Eculizumab 300 mg/30 ml intravenous solution at Northwestern Medicine Valley West Hospital
1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931
$73,737.12
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.
$105,338.75
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.
$7,268.37 with COUNTYCARE IL COOK CO [1607] vs $105,338.75 with FIRST HEALTH PLAN [6034] — 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 |
|---|---|---|---|
| COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $7,268.37 | ↓ -90% |
| BLUE CROSS MEDICAID [1612] | VWH ILLINOIS MEDICAID | $7,268.37 | ↓ -90% |
| FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $7,268.37 | ↓ -90% |
| MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $7,268.37 | ↓ -90% |
| CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $7,268.37 | ↓ -90% |
| HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $7,268.37 | ↓ -90% |
| GLOBAL EXCEL [1712] | VWH MEDICARE | $20,014.36 | ↓ -73% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | VWH MEDICARE | $20,014.36 | ↓ -73% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $20,014.36 | ↓ -73% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN NMH TIER ONE | $47,402.44 | ↓ -36% |
| THE ALLIANCE [1703] | VWH THE ALLIANCE | $57,251.61 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PAR/INDEMNITY ADP | $58,884.36 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE OPTIONS | $63,624.61 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE SELECT | $63,624.61 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE PREFERRED | $66,363.41 | ↓ -10% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS HMO | $68,628.20 | ↓ -7% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS HMO | $68,628.20 | ↓ -7% |
| MULTIPLAN/PHCS [142] | VWH PHCS | $84,271.00 | ↑ +14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PPO | $86,061.76 | ↑ +17% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS PPO | $86,061.76 | ↑ +17% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN | $89,537.94 | ↑ +21% |
| MULTIPLAN/PHCS [142] | VWH MULTIPLAN | $92,171.41 | ↑ +25% |
| MULTIPLAN/PHCS [142] | VWH NON-CONTRACTED PAYORS | $105,338.75 | ↑ +43% |
| UNITED HEALTHCARE [158] | VWH UHC NON-CONTRACTED OON - ED ONLY | $105,338.75 | ↑ +43% |
| FIRST HEALTH PLAN [6034] | VWH NON-CONTRACTED PAYORS | $105,338.75 | ↑ +43% |
| CHOICECARE [177] | VWH CHOICE CARE | not published by hospital | — |
| HEALTHLINK [125] | VWH SEIU HEALTHLINK | not published by hospital | — |
| UNITED HEALTHCARE [158] | VWH UHC CORE | not published by hospital | — |
| UNITED HEALTHCARE [158] | VWH UHC HMO/PPO | not published by hospital | — |
Visitor-reported prices
Comments
Eculizumab 300 mg/30 ml intravenous solution at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $11,583.15 | $46.67 – $16,795.57 |
| MercyOne Genesis Aledo Medical Center | Aledo | $11,583.15 | $44.77 – $9,073.47 |
| Northwestern Memorial Hospital | Chicago | $82,430.60 | not published |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $82,430.60 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $45,758.30 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $54,315.80 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $76,834.62 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb | $71,604.40 | not published |