Removal biliary drg cath at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$3,545.15
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.
$5,064.50
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.
$7.50 with UNITED HEALTHCARE [158] vs $2,540.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE [158] | NWR UHC CORE | $7.50 | ↓ -100% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $7.50 | ↓ -100% |
| AETNA HEALTH PLAN [171] | NWR AETNA NM EMPLOYEES | $490.22 | ↓ -86% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $500.38 | ↓ -86% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $770.89 | ↓ -78% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $784.86 | ↓ -78% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $861.06 | ↓ -76% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $861.06 | ↓ -76% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $873.76 | ↓ -75% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $901.70 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $906.27 | ↓ -74% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $906.27 | ↓ -74% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $1,214.12 | ↓ -66% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $1,214.12 | ↓ -66% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $1,214.12 | ↓ -66% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $1,236.98 | ↓ -65% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $1,270.00 | ↓ -64% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $1,333.50 | ↓ -62% |
| CHOICECARE [177] | NWR CHOICE CARE | $1,351.28 | ↓ -62% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $1,397.00 | ↓ -61% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $1,631.44 | ↓ -54% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $1,778.00 | ↓ -50% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $1,854.20 | ↓ -48% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $1,905.00 | ↓ -46% |
| BEECHSTREET [176] | NWR BEECHSTREET | $2,032.00 | ↓ -43% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $2,540.00 | ↓ -28% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $2,540.00 | ↓ -28% |
| 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
Removal biliary drg cath at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $575.00 | $430.00 – $1,574.55 |
| Advocate Christ Medical Center | Oak Lawn | $1,180.00 | $929.84 – $6,181.00 |
| Northwestern Memorial Hospital | Chicago | $6,842.21 | $3.76 – $3.76 |
| Advocate Condell Medical Center | Libertyville | $1,245.00 | $981.06 – $4,636.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $865.00 | $681.62 – $6,181.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,929.19 | $86.10 – $1,063.46 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $575.00 | $430.00 – $1,574.55 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,056.00 | $971.94 – $1,020.54 |