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $61,607.00 | ↓ -50% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $64,247.30 | ↓ -48% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $66,007.50 | ↓ -46% |
| BEECHSTREET [176] | NWR BEECHSTREET | $70,408.00 | ↓ -43% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $88,010.00 | ↓ -29% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $88,010.00 | ↓ -29% |
| 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
Ins/rpl wireless pulm art sensor incl s&i at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $33,577.20 | $17,907.84 – $51,485.04 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $7,500.00 | $10,750.00 – $49,794.94 |
| Advocate Christ Medical Center | Oak Lawn | $37,955.00 | $29,908.54 – $111,480.00 |
| Northwestern Memorial Hospital | Chicago | $89,811.69 | not published |
| Advocate Condell Medical Center | Libertyville | $38,470.00 | $30,150.00 – $61,552.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $49,155.00 | $38,734.14 – $111,480.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $65,489.08 | $287.13 – $36,100.86 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $7,500.00 | $10,750.00 – $49,794.94 |