Cyclosporine modified 25 mg capsule at Northwestern Medicine Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road, Wheaton, IL · Nm · · NPI 1083660658
$38.15
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.
$54.50
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.
$15.96 with AETNA HEALTH PLAN [171] vs $38.00 with HUMANA HEALTH PLAN [130] — 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 |
|---|---|---|---|
| AETNA HEALTH PLAN [171] | MRH IMAGINE HEALTH | $15.96 | ↓ -58% |
| IMAGINE HEALTH [6032] | MRH IMAGINE HEALTH | $15.96 | ↓ -58% |
| AETNA HEALTH PLAN [171] | MRH AETNA NM EMPLOYEES | $17.86 | ↓ -53% |
| UNITED HEALTHCARE [158] | MRH UHC CORE | $18.43 | ↓ -52% |
| UNITED HEALTHCARE [158] | MRH UHC ALL OTHER | $18.47 | ↓ -52% |
| CIGNA HEALTH PLAN [178] | MRH CIGNA BROAD | $19.00 | ↓ -50% |
| THE ALLIANCE [1703] | MRH THE ALLIANCE | $20.65 | ↓ -46% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE OPTIONS | $20.71 | ↓ -46% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE PREFERRED | $20.71 | ↓ -46% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE SELECT | $20.71 | ↓ -46% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PAR/INDEMNITY ADP | $21.24 | ↓ -44% |
| FIRST HEALTH PLAN [6034] | MRH AETNA | $21.36 | ↓ -44% |
| AETNA HEALTH PLAN [171] | MRH AETNA | $21.36 | ↓ -44% |
| ALTERNATE BLUE CROSS [1402] | MRH BCBS HMO | $22.21 | ↓ -42% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS HMO | $22.21 | ↓ -42% |
| BLUE CROSS BLUE SHIELD [1401] | MRH DREYER - IPA | $22.80 | ↓ -40% |
| HUMANA HEALTH PLAN [130] | MRH DREYER - IPA | $22.80 | ↓ -40% |
| HUMANA HEALTH PLAN [130] | MRH UNIVERSITY OF IL MED CENTER - IPA | $22.80 | ↓ -40% |
| BLUE CROSS BLUE SHIELD [1401] | MRH UNIVERSITY OF IL MED CENTER - IPA | $22.80 | ↓ -40% |
| CIGNA HEALTH PLAN [178] | MRH CIGNA NARROW | $22.80 | ↓ -40% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PPO | $23.33 | ↓ -39% |
| ALTERNATE BLUE CROSS [1402] | MRH BCBS PPO | $23.33 | ↓ -39% |
| HEALTHLINK [125] | MRH SEIU HEALTHLINK | $23.94 | ↓ -37% |
| BLUE CROSS BLUE SHIELD [1401] | MRH LOYOLA UNIVERSITY MED CENTER - IPA | $24.70 | ↓ -35% |
| HUMANA HEALTH PLAN [130] | MRH DUPAGE MEDICAL GROUP (IHP) | $24.70 | ↓ -35% |
| BLUE CROSS BLUE SHIELD [1401] | MRH DUPAGE MEDICAL GROUP (IHP) | $24.70 | ↓ -35% |
| FIRST HEALTH PLAN [6034] | MRH FIRST HEALTH | $25.42 | ↓ -33% |
| MULTIPLAN/PHCS [142] | MRH PHCS | $30.40 | ↓ -20% |
| HEALTH'S FINEST NETWORK [126] | MRH HFN | $33.06 | ↓ -13% |
| MULTIPLAN/PHCS [142] | MRH NON-CONTRACTED PAYORS | $38.00 | ↓ -0% |
| FIRST HEALTH PLAN [6034] | MRH NON-CONTRACTED PAYORS | $38.00 | ↓ -0% |
| UNITED HEALTHCARE [158] | MRH NON-CONTRACTED PAYORS | $38.00 | ↓ -0% |
| AETNA HEALTH PLAN [171] | MRH NON-CONTRACTED PAYORS | $38.00 | ↓ -0% |
| HUMANA HEALTH PLAN [130] | MRH NON-CONTRACTED PAYORS | $38.00 | ↓ -0% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | MRH MEDICARE | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | MRH MEDICARE | not published by hospital | — |
| GLOBAL EXCEL [1712] | MRH MEDICARE | not published by hospital | — |
Visitor-reported prices
Comments
Cyclosporine modified 25 mg capsule at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $9.62 | $2.35 – $6.39 |
| MercyOne Genesis Aledo Medical Center | Aledo | $9.62 | $1.73 – $3.45 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $2.79 | $1.61 – $1.61 |
| Northwestern Memorial Hospital | Chicago | $24.85 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $4.28 | $0.74 – $2.49 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $2.79 | $1.61 – $1.61 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $2.79 | $1.17 – $1.61 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | $2.79 | $1.61 – $1.61 |