Rmvl icd gen w/rplc icd gen mlt lead sys at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$92,236.64
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.
$131,766.62
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.
$9,861.53 with AETNA HEALTH PLAN [171] vs $51,096.00 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 | $9,861.53 | ↓ -89% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $10,065.91 | ↓ -89% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $15,507.64 | ↓ -83% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $15,788.66 | ↓ -83% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $16,662.41 | ↓ -82% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $16,662.41 | ↓ -82% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $17,577.02 | ↓ -81% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $18,036.89 | ↓ -80% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $18,036.89 | ↓ -80% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $18,139.08 | ↓ -80% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $22,993.20 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $22,993.20 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $22,993.20 | ↓ -75% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $24,883.75 | ↓ -73% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $25,548.00 | ↓ -72% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $26,825.40 | ↓ -71% |
| CHOICECARE [177] | NWR CHOICE CARE | $27,183.07 | ↓ -71% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $28,102.80 | ↓ -70% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $32,818.96 | ↓ -64% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $35,767.20 | ↓ -61% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $37,300.08 | ↓ -60% |
| UNITED HEALTHCARE [158] | NWR UHC CORE | $38,005.00 | ↓ -59% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $38,322.00 | ↓ -58% |
| BEECHSTREET [176] | NWR BEECHSTREET | $40,876.80 | ↓ -56% |
| UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $42,229.00 | ↓ -54% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $51,096.00 | ↓ -45% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $51,096.00 | ↓ -45% |
| 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
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Rmvl icd gen w/rplc icd gen mlt lead sys at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $44,266.80 | $1,080.08 – $50,132.45 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $11,875.00 | $4,150.00 – $54,491.76 |
| Advocate Christ Medical Center | Oak Lawn | $10,305.00 | $8,120.34 – $111,480.00 |
| Northwestern Memorial Hospital | Chicago | $120,798.45 | not published |
| Advocate Condell Medical Center | Libertyville | $39,785.00 | $30,150.00 – $64,169.53 |
| Advocate Good Samaritan Hospital | Downers Grove | $25,300.00 | $19,936.40 – $111,480.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $63,970.92 | $349.10 – $35,263.97 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $11,875.00 | $4,150.00 – $54,491.76 |