Home/res vst new high mdm 75 at Northwestern Medicine Palos Hospital
12251 S. 80th Ave., Palos Heights, IL · Nm · · NPI 1043600026
$264.60
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.
$378.00
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.
$170.10 with THE ALLIANCE [1703] vs $378.00 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 |
|---|---|---|---|
| THE ALLIANCE [1703] | PH HOME HEALTH & HOSPICE THE ALLIANCE | $170.10 | ↓ -36% |
| COMPSYCH [112] | PH COMPSYCH | $283.50 | ↑ +7% |
| GLOBAL EXCEL [1712] | PH HOME HEALTH & HOSPICE NON-CONTRACTED SHELL | $378.00 | ↑ +43% |
| AETNA HEALTH PLAN [171] | PH HOME HEALTH & HOSPICE NON-CONTRACTED SHELL | $378.00 | ↑ +43% |
| IMAGINE HEALTH [6032] | PH HOME HEALTH & HOSPICE IMAGINE HEALTH | not published by hospital | — |
| AETNA HEALTH PLAN [171] | PH HOME HEALTH & HOSPICE IMAGINE HEALTH | not published by hospital | — |
| UNITED HEALTHCARE [158] | PH HOME HEALTH & HOSPICE UHC | not published by hospital | — |
| AETNA HEALTH PLAN [171] | PH HOME HEALTH & HOSPICE AETNA | not published by hospital | — |
Visitor-reported prices
Comments
Home/res vst new high mdm 75 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $423.60 | $649.52 – $706.00 |
| MercyOne Genesis Aledo Medical Center | Aledo | $423.60 | $706.00 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $264.60 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $398.40 | $184.13 – $392.68 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $264.60 | not published |
| Advocate Christ Medical Center | Oak Lawn | not published | $1,081.44 – $1,230.73 |
| Advocate Condell Medical Center | Libertyville | not published | $682.23 – $776.09 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $1,106.92 – $1,259.86 |