Insert/repl sq defib w/eltrd at Northwestern Medicine Palos Hospital
12251 S. 80th Ave., Palos Heights, IL · Nm · · NPI 1043600026
$124,954.72
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.
$178,506.73
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.
$4,001.00 with UNITED HEALTHCARE [158] vs $106,286.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE [158] | PH UHC CORE | $4,001.00 | ↓ -97% |
| UNITED HEALTHCARE [158] | PH UHC ALL OTHER | $4,445.00 | ↓ -96% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS | $17,005.76 | ↓ -86% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE PREFERRED | $17,005.76 | ↓ -86% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS SELECT | $17,005.76 | ↓ -86% |
| CIGNA HEALTH PLAN [178] | PH CIGNA ALTERNATIVE | $19,875.48 | ↓ -84% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS PPO | $20,406.91 | ↓ -84% |
| ALTERNATE BLUE CROSS [1402] | PH BCBS PPO | $20,406.91 | ↓ -84% |
| AETNA HEALTH PLAN [171] | PH AETNA NM EMPLOYEES | $22,851.49 | ↓ -82% |
| CIGNA HEALTH PLAN [178] | PH CIGNA BROAD | $31,460.66 | ↓ -75% |
| AETNA HEALTH PLAN [171] | PH AETNA IL PREFERRED | $36,030.95 | ↓ -71% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS HMO | $41,589.71 | ↓ -67% |
| ALTERNATE BLUE CROSS [1402] | PH BCBS HMO | $41,589.71 | ↓ -67% |
| HEALTHLINK [125] | PH SEIU HEALTHLINK | $53,143.00 | ↓ -57% |
| CARELON BEHAVIORAL HEALTH [159] | PH VALUE OPTIONS BHO | $53,143.00 | ↓ -57% |
| AETNA HEALTH PLAN [171] | PH AETNA | $60,370.45 | ↓ -52% |
| FIRST HEALTH PLAN [6034] | PH AETNA | $60,370.45 | ↓ -52% |
| MAGELLAN BEHAVIORAL HLTH [136] | PH MAGELLAN BHS | $63,771.60 | ↓ -49% |
| THE ALLIANCE [1703] | PH THE ALLIANCE | $68,267.50 | ↓ -45% |
| MULTIPLAN/PHCS [142] | PH MULTIPLAN/PHCS | $74,400.20 | ↓ -40% |
| COMPSYCH [112] | PH COMPSYCH | $79,714.50 | ↓ -36% |
| FIRST HEALTH PLAN [6034] | PH FIRST HEALTH | $79,714.50 | ↓ -36% |
| CIGNA HEALTH PLAN [178] | PH CIGNA BEHAVIORAL BHS | $85,028.80 | ↓ -32% |
| BEECHSTREET [176] | PH BEECHSTREET | $85,028.80 | ↓ -32% |
| HEALTH'S FINEST NETWORK [126] | PH HFN | $90,343.10 | ↓ -28% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS PAR/INDEMNITY ADP | $106,286.00 | ↓ -15% |
| GLOBAL EXCEL [1712] | PH NON-CONTRACTED PAYORS | $106,286.00 | ↓ -15% |
| MULTIPLAN/PHCS [142] | PH NON-CONTRACTED PAYORS | $106,286.00 | ↓ -15% |
| UNITED HEALTHCARE [158] | PH NON-CONTRACTED PAYORS | $106,286.00 | ↓ -15% |
| UNITED HEALTHCARE [158] | PH UHC NON-CONTRACTED OON - ED ONLY | $106,286.00 | ↓ -15% |
| CIGNA HEALTH PLAN [178] | PH NON-CONTRACTED PAYORS | $106,286.00 | ↓ -15% |
| GALAXY HEALTH NETWORK [220] | PH NON-CONTRACTED PAYORS | $106,286.00 | ↓ -15% |
| HEALTH ALLIANCE [181] | PH NON-CONTRACTED PAYORS | $106,286.00 | ↓ -15% |
| HEALTHLINK [125] | PH NON-CONTRACTED PAYORS | $106,286.00 | ↓ -15% |
| AETNA HEALTH PLAN [171] | PH NON-CONTRACTED PAYORS | $106,286.00 | ↓ -15% |
| 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
Insert/repl sq defib w/eltrd at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $39,444.00 | $1,931.08 – $50,132.45 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $11,875.00 | $4,150.00 – $54,491.76 |
| Advocate Christ Medical Center | Oak Lawn | $29,515.00 | $23,257.82 – $111,480.00 |
| Northwestern Memorial Hospital | Chicago | $124,954.72 | not published |
| Advocate Condell Medical Center | Libertyville | $39,785.00 | $30,150.00 – $64,169.53 |
| Advocate Good Samaritan Hospital | Downers Grove | $34,045.00 | $26,827.46 – $111,480.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $46,329.42 | $484.43 – $25,539.09 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $11,875.00 | $4,150.00 – $54,491.76 |