Colonoscopy (diagnostic) at Northwestern Medicine Valley West Hospital
1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931
$4,292.57
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.
$6,132.24
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.
$270.70 with BLUE CROSS MEDICAID [1612] vs $3,607.00 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 →
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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 |
|---|---|---|---|
| BLUE CROSS MEDICAID [1612] | VWH ILLINOIS MEDICAID | $270.70 | ↓ -94% |
| MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $270.70 | ↓ -94% |
| FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $270.70 | ↓ -94% |
| CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $270.70 | ↓ -94% |
| HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $270.70 | ↓ -94% |
| COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $270.70 | ↓ -94% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | VWH MEDICARE | $685.33 | ↓ -84% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $685.33 | ↓ -84% |
| GLOBAL EXCEL [1712] | VWH MEDICARE | $685.33 | ↓ -84% |
| AETNA HEALTH PLAN [171] | VWH AETNA NM EMPLOYEES | $916.18 | ↓ -79% |
| AETNA HEALTH PLAN [171] | VWH AETNA IL PREFERRED | $1,255.24 | ↓ -71% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN NMH TIER ONE | $1,623.15 | ↓ -62% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA ALTERNATIVE | $1,633.97 | ↓ -62% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA BROAD | $1,742.18 | ↓ -59% |
| UNITED HEALTHCARE [158] | VWH UHC CORE | $1,810.71 | ↓ -58% |
| THE ALLIANCE [1703] | VWH THE ALLIANCE | $1,960.40 | ↓ -54% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PAR/INDEMNITY ADP | $2,016.31 | ↓ -53% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE SELECT | $2,178.63 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE OPTIONS | $2,178.63 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE PREFERRED | $2,272.41 | ↓ -47% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS HMO | $2,349.96 | ↓ -45% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS HMO | $2,349.96 | ↓ -45% |
| AETNA HEALTH PLAN [171] | VWH AETNA | $2,358.98 | ↓ -45% |
| UNITED HEALTHCARE [158] | VWH UHC HMO/PPO | $2,413.08 | ↓ -44% |
| CHOICECARE [177] | VWH CHOICE CARE | $2,431.12 | ↓ -43% |
| AETNA HEALTH PLAN [171] | VWH AETNA ASA | $2,499.65 | ↓ -42% |
| HEALTHLINK [125] | VWH SEIU HEALTHLINK | $2,705.25 | ↓ -37% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS PPO | $2,946.92 | ↓ -31% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PPO | $2,946.92 | ↓ -31% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN | $3,065.95 | ↓ -29% |
| MULTIPLAN/PHCS [142] | VWH PHCS | $3,065.95 | ↓ -29% |
| MULTIPLAN/PHCS [142] | VWH MULTIPLAN | $3,156.13 | ↓ -26% |
| FIRST HEALTH PLAN [6034] | VWH NON-CONTRACTED PAYORS | $3,607.00 | ↓ -16% |
| MULTIPLAN/PHCS [142] | VWH NON-CONTRACTED PAYORS | $3,607.00 | ↓ -16% |
| UNITED HEALTHCARE [158] | VWH UHC NON-CONTRACTED OON - ED ONLY | $3,607.00 | ↓ -16% |
Visitor-reported prices
Comments
Colonoscopy (diagnostic) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $516.00 | $791.20 – $982.39 |
| MercyOne Genesis Aledo Medical Center | Aledo | $516.00 | $2,660.57 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $4,336.60 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $813.60 | $82.56 – $709.27 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $720.00 | $996.56 – $3,533.00 |
| OSF Sacred Heart Medical Center – Urbana | Danville | $868.20 | $996.56 – $4,342.00 |
| OSF Saint Francis Medical Center | Peoria | $866.40 | $340.63 – $4,157.00 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $5,304.60 | not published |