Ligation/biopsy of temporal artery 37609 at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$22,512.36
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.
$32,160.51
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.
$1,922.67 with AETNA HEALTH PLAN [171] vs $9,962.00 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 | $1,922.67 | ↓ -91% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $1,962.51 | ↓ -91% |
| UNITED HEALTHCARE [158] | NWR UHC CORE | $2,137.00 | ↓ -91% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $2,374.00 | ↓ -89% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $3,023.47 | ↓ -87% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $3,078.26 | ↓ -86% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $3,377.12 | ↓ -85% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $3,377.12 | ↓ -85% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $3,426.93 | ↓ -85% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $3,536.51 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $3,554.44 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $3,554.44 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $4,761.84 | ↓ -79% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $4,761.84 | ↓ -79% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $4,761.84 | ↓ -79% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $4,851.49 | ↓ -78% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $4,981.00 | ↓ -78% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $5,230.05 | ↓ -77% |
| CHOICECARE [177] | NWR CHOICE CARE | $5,299.78 | ↓ -76% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $6,398.59 | ↓ -72% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $6,973.40 | ↓ -69% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $7,272.26 | ↓ -68% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $7,471.50 | ↓ -67% |
| BEECHSTREET [176] | NWR BEECHSTREET | $7,969.60 | ↓ -65% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $9,102.00 | ↓ -60% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $9,962.00 | ↓ -56% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $9,962.00 | ↓ -56% |
| 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
Ligation/biopsy of temporal artery 37609 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $599.40 | $919.08 – $2,093.33 |
| MercyOne Genesis Aledo Medical Center | Aledo | $599.40 | $2,970.16 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $10,659.66 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $1,521.60 | $179.29 – $1,260.48 |
| OSF Saint Anthony Medical Center | Rockford | $3,949.20 | $330.66 – $6,194.59 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $8,860.60 | $101.50 – $237.84 |
| Northwestern Medicine Delnor Hospital | Geneva | $10,659.66 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $22,118.99 | not published |