Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$75,561.63
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.
$107,945.19
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.
$4,379.36 with AETNA HEALTH PLAN [171] vs $22,691.00 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 | $4,379.36 | ↓ -94% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $4,470.13 | ↓ -94% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $6,886.72 | ↓ -91% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $7,011.52 | ↓ -91% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $7,399.54 | ↓ -90% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $7,399.54 | ↓ -90% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $7,805.70 | ↓ -90% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $8,009.92 | ↓ -89% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $8,009.92 | ↓ -89% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $8,055.31 | ↓ -89% |
| UNITED HEALTHCARE [158] | NWR UHC CORE | $9,502.00 | ↓ -87% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $10,210.95 | ↓ -86% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $10,210.95 | ↓ -86% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $10,210.95 | ↓ -86% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $10,557.00 | ↓ -86% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $11,050.52 | ↓ -85% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $11,345.50 | ↓ -85% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $11,912.78 | ↓ -84% |
| CHOICECARE [177] | NWR CHOICE CARE | $12,071.61 | ↓ -84% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $12,480.05 | ↓ -83% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $14,574.43 | ↓ -81% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $15,883.70 | ↓ -79% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $16,564.43 | ↓ -78% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $17,018.25 | ↓ -77% |
| BEECHSTREET [176] | NWR BEECHSTREET | $18,152.80 | ↓ -76% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $22,691.00 | ↓ -70% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $22,691.00 | ↓ -70% |
| 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
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $8,272.20 | $4,411.84 – $12,684.04 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $5,500.00 | $5,580.00 – $6,448.00 |
| Advocate Christ Medical Center | Oak Lawn | $1,965.00 | $1,548.42 – $91,059.00 |
| Advocate Condell Medical Center | Libertyville | $14,825.00 | $11,682.10 – $39,558.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $5,620.00 | $4,428.56 – $91,059.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $20,990.47 | $396.02 – $11,570.99 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $5,500.00 | $5,580.00 – $6,448.00 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $22,627.00 | not published |