Ann & Robert H. Lurie Children's Hospital of Chicago — price list
← Hospital overviewVerified from Ann & Robert H. Lurie Children's Hospital of Chicago’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
6 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| NYSTATIN 100000 UNIT/ML ORAL SUSPENSION Outpatient | 69315-504-47 NDC | $30.81 | $21.57 | $5.24 – $8,500 | — | |
| NYSTATIN 100000 UNIT/ML ORAL SUSPENSION Inpatient | 69315-504-47 NDC | $30.81 | $21.57 | $11.40 – $3,678 | — | |
| POLYMYXIN B SULFATE 10000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS Inpatient | 24208-315-10 NDC | $180 | $126 | $66.42 – $3,678 | — | |
| SHOULDER UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Inpatient | 315-2 APR-DRG | $96,306 | $67,414 | $900 – $91,491 | — | |
| SHOULDER UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Inpatient | 315-3 APR-DRG | $234,845 | $164,391 | $900 – $223,103 | — | |
| SHOULDER UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Inpatient | 315-1 APR-DRG | $23,860 | $16,702 | $900 – $22,667 | — |