ER Visit (level 4) at Northwestern Medicine Valley West Hospital
1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931
$4,134.37
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.
$5,906.24
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.
?
The hospital's undiscounted list price — almost no one pays this.
$44.00 with COUNTYCARE IL COOK CO [1607] vs $3,607.00 with MULTIPLAN/PHCS [142] — 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 |
|---|---|---|---|
| COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $44.00 | ↓ -99% |
| MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $44.00 | ↓ -99% |
| FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $44.00 | ↓ -99% |
| CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $44.00 | ↓ -99% |
| HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $44.00 | ↓ -99% |
| BLUE CROSS MEDICAID [1612] | VWH ILLINOIS MEDICAID | $44.00 | ↓ -99% |
| GLOBAL EXCEL [1712] | VWH MEDICARE | $685.33 | ↓ -83% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | VWH MEDICARE | $685.33 | ↓ -83% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $685.33 | ↓ -83% |
| AETNA HEALTH PLAN [171] | VWH AETNA NM EMPLOYEES | $916.18 | ↓ -78% |
| AETNA HEALTH PLAN [171] | VWH AETNA IL PREFERRED | $1,255.24 | ↓ -70% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN NMH TIER ONE | $1,623.15 | ↓ -61% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA ALTERNATIVE | $1,633.97 | ↓ -60% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA BROAD | $1,742.18 | ↓ -58% |
| THE ALLIANCE [1703] | VWH THE ALLIANCE | $1,960.40 | ↓ -53% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PAR/INDEMNITY ADP | $2,016.31 | ↓ -51% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE SELECT | $2,178.63 | ↓ -47% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE OPTIONS | $2,178.63 | ↓ -47% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE PREFERRED | $2,272.41 | ↓ -45% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS HMO | $2,349.96 | ↓ -43% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS HMO | $2,349.96 | ↓ -43% |
| AETNA HEALTH PLAN [171] | VWH AETNA | $2,358.98 | ↓ -43% |
| CHOICECARE [177] | VWH CHOICE CARE | $2,431.12 | ↓ -41% |
| AETNA HEALTH PLAN [171] | VWH AETNA ASA | $2,499.65 | ↓ -40% |
| HEALTHLINK [125] | VWH SEIU HEALTHLINK | $2,705.25 | ↓ -35% |
| MULTIPLAN/PHCS [142] | VWH PHCS | $2,885.60 | ↓ -30% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PPO | $2,946.92 | ↓ -29% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS PPO | $2,946.92 | ↓ -29% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN | $3,065.95 | ↓ -26% |
| MULTIPLAN/PHCS [142] | VWH MULTIPLAN | $3,156.13 | ↓ -24% |
| FIRST HEALTH PLAN [6034] | VWH NON-CONTRACTED PAYORS | $3,607.00 | ↓ -13% |
| MULTIPLAN/PHCS [142] | VWH NON-CONTRACTED PAYORS | $3,607.00 | ↓ -13% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $4,782.60 | $346.84 – $977.19 |
| MercyOne Genesis Aledo Medical Center | Aledo | $719.40 | $209.00 – $563.53 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $715.00 | $437.76 – $724.38 |
| Advocate Christ Medical Center | Oak Lawn | $1,110.00 | $643.63 – $3,426.00 |
| Northwestern Memorial Hospital | Chicago | $4,049.15 | not published |
| Advocate Condell Medical Center | Libertyville | $1,020.00 | $643.63 – $3,263.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,255.00 | $643.63 – $3,426.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,036.96 | $21.67 – $331.27 |