Cath ptca pcltxl agent 3x20mm at Northwestern Medicine Palos Hospital
12251 S. 80th Ave., Palos Heights, IL · Nm · · NPI 1043600026
$9,656.14
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.
$13,794.48
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.
$2,207.12 with BLUE CROSS BLUE SHIELD [1401] vs $13,794.48 with AETNA HEALTH PLAN [171] — 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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS | $2,207.12 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE PREFERRED | $2,207.12 | ↓ -77% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS SELECT | $2,207.12 | ↓ -77% |
| CIGNA HEALTH PLAN [178] | PH CIGNA ALTERNATIVE | $2,579.57 | ↓ -73% |
| ALTERNATE BLUE CROSS [1402] | PH BCBS PPO | $2,648.54 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS PPO | $2,648.54 | ↓ -73% |
| AETNA HEALTH PLAN [171] | PH AETNA NM EMPLOYEES | $2,965.81 | ↓ -69% |
| CIGNA HEALTH PLAN [178] | PH CIGNA BROAD | $4,083.17 | ↓ -58% |
| AETNA HEALTH PLAN [171] | PH AETNA IL PREFERRED | $4,676.33 | ↓ -52% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS HMO | $5,397.78 | ↓ -44% |
| ALTERNATE BLUE CROSS [1402] | PH BCBS HMO | $5,397.78 | ↓ -44% |
| UNITED HEALTHCARE [158] | PH UHC CORE | $6,248.90 | ↓ -35% |
| HEALTHLINK [125] | PH SEIU HEALTHLINK | $6,897.24 | ↓ -29% |
| CARELON BEHAVIORAL HEALTH [159] | PH VALUE OPTIONS BHO | $6,897.24 | ↓ -29% |
| UNITED HEALTHCARE [158] | PH UHC ALL OTHER | $7,048.98 | ↓ -27% |
| AETNA HEALTH PLAN [171] | PH AETNA | $7,835.26 | ↓ -19% |
| FIRST HEALTH PLAN [6034] | PH AETNA | $7,835.26 | ↓ -19% |
| MAGELLAN BEHAVIORAL HLTH [136] | PH MAGELLAN BHS | $8,276.69 | ↓ -14% |
| THE ALLIANCE [1703] | PH THE ALLIANCE | $8,860.19 | ↓ -8% |
| MULTIPLAN/PHCS [142] | PH MULTIPLAN/PHCS | $9,656.14 | ↑ +0% |
| COMPSYCH [112] | PH COMPSYCH | $10,345.86 | ↑ +7% |
| FIRST HEALTH PLAN [6034] | PH FIRST HEALTH | $10,345.86 | ↑ +7% |
| CIGNA HEALTH PLAN [178] | PH CIGNA BEHAVIORAL BHS | $11,035.58 | ↑ +14% |
| BEECHSTREET [176] | PH BEECHSTREET | $11,035.58 | ↑ +14% |
| HEALTH'S FINEST NETWORK [126] | PH HFN | $11,725.31 | ↑ +21% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS PAR/INDEMNITY ADP | $13,794.48 | ↑ +43% |
| GLOBAL EXCEL [1712] | PH NON-CONTRACTED PAYORS | $13,794.48 | ↑ +43% |
| MULTIPLAN/PHCS [142] | PH NON-CONTRACTED PAYORS | $13,794.48 | ↑ +43% |
| UNITED HEALTHCARE [158] | PH NON-CONTRACTED PAYORS | $13,794.48 | ↑ +43% |
| UNITED HEALTHCARE [158] | PH UHC NON-CONTRACTED OON - ED ONLY | $13,794.48 | ↑ +43% |
| CIGNA HEALTH PLAN [178] | PH NON-CONTRACTED PAYORS | $13,794.48 | ↑ +43% |
| GALAXY HEALTH NETWORK [220] | PH NON-CONTRACTED PAYORS | $13,794.48 | ↑ +43% |
| HEALTH ALLIANCE [181] | PH NON-CONTRACTED PAYORS | $13,794.48 | ↑ +43% |
| HEALTHLINK [125] | PH NON-CONTRACTED PAYORS | $13,794.48 | ↑ +43% |
| AETNA HEALTH PLAN [171] | PH NON-CONTRACTED PAYORS | $13,794.48 | ↑ +43% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | PH UBH BHS | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | PH MEDICARE | not published by hospital | — |
| GLOBAL EXCEL [1712] | PH MEDICARE | not published by hospital | — |
Visitor-reported prices
Comments
Cath ptca pcltxl agent 3x20mm at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $10,650.25 | $7,433.87 – $17,040.40 |
| Northwestern Memorial Hospital | Chicago | $34,679.81 | not published |
| Advocate Good Samaritan Hospital | Downers Grove | $12,514.75 | $8,735.30 – $20,023.60 |
| UnityPoint Health - Trinity Moline | Rock Island | $14,656.00 | $4,964.72 – $9,654.64 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $8,192.50 | $5,718.37 – $13,108.00 |
| Advocate Sherman Hospital | Elgin | $7,881.75 | $4,823.63 – $14,187.15 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $47,325.93 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $34,679.81 | not published |