Dihydroergotamine 0.05 mg/ml IV syringe - cnr at Northwestern Medicine Palos Hospital

12251 S. 80th Ave., Palos Heights, IL · Nm · · NPI 1043600026

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 17, 2026

$80.67

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$115.25

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$8.84 with BLUE CROSS BLUE SHIELD [1401] vs $55.25 with UNITED HEALTHCARE [158] — 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 →

Payer
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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
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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 $8.84 ↓ -89%
BLUE CROSS BLUE SHIELD [1401] PH BCBS BLUECHOICE PREFERRED $8.84 ↓ -89%
BLUE CROSS BLUE SHIELD [1401] PH BCBS BLUECHOICE OPTIONS SELECT $8.84 ↓ -89%
BLUE CROSS BLUE SHIELD [1401] PH BCBS PPO $10.61 ↓ -87%
ALTERNATE BLUE CROSS [1402] PH BCBS PPO $10.61 ↓ -87%
AETNA HEALTH PLAN [171] PH AETNA NM EMPLOYEES $11.88 ↓ -85%
AETNA HEALTH PLAN [171] PH AETNA IL PREFERRED $18.73 ↓ -77%
BLUE CROSS BLUE SHIELD [1401] PH BCBS HMO $21.62 ↓ -73%
ALTERNATE BLUE CROSS [1402] PH BCBS HMO $21.62 ↓ -73%
HEALTHLINK [125] PH SEIU HEALTHLINK $27.63 ↓ -66%
CARELON BEHAVIORAL HEALTH [159] PH VALUE OPTIONS BHO $27.63 ↓ -66%
MULTIPLAN/PHCS [142] PH MULTIPLAN/PHCS $38.68 ↓ -52%
COMPSYCH [112] PH COMPSYCH $41.44 ↓ -49%
FIRST HEALTH PLAN [6034] PH FIRST HEALTH $41.44 ↓ -49%
BEECHSTREET [176] PH BEECHSTREET $44.20 ↓ -45%
HEALTH'S FINEST NETWORK [126] PH HFN $46.96 ↓ -42%
GALAXY HEALTH NETWORK [220] PH NON-CONTRACTED PAYORS $55.25 ↓ -32%
CIGNA HEALTH PLAN [178] PH NON-CONTRACTED PAYORS $55.25 ↓ -32%
HEALTHLINK [125] PH NON-CONTRACTED PAYORS $55.25 ↓ -32%
HEALTH ALLIANCE [181] PH NON-CONTRACTED PAYORS $55.25 ↓ -32%
BLUE CROSS BLUE SHIELD [1401] PH BCBS PAR/INDEMNITY ADP $55.25 ↓ -32%
AETNA HEALTH PLAN [171] PH NON-CONTRACTED PAYORS $55.25 ↓ -32%
MULTIPLAN/PHCS [142] PH NON-CONTRACTED PAYORS $55.25 ↓ -32%
UNITED HEALTHCARE [158] PH NON-CONTRACTED PAYORS $55.25 ↓ -32%
GLOBAL EXCEL [1712] PH NON-CONTRACTED PAYORS $55.25 ↓ -32%
UNITED HEALTHCARE [158] PH UHC NON-CONTRACTED OON - ED ONLY $55.25 ↓ -32%
CIGNA HEALTH PLAN [178] PH CIGNA BEHAVIORAL BHS not published by hospital
GLOBAL EXCEL [1712] PH MEDICARE not published by hospital
ALTERNATE BLUE CROSS MEDICARE ADV [2304] PH MEDICARE not published by hospital
MAGELLAN BEHAVIORAL HLTH [136] PH MAGELLAN BHS not published by hospital
OPTUM/UNITED BEHAVIORAL HEALTH [157] PH UBH BHS not published by hospital

Visitor-reported prices

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Dihydroergotamine 0.05 mg/ml IV syringe - cnr at other Illinois hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $245.07 $41.39 – $112.52
MercyOne Genesis Aledo Medical Center Aledo $245.07 $54.73 – $60.79
Uchicago Medicine Adventhealth Hinsdale Hinsdale $182.72 $95.17 – $95.17
UnityPoint Health - Trinity Moline Rock Island $309.20 $47.11 – $194.36
Uchicago Medicine Adventhealth La Grange La Grange $182.72 $95.17 – $95.17
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago $285.80 $82.08 – $82.08
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook $182.72 $90.96 – $95.17
Uchicago Medicine Adventhealth Glenoaks Glendale Heights $182.72 $95.17 – $95.17

All Illinois hospitals for this procedure →