Upper Endoscopy (EGD, diagnostic) at Northwestern Medicine Palos Hospital
12251 S. 80th Ave., Palos Heights, IL · Nm · · NPI 1043600026
$4,160.04
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.
$5,942.91
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.
$627.04 with BLUE CROSS BLUE SHIELD [1401] vs $3,919.00 with CIGNA HEALTH PLAN [178] — 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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE PREFERRED | $627.04 | ↓ -85% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS | $627.04 | ↓ -85% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS SELECT | $627.04 | ↓ -85% |
| CIGNA HEALTH PLAN [178] | PH CIGNA ALTERNATIVE | $732.85 | ↓ -82% |
| ALTERNATE BLUE CROSS [1402] | PH BCBS PPO | $752.45 | ↓ -82% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS PPO | $752.45 | ↓ -82% |
| AETNA HEALTH PLAN [171] | PH AETNA NM EMPLOYEES | $842.59 | ↓ -80% |
| CIGNA HEALTH PLAN [178] | PH CIGNA BROAD | $1,160.02 | ↓ -72% |
| AETNA HEALTH PLAN [171] | PH AETNA IL PREFERRED | $1,328.54 | ↓ -68% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS HMO | $1,533.50 | ↓ -63% |
| ALTERNATE BLUE CROSS [1402] | PH BCBS HMO | $1,533.50 | ↓ -63% |
| AETNA HEALTH PLAN [171] | PH AETNA | $1,653.82 | ↓ -60% |
| FIRST HEALTH PLAN [6034] | PH AETNA | $1,653.82 | ↓ -60% |
| CARELON BEHAVIORAL HEALTH [159] | PH VALUE OPTIONS BHO | $1,959.50 | ↓ -53% |
| HEALTHLINK [125] | PH SEIU HEALTHLINK | $1,959.50 | ↓ -53% |
| UNITED HEALTHCARE [158] | PH UHC CORE | $2,137.00 | ↓ -49% |
| MAGELLAN BEHAVIORAL HLTH [136] | PH MAGELLAN BHS | $2,351.40 | ↓ -43% |
| UNITED HEALTHCARE [158] | PH UHC ALL OTHER | $2,374.00 | ↓ -43% |
| THE ALLIANCE [1703] | PH THE ALLIANCE | $2,517.17 | ↓ -39% |
| MULTIPLAN/PHCS [142] | PH MULTIPLAN/PHCS | $2,743.30 | ↓ -34% |
| COMPSYCH [112] | PH COMPSYCH | $2,939.25 | ↓ -29% |
| FIRST HEALTH PLAN [6034] | PH FIRST HEALTH | $2,939.25 | ↓ -29% |
| CIGNA HEALTH PLAN [178] | PH CIGNA BEHAVIORAL BHS | $3,135.20 | ↓ -25% |
| BEECHSTREET [176] | PH BEECHSTREET | $3,135.20 | ↓ -25% |
| HEALTH'S FINEST NETWORK [126] | PH HFN | $3,331.15 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | PH BCBS PAR/INDEMNITY ADP | $3,919.00 | ↓ -6% |
| GLOBAL EXCEL [1712] | PH NON-CONTRACTED PAYORS | $3,919.00 | ↓ -6% |
| MULTIPLAN/PHCS [142] | PH NON-CONTRACTED PAYORS | $3,919.00 | ↓ -6% |
| UNITED HEALTHCARE [158] | PH NON-CONTRACTED PAYORS | $3,919.00 | ↓ -6% |
| AETNA HEALTH PLAN [171] | PH NON-CONTRACTED PAYORS | $3,919.00 | ↓ -6% |
| UNITED HEALTHCARE [158] | PH UHC NON-CONTRACTED OON - ED ONLY | $3,919.00 | ↓ -6% |
| GALAXY HEALTH NETWORK [220] | PH NON-CONTRACTED PAYORS | $3,919.00 | ↓ -6% |
| HEALTH ALLIANCE [181] | PH NON-CONTRACTED PAYORS | $3,919.00 | ↓ -6% |
| HEALTHLINK [125] | PH NON-CONTRACTED PAYORS | $3,919.00 | ↓ -6% |
| CIGNA HEALTH PLAN [178] | PH NON-CONTRACTED PAYORS | $3,919.00 | ↓ -6% |
| OPTUM/UNITED BEHAVIORAL HEALTH [157] | PH UBH 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 | — |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, diagnostic) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $181.20 | $277.84 – $988.61 |
| MercyOne Genesis Aledo Medical Center | Aledo | $181.20 | $2,677.41 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $4,437.85 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $687.20 | $109.69 – $729.38 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,151.70 | $971.94 – $1,020.54 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $1,151.70 | $971.94 – $1,020.54 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $927.00 | $971.94 – $3,533.00 |
| OSF Sacred Heart Medical Center – Urbana | Danville | $2,138.40 | $971.94 – $4,342.00 |