Diphenhydramine 50 mg/ml injection (wrapper) at Northwestern Medicine Marianjoy Rehabilitation Hospital

26W171 Roosevelt Road, Wheaton, IL · Nm · · NPI 1083660658

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 17, 2026

$2.80

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.

$4.00

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.

$0.95 with AETNA HEALTH PLAN [171] vs $2.25 with AETNA HEALTH PLAN [171] — 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
AETNA HEALTH PLAN [171] MRH IMAGINE HEALTH $0.95 ↓ -66%
IMAGINE HEALTH [6032] MRH IMAGINE HEALTH $0.95 ↓ -66%
AETNA HEALTH PLAN [171] MRH AETNA NM EMPLOYEES $1.06 ↓ -62%
UNITED HEALTHCARE [158] MRH UHC CORE $1.09 ↓ -61%
CIGNA HEALTH PLAN [178] MRH CIGNA BROAD $1.13 ↓ -60%
THE ALLIANCE [1703] MRH THE ALLIANCE $1.22 ↓ -56%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS BLUECHOICE OPTIONS $1.23 ↓ -56%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS BLUECHOICE PREFERRED $1.23 ↓ -56%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS BLUECHOICE SELECT $1.23 ↓ -56%
FIRST HEALTH PLAN [6034] MRH AETNA $1.26 ↓ -55%
AETNA HEALTH PLAN [171] MRH AETNA $1.26 ↓ -55%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS PAR/INDEMNITY ADP $1.26 ↓ -55%
ALTERNATE BLUE CROSS [1402] MRH BCBS HMO $1.31 ↓ -53%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS HMO $1.31 ↓ -53%
BLUE CROSS BLUE SHIELD [1401] MRH UNIVERSITY OF IL MED CENTER - IPA $1.35 ↓ -52%
HUMANA HEALTH PLAN [130] MRH DREYER - IPA $1.35 ↓ -52%
HUMANA HEALTH PLAN [130] MRH UNIVERSITY OF IL MED CENTER - IPA $1.35 ↓ -52%
BLUE CROSS BLUE SHIELD [1401] MRH DREYER - IPA $1.35 ↓ -52%
CIGNA HEALTH PLAN [178] MRH CIGNA NARROW $1.35 ↓ -52%
ALTERNATE BLUE CROSS [1402] MRH BCBS PPO $1.38 ↓ -51%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS PPO $1.38 ↓ -51%
HEALTHLINK [125] MRH SEIU HEALTHLINK $1.42 ↓ -49%
BLUE CROSS BLUE SHIELD [1401] MRH LOYOLA UNIVERSITY MED CENTER - IPA $1.46 ↓ -48%
HUMANA HEALTH PLAN [130] MRH DUPAGE MEDICAL GROUP (IHP) $1.46 ↓ -48%
BLUE CROSS BLUE SHIELD [1401] MRH DUPAGE MEDICAL GROUP (IHP) $1.46 ↓ -48%
FIRST HEALTH PLAN [6034] MRH FIRST HEALTH $1.51 ↓ -46%
MULTIPLAN/PHCS [142] MRH PHCS $1.80 ↓ -36%
HEALTH'S FINEST NETWORK [126] MRH HFN $1.96 ↓ -30%
HUMANA HEALTH PLAN [130] MRH NON-CONTRACTED PAYORS $2.25 ↓ -20%
FIRST HEALTH PLAN [6034] MRH NON-CONTRACTED PAYORS $2.25 ↓ -20%
MULTIPLAN/PHCS [142] MRH NON-CONTRACTED PAYORS $2.25 ↓ -20%
UNITED HEALTHCARE [158] MRH NON-CONTRACTED PAYORS $2.25 ↓ -20%
AETNA HEALTH PLAN [171] MRH NON-CONTRACTED PAYORS $2.25 ↓ -20%
ALTERNATE BLUE CROSS MEDICARE ADV [2304] MRH MEDICARE not published by hospital
UNITED HEALTHCARE [158] MRH UHC ALL OTHER not published by hospital
GLOBAL EXCEL [1712] MRH MEDICARE not published by hospital
ALTERNATE HUMANA MEDICARE ADV [2409] MRH MEDICARE not published by hospital

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Diphenhydramine 50 mg/ml injection (wrapper) at other Illinois hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $17.75 $7.73 – $21.02
MercyOne Genesis Aledo Medical Center Aledo $17.75 $1.72 – $11.36
Uchicago Medicine Adventhealth Hinsdale Hinsdale $35.40 $1.83 – $1.83
Advocate Christ Medical Center Oak Lawn $59.77 $1.50 – $95.14
Northwestern Memorial Hospital Chicago $1.40 not published
Advocate Condell Medical Center Libertyville $59.66 $1.50 – $95.10
Advocate Good Samaritan Hospital Downers Grove $59.73 $1.50 – $95.30
UnityPoint Health - Trinity Moline Rock Island $74.16 $0.09 – $3.80

All Illinois hospitals for this procedure →