Upper Endoscopy (EGD, with biopsy) at Northwestern Medicine Valley West Hospital
1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931
$10,335.13
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.
?
What you pay up front if you don't use insurance.
$14,764.47
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.
?
The hospital's undiscounted list price — almost no one pays this.
$306.40 with BLUE CROSS MEDICAID [1612] vs $4,597.00 with UNITED HEALTHCARE [158] — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $306.40 | ↓ -97% |
| MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $306.40 | ↓ -97% |
| FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $306.40 | ↓ -97% |
| CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $306.40 | ↓ -97% |
| HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $306.40 | ↓ -97% |
| COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $306.40 | ↓ -97% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | VWH MEDICARE | $873.43 | ↓ -92% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $873.43 | ↓ -92% |
| GLOBAL EXCEL [1712] | VWH MEDICARE | $873.43 | ↓ -92% |
| AETNA HEALTH PLAN [171] | VWH AETNA NM EMPLOYEES | $1,167.64 | ↓ -89% |
| AETNA HEALTH PLAN [171] | VWH AETNA IL PREFERRED | $1,599.76 | ↓ -85% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN NMH TIER ONE | $2,068.65 | ↓ -80% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA ALTERNATIVE | $2,082.44 | ↓ -80% |
| CIGNA HEALTH PLAN [178] | VWH CIGNA BROAD | $2,220.35 | ↓ -79% |
| UNITED HEALTHCARE [158] | VWH UHC CORE | $2,307.69 | ↓ -78% |
| THE ALLIANCE [1703] | VWH THE ALLIANCE | $2,498.47 | ↓ -76% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PAR/INDEMNITY ADP | $2,569.72 | ↓ -75% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE SELECT | $2,776.59 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE OPTIONS | $2,776.59 | ↓ -73% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE PREFERRED | $2,896.11 | ↓ -72% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS HMO | $2,994.95 | ↓ -71% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS HMO | $2,994.95 | ↓ -71% |
| AETNA HEALTH PLAN [171] | VWH AETNA | $3,006.44 | ↓ -71% |
| UNITED HEALTHCARE [158] | VWH UHC HMO/PPO | $3,075.39 | ↓ -70% |
| CHOICECARE [177] | VWH CHOICE CARE | $3,098.38 | ↓ -70% |
| AETNA HEALTH PLAN [171] | VWH AETNA ASA | $3,185.72 | ↓ -69% |
| HEALTHLINK [125] | VWH SEIU HEALTHLINK | $3,447.75 | ↓ -67% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS PPO | $3,755.75 | ↓ -64% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PPO | $3,755.75 | ↓ -64% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN | $3,907.45 | ↓ -62% |
| MULTIPLAN/PHCS [142] | VWH PHCS | $3,907.45 | ↓ -62% |
| MULTIPLAN/PHCS [142] | VWH MULTIPLAN | $4,022.38 | ↓ -61% |
| FIRST HEALTH PLAN [6034] | VWH NON-CONTRACTED PAYORS | $4,597.00 | ↓ -56% |
| MULTIPLAN/PHCS [142] | VWH NON-CONTRACTED PAYORS | $4,597.00 | ↓ -56% |
| UNITED HEALTHCARE [158] | VWH UHC NON-CONTRACTED OON - ED ONLY | $4,597.00 | ↓ -56% |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, with biopsy) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $204.60 | $313.72 – $988.61 |
| MercyOne Genesis Aledo Medical Center | Aledo | $204.60 | $2,677.41 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $10,335.13 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $914.40 | $123.53 – $729.38 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $927.00 | $971.94 – $3,533.00 |
| OSF Saint Anthony's Health Center | Alton | $916.20 | $338.75 – $1,716.00 |
| OSF Saint Anthony Medical Center | Rockford | $1,250.40 | $372.15 – $4,932.00 |
| OSF St Joseph Medical Center | Bloomington | $3,504.60 | $971.94 – $4,652.00 |