IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at Northwestern Medicine Valley West Hospital
1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931
$264.60
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.
$378.00
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.
$71.82 with ALTERNATE HUMANA MEDICARE ADV [2409] vs $378.00 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 →
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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 |
|---|---|---|---|
| ALTERNATE HUMANA MEDICARE ADV [2409] | VWH MEDICARE | $71.82 | ↓ -73% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $71.82 | ↓ -73% |
| GLOBAL EXCEL [1712] | VWH MEDICARE | $71.82 | ↓ -73% |
| AETNA HEALTH PLAN [171] | VWH AETNA IL PREFERRED | $131.54 | ↓ -50% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN NMH TIER ONE | $170.10 | ↓ -36% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA ALTERNATIVE | $171.23 | ↓ -35% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA BROAD | $182.57 | ↓ -31% |
| THE ALLIANCE [1703] | VWH THE ALLIANCE | $205.44 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PAR/INDEMNITY ADP | $211.30 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE SELECT | $228.31 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE OPTIONS | $228.31 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE PREFERRED | $238.14 | ↓ -10% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS HMO | $246.27 | ↓ -7% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS HMO | $246.27 | ↓ -7% |
| UNITED HEALTHCARE [158] | VWH UHC HMO/PPO | $252.88 | ↓ -4% |
| CHOICECARE [177] | VWH CHOICE CARE | $254.77 | ↓ -4% |
| AETNA HEALTH PLAN [171] | VWH AETNA ASA | $261.95 | ↓ -1% |
| HEALTHLINK [125] | VWH SEIU HEALTHLINK | $283.50 | ↑ +7% |
| MULTIPLAN/PHCS [142] | VWH PHCS | $302.40 | ↑ +14% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS PPO | $308.83 | ↑ +17% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PPO | $308.83 | ↑ +17% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN | $321.30 | ↑ +21% |
| MULTIPLAN/PHCS [142] | VWH MULTIPLAN | $330.75 | ↑ +25% |
| MULTIPLAN/PHCS [142] | VWH NON-CONTRACTED PAYORS | $378.00 | ↑ +43% |
| FIRST HEALTH PLAN [6034] | VWH NON-CONTRACTED PAYORS | $378.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | VWH UHC NON-CONTRACTED OON - ED ONLY | $378.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | VWH UHC CORE | not published by hospital | — |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $111.00 | $53.12 – $359.12 |
| MercyOne Genesis Aledo Medical Center | Aledo | $111.00 | $66.00 – $86.95 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $62.50 | $75.54 – $124.99 |
| Advocate Christ Medical Center | Oak Lawn | $155.00 | $107.57 – $1,270.00 |
| Northwestern Memorial Hospital | Chicago | $332.50 | not published |
| Advocate Condell Medical Center | Libertyville | $185.00 | $107.57 – $883.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $157.50 | $107.57 – $1,270.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $146.31 | $24.60 – $80.65 |