Unlisted procedure rectum at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$12,129.60
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.
$17,328.00
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.
$781.07 with AETNA HEALTH PLAN [171] vs $4,047.00 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 | $781.07 | ↓ -94% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $797.26 | ↓ -93% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $1,228.26 | ↓ -90% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $1,250.52 | ↓ -90% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $1,371.93 | ↓ -89% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $1,371.93 | ↓ -89% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $1,392.17 | ↓ -89% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $1,436.69 | ↓ -88% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $1,443.97 | ↓ -88% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $1,443.97 | ↓ -88% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $1,934.47 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $1,934.47 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $1,934.47 | ↓ -84% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $1,970.89 | ↓ -84% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $2,023.50 | ↓ -83% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $2,124.68 | ↓ -82% |
| CHOICECARE [177] | NWR CHOICE CARE | $2,153.00 | ↓ -82% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $2,225.85 | ↓ -82% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $2,599.39 | ↓ -79% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $2,832.90 | ↓ -77% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $2,954.31 | ↓ -76% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $3,035.25 | ↓ -75% |
| BEECHSTREET [176] | NWR BEECHSTREET | $3,237.60 | ↓ -73% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $4,047.00 | ↓ -67% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $4,047.00 | ↓ -67% |
| 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
Unlisted procedure rectum at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $1,524.56 | $709.27 – $3,527.66 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,125.00 | $886.50 – $6,071.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $574.20 | $996.56 – $2,825.00 |
| OSF Saint Anthony Medical Center | Rockford | $574.20 | $418.00 – $3,487.96 |
| OSF Saint Elizabeth Medical Center | Ottawa | $574.20 | $996.56 – $1,016.49 |
| OSF Saint Francis Medical Center | Peoria | $564.60 | $357.00 – $3,387.93 |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $12,129.60 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $12,129.60 | not published |