Pt application of modality >=1 area hot/cold packs at Northwestern Medicine Valley West Hospital
1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931
$70.00
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.
$100.00
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.
$19.00 with ALTERNATE HUMANA MEDICARE ADV [2409] vs $100.00 with FIRST HEALTH PLAN [6034] — 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 | $19.00 | ↓ -73% |
| GLOBAL EXCEL [1712] | VWH MEDICARE | $19.00 | ↓ -73% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $19.00 | ↓ -73% |
| AETNA HEALTH PLAN [171] | VWH AETNA IL PREFERRED | $34.80 | ↓ -50% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN NMH TIER ONE | $45.00 | ↓ -36% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA ALTERNATIVE | $45.30 | ↓ -35% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA BROAD | $48.30 | ↓ -31% |
| UNITED HEALTHCARE [158] | VWH UHC CORE | $50.20 | ↓ -28% |
| THE ALLIANCE [1703] | VWH THE ALLIANCE | $54.35 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PAR/INDEMNITY ADP | $55.90 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE SELECT | $60.40 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE OPTIONS | $60.40 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE PREFERRED | $63.00 | ↓ -10% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS HMO | $65.15 | ↓ -7% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS HMO | $65.15 | ↓ -7% |
| AETNA HEALTH PLAN [171] | VWH AETNA | $65.40 | ↓ -7% |
| UNITED HEALTHCARE [158] | VWH UHC HMO/PPO | $66.90 | ↓ -4% |
| CHOICECARE [177] | VWH CHOICE CARE | $67.40 | ↓ -4% |
| AETNA HEALTH PLAN [171] | VWH AETNA ASA | $69.30 | ↓ -1% |
| HEALTHLINK [125] | VWH SEIU HEALTHLINK | $75.00 | ↑ +7% |
| MULTIPLAN/PHCS [142] | VWH PHCS | $80.00 | ↑ +14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PPO | $81.70 | ↑ +17% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS PPO | $81.70 | ↑ +17% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN | $85.00 | ↑ +21% |
| MULTIPLAN/PHCS [142] | VWH MULTIPLAN | $87.50 | ↑ +25% |
| UNITED HEALTHCARE [158] | VWH UHC NON-CONTRACTED OON - ED ONLY | $100.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | VWH NON-CONTRACTED PAYORS | $100.00 | ↑ +43% |
| FIRST HEALTH PLAN [6034] | VWH NON-CONTRACTED PAYORS | $100.00 | ↑ +43% |
| AETNA HEALTH PLAN [171] | VWH AETNA NM EMPLOYEES | not published by hospital | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area hot/cold packs at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $35.00 | $10.02 – $469.00 |
| Northwestern Memorial Hospital | Chicago | $70.00 | not published |
| Advocate Condell Medical Center | Libertyville | $35.00 | $10.02 – $295.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $35.00 | $10.02 – $469.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $12.00 | $2.52 – $9.96 |
| Advocate Illinois Masonic Medical Center | Chicago | $35.00 | $10.02 – $469.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $35.00 | $10.02 – $469.00 |
| Advocate South Suburban Hospital | Hazel Crest | $35.00 | $10.02 – $469.00 |