Uppr gi scope w/submuc inj 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

$12,889.18

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.

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What you pay up front if you don't use insurance.

$18,413.11

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.

$239.15 with BLUE CROSS MEDICAID [1612] vs $3,666.00 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 →

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
BLUE CROSS MEDICAID [1612] VWH ILLINOIS MEDICAID $239.15 ↓ -98%
MERIDIAN HEALTH PLAN HMO [1604] VWH ILLINOIS MEDICAID $239.15 ↓ -98%
FAMILY HEALTH NETWORK HMO [1610] VWH ILLINOIS MEDICAID $239.15 ↓ -98%
CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] VWH ILLINOIS MEDICAID $239.15 ↓ -98%
HEALTH ALLIANCE MEDICAID [1310] VWH ILLINOIS MEDICAID $239.15 ↓ -98%
COUNTYCARE IL COOK CO [1607] VWH ILLINOIS MEDICAID $239.15 ↓ -98%
ALTERNATE HUMANA MEDICARE ADV [2409] VWH MEDICARE $696.54 ↓ -95%
ALTERNATE BLUE CROSS MEDICARE ADV [2304] VWH BLUE CROSS MEDICARE ADVT $696.54 ↓ -95%
GLOBAL EXCEL [1712] VWH MEDICARE $696.54 ↓ -95%
AETNA HEALTH PLAN [171] VWH AETNA NM EMPLOYEES $931.16 ↓ -93%
AETNA HEALTH PLAN [171] VWH AETNA IL PREFERRED $1,275.77 ↓ -90%
HEALTH'S FINEST NETWORK [126] VWH HFN NMH TIER ONE $1,649.70 ↓ -87%
CIGNA HEALTH PLAN [178] VWH CIGNA ALTERNATIVE $1,660.70 ↓ -87%
CIGNA HEALTH PLAN [178] VWH CIGNA BROAD $1,770.68 ↓ -86%
UNITED HEALTHCARE [158] VWH UHC CORE $1,840.33 ↓ -86%
THE ALLIANCE [1703] VWH THE ALLIANCE $1,992.47 ↓ -85%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS PAR/INDEMNITY ADP $2,049.29 ↓ -84%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE SELECT $2,214.26 ↓ -83%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE OPTIONS $2,214.26 ↓ -83%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS BLUECHOICE PREFERRED $2,309.58 ↓ -82%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS HMO $2,388.40 ↓ -81%
ALTERNATE BLUE CROSS [1402] VWH BCBS HMO $2,388.40 ↓ -81%
AETNA HEALTH PLAN [171] VWH AETNA $2,397.56 ↓ -81%
UNITED HEALTHCARE [158] VWH UHC HMO/PPO $2,452.55 ↓ -81%
CHOICECARE [177] VWH CHOICE CARE $2,470.88 ↓ -81%
AETNA HEALTH PLAN [171] VWH AETNA ASA $2,540.54 ↓ -80%
HEALTHLINK [125] VWH SEIU HEALTHLINK $2,749.50 ↓ -79%
ALTERNATE BLUE CROSS [1402] VWH BCBS PPO $2,995.12 ↓ -77%
BLUE CROSS BLUE SHIELD [1401] VWH BCBS PPO $2,995.12 ↓ -77%
HEALTH'S FINEST NETWORK [126] VWH HFN $3,116.10 ↓ -76%
MULTIPLAN/PHCS [142] VWH PHCS $3,116.10 ↓ -76%
MULTIPLAN/PHCS [142] VWH MULTIPLAN $3,207.75 ↓ -75%
FIRST HEALTH PLAN [6034] VWH NON-CONTRACTED PAYORS $3,666.00 ↓ -72%
MULTIPLAN/PHCS [142] VWH NON-CONTRACTED PAYORS $3,666.00 ↓ -72%
UNITED HEALTHCARE [158] VWH UHC NON-CONTRACTED OON - ED ONLY $3,666.00 ↓ -72%

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Uppr gi scope w/submuc inj at other Illinois hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $661.80 $988.61 – $1,014.76
MercyOne Genesis Aledo Medical Center Aledo $661.80 $2,677.41 – $2,970.16
Northwestern Memorial Hospital Chicago $16,539.54 not published
UnityPoint Health - Trinity Moline Rock Island $916.80 $123.53 – $729.38
Northwestern Medicine Central DuPage Hospital IL 60190 $16,539.54 not published
Northwestern Medicine Delnor Hospital Geneva $14,028.45 not published
Northwestern Medicine Palos Hospital Palos Heights $13,063.64 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest $13,608.84 not published

All Illinois hospitals for this procedure →