Evasc rpr a-unilac ndgft 34703 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

$4,795.00

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.

Full explanation →

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

$6,850.00

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.

$2,877.00 with IMAGINE HEALTH [6032] vs $6,850.00 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 →

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
IMAGINE HEALTH [6032] MRH IMAGINE HEALTH $2,877.00 ↓ -40%
AETNA HEALTH PLAN [171] MRH IMAGINE HEALTH $2,877.00 ↓ -40%
AETNA HEALTH PLAN [171] MRH AETNA NM EMPLOYEES $3,219.50 ↓ -33%
CIGNA HEALTH PLAN [178] MRH CIGNA BROAD $3,425.00 ↓ -29%
THE ALLIANCE [1703] MRH THE ALLIANCE $3,722.98 ↓ -22%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS PAR/INDEMNITY ADP $3,829.15 ↓ -20%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS HMO $4,003.14 ↓ -17%
ALTERNATE BLUE CROSS [1402] MRH BCBS HMO $4,003.14 ↓ -17%
BLUE CROSS BLUE SHIELD [1401] MRH DREYER - IPA $4,110.00 ↓ -14%
HUMANA HEALTH PLAN [130] MRH DREYER - IPA $4,110.00 ↓ -14%
BLUE CROSS BLUE SHIELD [1401] MRH UNIVERSITY OF IL MED CENTER - IPA $4,110.00 ↓ -14%
HUMANA HEALTH PLAN [130] MRH UNIVERSITY OF IL MED CENTER - IPA $4,110.00 ↓ -14%
CIGNA HEALTH PLAN [178] MRH CIGNA NARROW $4,110.00 ↓ -14%
UNITED HEALTHCARE [158] MRH UHC CORE $4,123.70 ↓ -14%
HEALTHLINK [125] MRH SEIU HEALTHLINK $4,315.50 ↓ -10%
BLUE CROSS BLUE SHIELD [1401] MRH LOYOLA UNIVERSITY MED CENTER - IPA $4,452.50 ↓ -7%
FIRST HEALTH PLAN [6034] MRH FIRST HEALTH $4,582.65 ↓ -4%
UNITED HEALTHCARE [158] MRH UHC ALL OTHER $4,596.35 ↓ -4%
MULTIPLAN/PHCS [142] MRH PHCS $5,480.00 ↑ +14%
HEALTH'S FINEST NETWORK [126] MRH HFN $5,959.50 ↑ +24%
UNITED HEALTHCARE [158] MRH NON-CONTRACTED PAYORS $6,850.00 ↑ +43%
AETNA HEALTH PLAN [171] MRH NON-CONTRACTED PAYORS $6,850.00 ↑ +43%
FIRST HEALTH PLAN [6034] MRH NON-CONTRACTED PAYORS $6,850.00 ↑ +43%
HUMANA HEALTH PLAN [130] MRH NON-CONTRACTED PAYORS $6,850.00 ↑ +43%
MULTIPLAN/PHCS [142] MRH NON-CONTRACTED PAYORS $6,850.00 ↑ +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

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Evasc rpr a-unilac ndgft 34703 at other Illinois hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $2,095.80 $3,213.56 – $15,239.74
MercyOne Genesis Aledo Medical Center Aledo $2,095.80 $2,970.16 – $2,970.16
Northwestern Memorial Hospital Chicago $4,795.00 not published
Advocate Good Samaritan Hospital Downers Grove $4,085.00 $3,181.00 – $6,536.00
UnityPoint Health - Trinity Moline Rock Island $11,245.38 $1,166.10 – $6,199.01
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon $9,220.75 not published
Advocate Illinois Masonic Medical Center Chicago $6,020.00 $3,181.00 – $9,632.00
Advocate Sherman Hospital Elgin $7,905.00 $3,371.00 – $14,229.00

All Illinois hospitals for this procedure →