Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr at Northwestern Medicine Valley West Hospital

1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 17, 2026

$29.75

Cash price

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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.

$42.50

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.35 with BLUE CROSS MEDICAID [1612] vs $34.00 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 →

Payer
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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
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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 $2.35 ↓ -92%
FAMILY HEALTH NETWORK HMO [1610] VWH ILLINOIS MEDICAID $2.35 ↓ -92%
CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] VWH ILLINOIS MEDICAID $2.35 ↓ -92%
HEALTH ALLIANCE MEDICAID [1310] VWH ILLINOIS MEDICAID $2.35 ↓ -92%
COUNTYCARE IL COOK CO [1607] VWH ILLINOIS MEDICAID $2.35 ↓ -92%
MERIDIAN HEALTH PLAN HMO [1604] VWH ILLINOIS MEDICAID $2.35 ↓ -92%
ALTERNATE BLUE CROSS MEDICARE ADV [2304] VWH BLUE CROSS MEDICARE ADVT $6.46 ↓ -78%
ALTERNATE HUMANA MEDICARE ADV [2409] VWH MEDICARE $6.46 ↓ -78%
GLOBAL EXCEL [1712] VWH MEDICARE $6.46 ↓ -78%
AETNA HEALTH PLAN [171] VWH AETNA NM EMPLOYEES $8.64 ↓ -71%
AETNA HEALTH PLAN [171] VWH AETNA IL PREFERRED $11.83 ↓ -60%
HEALTH'S FINEST NETWORK [126] VWH HFN NMH TIER ONE $15.30 ↓ -49%
THE ALLIANCE [1703] VWH THE ALLIANCE $18.48 ↓ -38%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS PAR/INDEMNITY ADP $19.01 ↓ -36%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE SELECT $20.54 ↓ -31%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE OPTIONS $20.54 ↓ -31%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE PREFERRED $21.42 ↓ -28%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS HMO $22.15 ↓ -26%
ALTERNATE BLUE CROSS [1402] VWH BCBS HMO $22.15 ↓ -26%
CHOICECARE [177] VWH CHOICE CARE $22.92 ↓ -23%
HEALTHLINK [125] VWH SEIU HEALTHLINK $25.50 ↓ -14%
MULTIPLAN/PHCS [142] VWH PHCS $27.20 ↓ -9%
ALTERNATE BLUE CROSS [1402] VWH BCBS PPO $27.78 ↓ -7%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS PPO $27.78 ↓ -7%
HEALTH'S FINEST NETWORK [126] VWH HFN $28.90 ↓ -3%
MULTIPLAN/PHCS [142] VWH MULTIPLAN $29.75 ↑ +0%
FIRST HEALTH PLAN [6034] VWH NON-CONTRACTED PAYORS $34.00 ↑ +14%
MULTIPLAN/PHCS [142] VWH NON-CONTRACTED PAYORS $34.00 ↑ +14%
UNITED HEALTHCARE [158] VWH UHC NON-CONTRACTED OON - ED ONLY $34.00 ↑ +14%
UNITED HEALTHCARE [158] VWH UHC CORE not published by hospital

Visitor-reported prices

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Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr at other Illinois hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $14.11 $7.47 – $20.30
MercyOne Genesis Aledo Medical Center Aledo $14.11 $10.50 – $10.97
Northwestern Memorial Hospital Chicago $83.47 not published
UnityPoint Health - Trinity Moline Rock Island $71.44 $0.01 – $0.10
Northwestern Medicine Delnor Hospital Geneva $83.47 not published
Northwestern Medicine Palos Hospital Palos Heights $20.12 not published
Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton $5.42 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest $28.35 not published

All Illinois hospitals for this procedure →