Ot evaluation moderate complexity patient/family at Northwestern Medicine Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road, Wheaton, IL · Nm · · NPI 1083660658
$611.10
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.
$873.00
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.
$228.90 with IMAGINE HEALTH [6032] vs $545.00 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 | $228.90 | ↓ -63% |
| AETNA HEALTH PLAN [171] | MRH IMAGINE HEALTH | $228.90 | ↓ -63% |
| AETNA HEALTH PLAN [171] | MRH AETNA NM EMPLOYEES | $256.15 | ↓ -58% |
| THE ALLIANCE [1703] | MRH THE ALLIANCE | $296.21 | ↓ -52% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE PREFERRED | $297.03 | ↓ -51% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE SELECT | $297.03 | ↓ -51% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE OPTIONS | $297.03 | ↓ -51% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PAR/INDEMNITY ADP | $304.66 | ↓ -50% |
| ALTERNATE BLUE CROSS [1402] | MRH BCBS HMO | $318.50 | ↓ -48% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS HMO | $318.50 | ↓ -48% |
| BLUE CROSS BLUE SHIELD [1401] | MRH DREYER - IPA | $327.00 | ↓ -46% |
| BLUE CROSS BLUE SHIELD [1401] | MRH UNIVERSITY OF IL MED CENTER - IPA | $327.00 | ↓ -46% |
| HUMANA HEALTH PLAN [130] | MRH DREYER - IPA | $327.00 | ↓ -46% |
| HUMANA HEALTH PLAN [130] | MRH UNIVERSITY OF IL MED CENTER - IPA | $327.00 | ↓ -46% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PPO | $334.63 | ↓ -45% |
| ALTERNATE BLUE CROSS [1402] | MRH BCBS PPO | $334.63 | ↓ -45% |
| HEALTHLINK [125] | MRH SEIU HEALTHLINK | $343.35 | ↓ -44% |
| BLUE CROSS BLUE SHIELD [1401] | MRH LOYOLA UNIVERSITY MED CENTER - IPA | $354.25 | ↓ -42% |
| FIRST HEALTH PLAN [6034] | MRH FIRST HEALTH | $364.61 | ↓ -40% |
| MULTIPLAN/PHCS [142] | MRH PHCS | $436.00 | ↓ -29% |
| HEALTH'S FINEST NETWORK [126] | MRH HFN | $474.15 | ↓ -22% |
| AETNA HEALTH PLAN [171] | MRH NON-CONTRACTED PAYORS | $545.00 | ↓ -11% |
| FIRST HEALTH PLAN [6034] | MRH NON-CONTRACTED PAYORS | $545.00 | ↓ -11% |
| HUMANA HEALTH PLAN [130] | MRH NON-CONTRACTED PAYORS | $545.00 | ↓ -11% |
| MULTIPLAN/PHCS [142] | MRH NON-CONTRACTED PAYORS | $545.00 | ↓ -11% |
| UNITED HEALTHCARE [158] | MRH NON-CONTRACTED PAYORS | $545.00 | ↓ -11% |
| 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
Ot evaluation moderate complexity patient/family at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $225.60 | $44.80 – $278.27 |
| MercyOne Genesis Aledo Medical Center | Aledo | $223.80 | $65.70 – $68.62 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $87.50 | $94.45 – $156.30 |
| Advocate Christ Medical Center | Oak Lawn | $225.00 | $31.52 – $469.00 |
| Northwestern Memorial Hospital | Chicago | $381.50 | not published |
| Advocate Condell Medical Center | Libertyville | $225.00 | $31.52 – $295.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $225.00 | $31.52 – $469.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $231.94 | $87.28 – $152.79 |