ER Visit (level 5, high severity) at Northwestern Medicine Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road, Wheaton, IL · Nm · · NPI 1083660658
$3,534.30
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.
$5,049.00
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.
$2,120.58 with AETNA HEALTH PLAN [171] vs $5,049.00 with MULTIPLAN/PHCS [142] — 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 |
|---|---|---|---|
| AETNA HEALTH PLAN [171] | MRH IMAGINE HEALTH | $2,120.58 | ↓ -40% |
| IMAGINE HEALTH [6032] | MRH IMAGINE HEALTH | $2,120.58 | ↓ -40% |
| AETNA HEALTH PLAN [171] | MRH AETNA NM EMPLOYEES | $2,373.03 | ↓ -33% |
| CIGNA HEALTH PLAN [178] | MRH CIGNA BROAD | $2,524.50 | ↓ -29% |
| THE ALLIANCE [1703] | MRH THE ALLIANCE | $2,744.13 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE OPTIONS | $2,751.71 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE SELECT | $2,751.71 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE PREFERRED | $2,751.71 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PAR/INDEMNITY ADP | $2,822.39 | ↓ -20% |
| ALTERNATE BLUE CROSS [1402] | MRH BCBS HMO | $2,950.64 | ↓ -17% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS HMO | $2,950.64 | ↓ -17% |
| BLUE CROSS BLUE SHIELD [1401] | MRH UNIVERSITY OF IL MED CENTER - IPA | $3,029.40 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | MRH DREYER - IPA | $3,029.40 | ↓ -14% |
| CIGNA HEALTH PLAN [178] | MRH CIGNA NARROW | $3,029.40 | ↓ -14% |
| HUMANA HEALTH PLAN [130] | MRH DREYER - IPA | $3,029.40 | ↓ -14% |
| HUMANA HEALTH PLAN [130] | MRH UNIVERSITY OF IL MED CENTER - IPA | $3,029.40 | ↓ -14% |
| ALTERNATE BLUE CROSS [1402] | MRH BCBS PPO | $3,100.09 | ↓ -12% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PPO | $3,100.09 | ↓ -12% |
| HEALTHLINK [125] | MRH SEIU HEALTHLINK | $3,180.87 | ↓ -10% |
| BLUE CROSS BLUE SHIELD [1401] | MRH LOYOLA UNIVERSITY MED CENTER - IPA | $3,281.85 | ↓ -7% |
| FIRST HEALTH PLAN [6034] | MRH FIRST HEALTH | $3,377.78 | ↓ -4% |
| MULTIPLAN/PHCS [142] | MRH PHCS | $4,039.20 | ↑ +14% |
| HEALTH'S FINEST NETWORK [126] | MRH HFN | $4,392.63 | ↑ +24% |
| HUMANA HEALTH PLAN [130] | MRH NON-CONTRACTED PAYORS | $5,049.00 | ↑ +43% |
| FIRST HEALTH PLAN [6034] | MRH NON-CONTRACTED PAYORS | $5,049.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | MRH NON-CONTRACTED PAYORS | $5,049.00 | ↑ +43% |
| AETNA HEALTH PLAN [171] | MRH NON-CONTRACTED PAYORS | $5,049.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | MRH NON-CONTRACTED PAYORS | $5,049.00 | ↑ +43% |
| AETNA HEALTH PLAN [171] | MRH AETNA | 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 | — |
| FIRST HEALTH PLAN [6034] | MRH AETNA | not published by hospital | — |
| GLOBAL EXCEL [1712] | MRH MEDICARE | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $4,962.60 | $317.44 – $808.48 |
| MercyOne Genesis Aledo Medical Center | Aledo | $899.40 | $327.00 – $674.55 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $997.50 | $624.78 – $1,033.86 |
| Advocate Christ Medical Center | Oak Lawn | $1,690.00 | $926.71 – $4,020.00 |
| Northwestern Memorial Hospital | Chicago | $10,081.05 | not published |
| Advocate Condell Medical Center | Libertyville | $1,505.00 | $926.71 – $2,869.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $2,040.00 | $926.71 – $4,020.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,508.39 | $21.67 – $476.97 |