Ins tun cv cath wo subq prt/pm at Northwestern Medicine Palos Hospital
12251 S. 80th Ave., Palos Heights, IL · Nm · · NPI 1043600026
$8,019.33
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.
?
What you pay up front if you don't use insurance.
$11,456.19
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.
?
The hospital's undiscounted list price — almost no one pays this.
$229.00 with UNITED HEALTHCARE [158] vs $5,776.00 with AETNA HEALTH PLAN [171] — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UNITED HEALTHCARE [158] | PH UHC CORE | $229.00 | ↓ -97% |
| UNITED HEALTHCARE [158] | PH UHC ALL OTHER | $255.00 | ↓ -97% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS | $924.16 | ↓ -88% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE PREFERRED | $924.16 | ↓ -88% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS SELECT | $924.16 | ↓ -88% |
| CIGNA HEALTH PLAN [178] | PH CIGNA ALTERNATIVE | $1,080.11 | ↓ -87% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS PPO | $1,108.99 | ↓ -86% |
| ALTERNATE BLUE CROSS [1402] | PH BCBS PPO | $1,108.99 | ↓ -86% |
| AETNA HEALTH PLAN [171] | PH AETNA NM EMPLOYEES | $1,241.84 | ↓ -85% |
| CIGNA HEALTH PLAN [178] | PH CIGNA BROAD | $1,709.70 | ↓ -79% |
| AETNA HEALTH PLAN [171] | PH AETNA IL PREFERRED | $1,958.06 | ↓ -76% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS HMO | $2,260.15 | ↓ -72% |
| ALTERNATE BLUE CROSS [1402] | PH BCBS HMO | $2,260.15 | ↓ -72% |
| HEALTHLINK [125] | PH SEIU HEALTHLINK | $2,888.00 | ↓ -64% |
| CARELON BEHAVIORAL HEALTH [159] | PH VALUE OPTIONS BHO | $2,888.00 | ↓ -64% |
| AETNA HEALTH PLAN [171] | PH AETNA | $3,280.77 | ↓ -59% |
| FIRST HEALTH PLAN [6034] | PH AETNA | $3,280.77 | ↓ -59% |
| MAGELLAN BEHAVIORAL HLTH [136] | PH MAGELLAN BHS | $3,465.60 | ↓ -57% |
| THE ALLIANCE [1703] | PH THE ALLIANCE | $3,709.92 | ↓ -54% |
| MULTIPLAN/PHCS [142] | PH MULTIPLAN/PHCS | $4,043.20 | ↓ -50% |
| COMPSYCH [112] | PH COMPSYCH | $4,332.00 | ↓ -46% |
| FIRST HEALTH PLAN [6034] | PH FIRST HEALTH | $4,332.00 | ↓ -46% |
| CIGNA HEALTH PLAN [178] | PH CIGNA BEHAVIORAL BHS | $4,620.80 | ↓ -42% |
| BEECHSTREET [176] | PH BEECHSTREET | $4,620.80 | ↓ -42% |
| HEALTH'S FINEST NETWORK [126] | PH HFN | $4,909.60 | ↓ -39% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS PAR/INDEMNITY ADP | $5,776.00 | ↓ -28% |
| GLOBAL EXCEL [1712] | PH NON-CONTRACTED PAYORS | $5,776.00 | ↓ -28% |
| MULTIPLAN/PHCS [142] | PH NON-CONTRACTED PAYORS | $5,776.00 | ↓ -28% |
| UNITED HEALTHCARE [158] | PH NON-CONTRACTED PAYORS | $5,776.00 | ↓ -28% |
| UNITED HEALTHCARE [158] | PH UHC NON-CONTRACTED OON - ED ONLY | $5,776.00 | ↓ -28% |
| CIGNA HEALTH PLAN [178] | PH NON-CONTRACTED PAYORS | $5,776.00 | ↓ -28% |
| GALAXY HEALTH NETWORK [220] | PH NON-CONTRACTED PAYORS | $5,776.00 | ↓ -28% |
| HEALTH ALLIANCE [181] | PH NON-CONTRACTED PAYORS | $5,776.00 | ↓ -28% |
| HEALTHLINK [125] | PH NON-CONTRACTED PAYORS | $5,776.00 | ↓ -28% |
| AETNA HEALTH PLAN [171] | PH NON-CONTRACTED PAYORS | $5,776.00 | ↓ -28% |
| 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
Ins tun cv cath wo subq prt/pm at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $3,130.20 | $1,335.36 – $4,921.53 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,520.40 | $2,970.16 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $1,875.00 | $576.00 – $5,481.46 |
| Advocate Christ Medical Center | Oak Lawn | $3,100.00 | $2,442.80 – $17,439.00 |
| Northwestern Memorial Hospital | Chicago | $13,108.81 | not published |
| Advocate Condell Medical Center | Libertyville | $3,665.00 | $2,888.02 – $9,476.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $3,670.00 | $2,891.96 – $17,439.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $4,115.61 | $230.43 – $2,448.63 |