Drng of hydrocele 55000 at Northwestern Medicine Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road, Wheaton, IL · Nm · · NPI 1083660658
$2,342.20
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.
$3,346.00
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.
$1,405.32 with IMAGINE HEALTH [6032] vs $3,346.00 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 |
|---|---|---|---|
| IMAGINE HEALTH [6032] | MRH IMAGINE HEALTH | $1,405.32 | ↓ -40% |
| AETNA HEALTH PLAN [171] | MRH IMAGINE HEALTH | $1,405.32 | ↓ -40% |
| AETNA HEALTH PLAN [171] | MRH AETNA NM EMPLOYEES | $1,572.62 | ↓ -33% |
| CIGNA HEALTH PLAN [178] | MRH CIGNA BROAD | $1,673.00 | ↓ -29% |
| THE ALLIANCE [1703] | MRH THE ALLIANCE | $1,818.55 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE SELECT | $1,823.57 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE OPTIONS | $1,823.57 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE PREFERRED | $1,823.57 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PAR/INDEMNITY ADP | $1,870.41 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS HMO | $1,955.40 | ↓ -17% |
| ALTERNATE BLUE CROSS [1402] | MRH BCBS HMO | $1,955.40 | ↓ -17% |
| CIGNA HEALTH PLAN [178] | MRH CIGNA NARROW | $2,007.60 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | MRH DREYER - IPA | $2,007.60 | ↓ -14% |
| HUMANA HEALTH PLAN [130] | MRH DREYER - IPA | $2,007.60 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | MRH UNIVERSITY OF IL MED CENTER - IPA | $2,007.60 | ↓ -14% |
| HUMANA HEALTH PLAN [130] | MRH UNIVERSITY OF IL MED CENTER - IPA | $2,007.60 | ↓ -14% |
| UNITED HEALTHCARE [158] | MRH UHC CORE | $2,014.29 | ↓ -14% |
| ALTERNATE BLUE CROSS [1402] | MRH BCBS PPO | $2,054.44 | ↓ -12% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PPO | $2,054.44 | ↓ -12% |
| HEALTHLINK [125] | MRH SEIU HEALTHLINK | $2,107.98 | ↓ -10% |
| BLUE CROSS BLUE SHIELD [1401] | MRH LOYOLA UNIVERSITY MED CENTER - IPA | $2,174.90 | ↓ -7% |
| FIRST HEALTH PLAN [6034] | MRH FIRST HEALTH | $2,238.47 | ↓ -4% |
| UNITED HEALTHCARE [158] | MRH UHC ALL OTHER | $2,245.17 | ↓ -4% |
| MULTIPLAN/PHCS [142] | MRH PHCS | $2,676.80 | ↑ +14% |
| HEALTH'S FINEST NETWORK [126] | MRH HFN | $2,911.02 | ↑ +24% |
| AETNA HEALTH PLAN [171] | MRH NON-CONTRACTED PAYORS | $3,346.00 | ↑ +43% |
| FIRST HEALTH PLAN [6034] | MRH NON-CONTRACTED PAYORS | $3,346.00 | ↑ +43% |
| HUMANA HEALTH PLAN [130] | MRH NON-CONTRACTED PAYORS | $3,346.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | MRH NON-CONTRACTED PAYORS | $3,346.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | MRH NON-CONTRACTED PAYORS | $3,346.00 | ↑ +43% |
| GLOBAL EXCEL [1712] | MRH MEDICARE | not published by hospital | — |
| ALTERNATE HUMANA MEDICARE ADV [2409] | MRH MEDICARE | not published by hospital | — |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | MRH MEDICARE | not published by hospital | — |
Visitor-reported prices
Comments
Drng of hydrocele 55000 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $231.00 | $82.51 – $354.20 |
| MercyOne Genesis Aledo Medical Center | Aledo | $231.00 | $223.45 – $2,970.16 |
| Advocate Condell Medical Center | Libertyville | $860.00 | $677.68 – $4,681.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $587.20 | $76.53 – $547.36 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $867.90 | $758.85 – $796.79 |
| Advocate Illinois Masonic Medical Center | Chicago | $960.00 | $756.48 – $6,071.00 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $867.90 | $758.85 – $796.79 |
| OSF Saint Anthony Medical Center | Rockford | $1,182.60 | $124.73 – $2,933.00 |