Prochlorperazine maleate 5 mg tablet 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

$16.80

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.

$24.00

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.

$4.56 with ALTERNATE BLUE CROSS MEDICARE ADV [2304] vs $24.00 with MULTIPLAN/PHCS [142] — 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
ALTERNATE BLUE CROSS MEDICARE ADV [2304] VWH BLUE CROSS MEDICARE ADVT $4.56 ↓ -73%
ALTERNATE HUMANA MEDICARE ADV [2409] VWH MEDICARE $4.56 ↓ -73%
GLOBAL EXCEL [1712] VWH MEDICARE $4.56 ↓ -73%
HEALTH'S FINEST NETWORK [126] VWH HFN NMH TIER ONE $10.80 ↓ -36%
THE ALLIANCE [1703] VWH THE ALLIANCE $13.04 ↓ -22%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS PAR/INDEMNITY ADP $13.42 ↓ -20%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE SELECT $14.50 ↓ -14%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE OPTIONS $14.50 ↓ -14%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE PREFERRED $15.12 ↓ -10%
ALTERNATE BLUE CROSS [1402] VWH BCBS HMO $15.64 ↓ -7%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS HMO $15.64 ↓ -7%
MULTIPLAN/PHCS [142] VWH PHCS $19.20 ↑ +14%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS PPO $19.61 ↑ +17%
ALTERNATE BLUE CROSS [1402] VWH BCBS PPO $19.61 ↑ +17%
HEALTH'S FINEST NETWORK [126] VWH HFN $20.40 ↑ +21%
MULTIPLAN/PHCS [142] VWH MULTIPLAN $21.00 ↑ +25%
UNITED HEALTHCARE [158] VWH UHC NON-CONTRACTED OON - ED ONLY $24.00 ↑ +43%
FIRST HEALTH PLAN [6034] VWH NON-CONTRACTED PAYORS $24.00 ↑ +43%
MULTIPLAN/PHCS [142] VWH NON-CONTRACTED PAYORS $24.00 ↑ +43%
HEALTHLINK [125] VWH SEIU HEALTHLINK not published by hospital
UNITED HEALTHCARE [158] VWH UHC CORE not published by hospital
UNITED HEALTHCARE [158] VWH UHC HMO/PPO not published by hospital
CHOICECARE [177] VWH CHOICE CARE not published by hospital

Visitor-reported prices

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Prochlorperazine maleate 5 mg tablet at other Illinois hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $2.59 $1.38 – $3.75
MercyOne Genesis Aledo Medical Center Aledo $2.59 $0.74 – $2.03
Northwestern Memorial Hospital Chicago $15.92 not published
Northwestern Medicine Delnor Hospital Geneva $16.10 not published
Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton $5.07 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest $5.77 not published
Advocate Christ Medical Center Oak Lawn not published $0.72 – $2.74
Advocate Condell Medical Center Libertyville not published $0.72 – $2.15

All Illinois hospitals for this procedure →