Benchmark Health: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Benchmark Health appears in disclosed negotiated rates across 1 hospital and 84 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

84 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ACUTE LEUKEMIA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	690-2 APR-DRG	$194,475	$136,133	$900 – $184,751	—
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	755-1 APR-DRG	$41,581	$29,107	$900 – $39,502	—
ALLOGENEIC BONE MARROW TRANSPLANT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	007-4 APR-DRG	$2,669,547	$1,868,683	$900 – $2,536,069	—
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	67457-153-99 NDC	$15.99	$11.19	$5.92 – $3,678	—
AUTOLOGOUS BONE MARROW TRANSPLANT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	008-4 APR-DRG	$716,776	$501,743	$900 – $680,937	—
AZACITIDINE SUBCUTANEOUS INJECTION 25 MG/ML (LC) Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	71288-115-30 NDC	$183	$128	$31.10 – $8,500	—
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	132-4 APR-DRG	$233,764	$163,635	$900 – $222,076	—
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	201-3 APR-DRG	$94,349	$66,044	$900 – $89,631	—
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	163-2 APR-DRG	$478,890	$335,223	$900 – $454,946	—
CATH ELECTROPHYSIOLOGY 5FR Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	52735 LOCAL	$1,614	$1,130	$274 – $8,500	—
CLEFT LIP AND PALATE REPAIR Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	095-1 APR-DRG	$63,535	$44,475	$900 – $60,359	—
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	910-4 APR-DRG	$598,227	$418,759	$900 – $568,316	—
DEFIBRILLATOR IMPLANTS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	179-2 APR-DRG	$292,241	$204,568	$900 – $277,629	—
DENTAL DISEASES AND DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	114-4 APR-DRG	$67,950	$47,565	$900 – $64,553	—
DIPHENHYDRAMINE 25 MG TABLET Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	68094-018-59 NDC	$1.52	$1.06	$0.26 – $8,500	—
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	304-1 APR-DRG	$324,297	$227,008	$900 – $308,082	—
DRILL BIT 1.5MM X 110MM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	68462 LOCAL	$280	$196	$47.67 – $8,500	—
EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL MALIGNANCIES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	110-2 APR-DRG	$159,085	$111,359	$900 – $151,131	—
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	950-2 APR-DRG	$311,305	$217,914	$900 – $295,740	—
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	009-4 APR-DRG	$2,510,661	$1,757,463	$900 – $2,385,128	—
GASTRIC FUNDOPLICATION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	232-3 APR-DRG	$136,026	$95,219	$900 – $129,225	—
GRAFT VASCULAR GORE-TEX THINWALL 10CM X 8MM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	52884 LOCAL	$788	$552	$292 – $2,656	—
GUIDEWIRE COOK 0.035 X 145CM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	11067 LOCAL	$37.88	$26.52	$14.02 – $3,678	—
GUIDEWIRE VASC ICE .014IN 300CM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55290 LOCAL	$1,224	$857	$453 – $3,678	—
H CC 93572 INTRAVASCULAR DOP VELOCITY/CORONARY FLOW ADD'L VESSEL Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	3114109 CDM	$2,071	$1,450	$766 – $3,678	—