Unlisted px leg/ankle at Northwestern Medicine McHenry Hospital
4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499
$13,652.80
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.
$19,504.00
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.
$1,664.43 with AETNA HEALTH PLAN [171] vs $8,624.00 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 | $1,664.43 | ↓ -88% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $1,698.93 | ↓ -88% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $2,422.48 | ↓ -82% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $2,422.48 | ↓ -82% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $2,543.22 | ↓ -81% |
| MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $2,617.38 | ↓ -81% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $2,664.82 | ↓ -80% |
| AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $2,966.66 | ↓ -78% |
| AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $3,061.52 | ↓ -78% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $3,077.04 | ↓ -77% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $3,077.04 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $3,359.05 | ↓ -75% |
| ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $3,359.05 | ↓ -75% |
| AETNA HEALTH PLAN [171] | NWR AETNA | $4,199.89 | ↓ -69% |
| HEALTHLINK [125] | NWR SEIU HEALTHLINK | $4,312.00 | ↓ -68% |
| AETNA HEALTH PLAN [171] | NWR AETNA ASA | $4,527.60 | ↓ -67% |
| CHOICECARE [177] | NWR CHOICE CARE | $4,587.97 | ↓ -66% |
| MULTIPLAN/PHCS [142] | NWR PHCS PPO | $4,743.20 | ↓ -65% |
| THE ALLIANCE [1703] | NWR THE ALLIANCE | $5,539.20 | ↓ -59% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $6,036.80 | ↓ -56% |
| HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $6,295.52 | ↓ -54% |
| CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $6,468.00 | ↓ -53% |
| BEECHSTREET [176] | NWR BEECHSTREET | $6,899.20 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $8,624.00 | ↓ -37% |
| MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $8,624.00 | ↓ -37% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | NWR HUMANA MEDICARE ADVT | not published by hospital | — |
| GLOBAL EXCEL [1712] | NWR MEDICARE | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NWR BLUE CROSS MEDICARE ADVT | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px leg/ankle at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $413.40 | $186.62 – $8,778.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $1,566.60 | $264.33 – $491.66 |
| OSF Saint Anthony Medical Center | Rockford | $3,787.80 | $264.33 – $1,468.00 |
| OSF Saint Francis Medical Center | Peoria | $1,947.00 | $264.33 – $898.63 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $250.06 – $375.08 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $239.88 – $1,296.52 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $258.78 – $428.22 |
| Advocate Christ Medical Center | Oak Lawn | not published | $362.58 – $6,291.00 |