Sigmoidoscopy for bleeding at Northwestern Medicine Valley West Hospital
1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931
$5,653.97
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.
$8,077.10
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.
$176.70 with BLUE CROSS MEDICAID [1612] vs $4,788.00 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 |
|---|---|---|---|
| BLUE CROSS MEDICAID [1612] | VWH ILLINOIS MEDICAID | $176.70 | ↓ -97% |
| MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $176.70 | ↓ -97% |
| FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $176.70 | ↓ -97% |
| CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $176.70 | ↓ -97% |
| HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $176.70 | ↓ -97% |
| COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $176.70 | ↓ -97% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | VWH MEDICARE | $909.72 | ↓ -84% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $909.72 | ↓ -84% |
| GLOBAL EXCEL [1712] | VWH MEDICARE | $909.72 | ↓ -84% |
| AETNA HEALTH PLAN [171] | VWH AETNA NM EMPLOYEES | $1,216.15 | ↓ -78% |
| AETNA HEALTH PLAN [171] | VWH AETNA IL PREFERRED | $1,666.22 | ↓ -71% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN NMH TIER ONE | $2,154.60 | ↓ -62% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA ALTERNATIVE | $2,168.96 | ↓ -62% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA BROAD | $2,312.60 | ↓ -59% |
| UNITED HEALTHCARE [158] | VWH UHC CORE | $2,403.58 | ↓ -57% |
| THE ALLIANCE [1703] | VWH THE ALLIANCE | $2,602.28 | ↓ -54% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PAR/INDEMNITY ADP | $2,676.49 | ↓ -53% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE SELECT | $2,891.95 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE OPTIONS | $2,891.95 | ↓ -49% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE PREFERRED | $3,016.44 | ↓ -47% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS HMO | $3,119.38 | ↓ -45% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS HMO | $3,119.38 | ↓ -45% |
| AETNA HEALTH PLAN [171] | VWH AETNA | $3,131.35 | ↓ -45% |
| UNITED HEALTHCARE [158] | VWH UHC HMO/PPO | $3,203.17 | ↓ -43% |
| CHOICECARE [177] | VWH CHOICE CARE | $3,227.11 | ↓ -43% |
| AETNA HEALTH PLAN [171] | VWH AETNA ASA | $3,318.08 | ↓ -41% |
| HEALTHLINK [125] | VWH SEIU HEALTHLINK | $3,591.00 | ↓ -36% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS PPO | $3,911.80 | ↓ -31% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PPO | $3,911.80 | ↓ -31% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN | $4,069.80 | ↓ -28% |
| MULTIPLAN/PHCS [142] | VWH PHCS | $4,069.80 | ↓ -28% |
| MULTIPLAN/PHCS [142] | VWH MULTIPLAN | $4,189.50 | ↓ -26% |
| FIRST HEALTH PLAN [6034] | VWH NON-CONTRACTED PAYORS | $4,788.00 | ↓ -15% |
| MULTIPLAN/PHCS [142] | VWH NON-CONTRACTED PAYORS | $4,788.00 | ↓ -15% |
| UNITED HEALTHCARE [158] | VWH UHC NON-CONTRACTED OON - ED ONLY | $4,788.00 | ↓ -15% |
Visitor-reported prices
Comments
Sigmoidoscopy for bleeding at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $741.00 | $982.39 – $1,136.20 |
| MercyOne Genesis Aledo Medical Center | Aledo | $741.00 | $2,660.57 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $6,348.26 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $1,288.80 | $105.16 – $917.28 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $7,139.12 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $6,348.26 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $5,525.53 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest | $9,616.59 | not published |