Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at Northwestern Medicine Valley West Hospital
1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931
$17,287.72
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.
$24,696.75
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.
$1,704.08 with BLUE CROSS MEDICAID [1612] vs $24,696.75 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 | $1,704.08 | ↓ -90% |
| FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $1,704.08 | ↓ -90% |
| CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $1,704.08 | ↓ -90% |
| HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $1,704.08 | ↓ -90% |
| COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $1,704.08 | ↓ -90% |
| MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $1,704.08 | ↓ -90% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $4,692.38 | ↓ -73% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | VWH MEDICARE | $4,692.38 | ↓ -73% |
| GLOBAL EXCEL [1712] | VWH MEDICARE | $4,692.38 | ↓ -73% |
| AETNA HEALTH PLAN [171] | VWH AETNA NM EMPLOYEES | $6,272.97 | ↓ -64% |
| AETNA HEALTH PLAN [171] | VWH AETNA IL PREFERRED | $8,594.47 | ↓ -50% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN NMH TIER ONE | $11,113.54 | ↓ -36% |
| THE ALLIANCE [1703] | VWH THE ALLIANCE | $13,422.68 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PAR/INDEMNITY ADP | $13,805.48 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE SELECT | $14,916.84 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE OPTIONS | $14,916.84 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE PREFERRED | $15,558.95 | ↓ -10% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS HMO | $16,089.93 | ↓ -7% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS HMO | $16,089.93 | ↓ -7% |
| CHOICECARE [177] | VWH CHOICE CARE | $16,645.61 | ↓ -4% |
| HEALTHLINK [125] | VWH SEIU HEALTHLINK | $18,522.56 | ↑ +7% |
| MULTIPLAN/PHCS [142] | VWH PHCS | $19,757.40 | ↑ +14% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS PPO | $20,177.24 | ↑ +17% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PPO | $20,177.24 | ↑ +17% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN | $20,992.24 | ↑ +21% |
| MULTIPLAN/PHCS [142] | VWH MULTIPLAN | $21,609.66 | ↑ +25% |
| FIRST HEALTH PLAN [6034] | VWH NON-CONTRACTED PAYORS | $24,696.75 | ↑ +43% |
| MULTIPLAN/PHCS [142] | VWH NON-CONTRACTED PAYORS | $24,696.75 | ↑ +43% |
| UNITED HEALTHCARE [158] | VWH UHC NON-CONTRACTED OON - ED ONLY | $24,696.75 | ↑ +43% |
| UNITED HEALTHCARE [158] | VWH UHC CORE | not published by hospital | — |
Visitor-reported prices
Comments
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $5,508.16 | $31.27 – $7,986.83 |
| MercyOne Genesis Aledo Medical Center | Aledo | $5,508.16 | $30.00 – $4,314.72 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $11,797.70 | $29.35 – $48.56 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $2,217.40 | $29.35 – $48.56 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $3,549.98 | $33.27 – $57.62 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $2,217.40 | $29.98 – $48.56 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | $2,217.40 | $29.98 – $48.56 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $19,325.95 | not published |