Valvuloplasty pulmonary at Northwestern Medicine Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road, Wheaton, IL · Nm · · NPI 1083660658
$6,469.40
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.
$9,242.00
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.
$3,881.64 with IMAGINE HEALTH [6032] vs $9,242.00 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 |
|---|---|---|---|
| IMAGINE HEALTH [6032] | MRH IMAGINE HEALTH | $3,881.64 | ↓ -40% |
| AETNA HEALTH PLAN [171] | MRH IMAGINE HEALTH | $3,881.64 | ↓ -40% |
| AETNA HEALTH PLAN [171] | MRH AETNA NM EMPLOYEES | $4,343.74 | ↓ -33% |
| CIGNA HEALTH PLAN [178] | MRH CIGNA BROAD | $4,621.00 | ↓ -29% |
| THE ALLIANCE [1703] | MRH THE ALLIANCE | $5,023.03 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PAR/INDEMNITY ADP | $5,166.28 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | MRH BCBS HMO | $5,401.02 | ↓ -17% |
| ALTERNATE BLUE CROSS [1402] | MRH BCBS HMO | $5,401.02 | ↓ -17% |
| BLUE CROSS BLUE SHIELD [1401] | MRH DREYER - IPA | $5,545.20 | ↓ -14% |
| HUMANA HEALTH PLAN [130] | MRH DREYER - IPA | $5,545.20 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | MRH UNIVERSITY OF IL MED CENTER - IPA | $5,545.20 | ↓ -14% |
| HUMANA HEALTH PLAN [130] | MRH UNIVERSITY OF IL MED CENTER - IPA | $5,545.20 | ↓ -14% |
| CIGNA HEALTH PLAN [178] | MRH CIGNA NARROW | $5,545.20 | ↓ -14% |
| UNITED HEALTHCARE [158] | MRH UHC CORE | $5,563.68 | ↓ -14% |
| HEALTHLINK [125] | MRH SEIU HEALTHLINK | $5,822.46 | ↓ -10% |
| BLUE CROSS BLUE SHIELD [1401] | MRH LOYOLA UNIVERSITY MED CENTER - IPA | $6,007.30 | ↓ -7% |
| FIRST HEALTH PLAN [6034] | MRH FIRST HEALTH | $6,182.90 | ↓ -4% |
| UNITED HEALTHCARE [158] | MRH UHC ALL OTHER | $6,201.38 | ↓ -4% |
| MULTIPLAN/PHCS [142] | MRH PHCS | $7,393.60 | ↑ +14% |
| HEALTH'S FINEST NETWORK [126] | MRH HFN | $8,040.54 | ↑ +24% |
| UNITED HEALTHCARE [158] | MRH NON-CONTRACTED PAYORS | $9,242.00 | ↑ +43% |
| AETNA HEALTH PLAN [171] | MRH NON-CONTRACTED PAYORS | $9,242.00 | ↑ +43% |
| FIRST HEALTH PLAN [6034] | MRH NON-CONTRACTED PAYORS | $9,242.00 | ↑ +43% |
| HUMANA HEALTH PLAN [130] | MRH NON-CONTRACTED PAYORS | $9,242.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | MRH NON-CONTRACTED PAYORS | $9,242.00 | ↑ +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
Valvuloplasty pulmonary at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $16,770.60 | $6,169.14 – $25,714.92 |
| Advocate Christ Medical Center | Oak Lawn | $7,140.00 | $5,626.32 – $25,111.00 |
| Northwestern Memorial Hospital | Chicago | $6,469.40 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $2,338.40 | $943.21 – $8,822.52 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $9,852.60 | $3,274.00 – $23,010.00 |
| OSF Saint Anthony Medical Center | Rockford | $10,845.00 | $1,225.66 – $43,298.39 |
| OSF Saint Francis Medical Center | Peoria | $9,225.00 | $1,225.66 – $42,056.60 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $6,469.40 | not published |