Insitu hybridization (fish) 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

$1,936.90

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.

Full explanation →

What you pay up front if you don't use insurance.

$2,767.00

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.

$36.81 with BLUE CROSS MEDICAID [1612] vs $665.52 with CIGNA HEALTH PLAN [178] — 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 $36.81 ↓ -98%
CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] VWH ILLINOIS MEDICAID $36.81 ↓ -98%
HEALTH ALLIANCE MEDICAID [1310] VWH ILLINOIS MEDICAID $36.81 ↓ -98%
FAMILY HEALTH NETWORK HMO [1610] VWH ILLINOIS MEDICAID $36.81 ↓ -98%
COUNTYCARE IL COOK CO [1607] VWH ILLINOIS MEDICAID $36.81 ↓ -98%
MERIDIAN HEALTH PLAN HMO [1604] VWH ILLINOIS MEDICAID $36.81 ↓ -98%
ALTERNATE HUMANA MEDICARE ADV [2409] VWH MEDICARE $108.87 ↓ -94%
GLOBAL EXCEL [1712] VWH MEDICARE $108.87 ↓ -94%
ALTERNATE BLUE CROSS MEDICARE ADV [2304] VWH BLUE CROSS MEDICARE ADVT $108.87 ↓ -94%
AETNA HEALTH PLAN [171] VWH AETNA NM EMPLOYEES $145.54 ↓ -92%
AETNA HEALTH PLAN [171] VWH AETNA IL PREFERRED $199.40 ↓ -90%
HEALTH'S FINEST NETWORK [126] VWH HFN NMH TIER ONE $257.85 ↓ -87%
UNITED HEALTHCARE [158] VWH UHC CORE $297.45 ↓ -85%
UNITED HEALTHCARE [158] VWH UHC HMO/PPO $297.45 ↓ -85%
THE ALLIANCE [1703] VWH THE ALLIANCE $311.43 ↓ -84%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS PAR/INDEMNITY ADP $320.31 ↓ -83%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE OPTIONS $346.09 ↓ -82%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE SELECT $346.09 ↓ -82%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE PREFERRED $360.99 ↓ -81%
ALTERNATE BLUE CROSS [1402] VWH BCBS HMO $373.31 ↓ -81%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS HMO $373.31 ↓ -81%
CHOICECARE [177] VWH CHOICE CARE $386.20 ↓ -80%
AETNA HEALTH PLAN [171] VWH AETNA ASA $397.09 ↓ -79%
HEALTHLINK [125] VWH SEIU HEALTHLINK $429.75 ↓ -78%
CIGNA HEALTH PLAN [178] VWH CIGNA ALTERNATIVE $439.92 ↓ -77%
MULTIPLAN/PHCS [142] VWH PHCS $458.40 ↓ -76%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS PPO $468.14 ↓ -76%
ALTERNATE BLUE CROSS [1402] VWH BCBS PPO $468.14 ↓ -76%
AETNA HEALTH PLAN [171] VWH AETNA $468.43 ↓ -76%
HEALTH'S FINEST NETWORK [126] VWH HFN $487.05 ↓ -75%
MULTIPLAN/PHCS [142] VWH MULTIPLAN $501.38 ↓ -74%
MULTIPLAN/PHCS [142] VWH NON-CONTRACTED PAYORS $573.00 ↓ -70%
UNITED HEALTHCARE [158] VWH UHC NON-CONTRACTED OON - ED ONLY $573.00 ↓ -70%
FIRST HEALTH PLAN [6034] VWH NON-CONTRACTED PAYORS $573.00 ↓ -70%
CIGNA HEALTH PLAN [178] VWH CIGNA BROAD $665.52 ↓ -66%

Visitor-reported prices

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Insitu hybridization (fish) at other Illinois hospitals

Hospital City Cash price Negotiated range
Advocate Christ Medical Center Oak Lawn $785.00 $259.01 – $1,256.00
Advocate Condell Medical Center Libertyville $785.00 $259.01 – $1,256.00
Advocate Good Samaritan Hospital Downers Grove $785.00 $259.01 – $1,256.00
UnityPoint Health - Trinity Moline Rock Island $481.60 $56.06 – $167.91
Advocate Illinois Masonic Medical Center Chicago $785.00 $259.01 – $1,256.00
Advocate Childrens Hospital - Park Ridge Park Ridge $785.00 $259.01 – $1,256.00
Advocate Sherman Hospital Elgin $785.00 $254.74 – $1,413.00
Advocate South Suburban Hospital Hazel Crest $785.00 $259.01 – $1,529.18

All Illinois hospitals for this procedure →