Centegra: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Centegra appears in disclosed negotiated rates across 1 hospital and 89 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.

89 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
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	—
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	755-3 APR-DRG	$49,750	$34,825	$900 – $47,262	—
ALLODERM6X12CMTHICK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	30052 LOCAL	$9,772	$6,840	$900 – $9,283	—
BEHAVIORAL DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	758-1 APR-DRG	$49,972	$34,980	$900 – $47,473	—
BIPOLAR DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	753-2 APR-DRG	$81,962	$57,373	$900 – $77,864	—
BONE CEMENT SIMPLEX P HALF Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	56289 LOCAL	$192	$134	$32.64 – $182	—
BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0186-0370-28 NDC	$800	$560	$296 – $3,678	—
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	64253-900-30 NDC	$75.19	$52.63	$12.78 – $8,500	—
CARDIAC ARREST AND SHOCK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	196-4 APR-DRG	$185,695	$129,986	$900 – $176,410	—
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	—
CARDIOMYOPATHY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	205-4 APR-DRG	$467,983	$327,588	$900 – $444,583	—
CATH BALLN DILATATION TYSHAK II 16MM 6CM 100CM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55103 LOCAL	$3,246	$2,272	$552 – $8,500	—
CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	057-3 APR-DRG	$42,657	$29,860	$900 – $40,524	—
CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	057-1 APR-DRG	$18,126	$12,688	$900 – $17,219	—
CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	057-2 APR-DRG	$17,212	$12,048	$900 – $16,351	—
CYSTIC FIBROSIS - PULMONARY DISEASE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	131-3 APR-DRG	$203,975	$142,783	$900 – $193,776	—
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	042-2 APR-DRG	$74,046	$51,832	$900 – $70,344	—
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	042-1 APR-DRG	$50,040	$35,028	$900 – $47,538	—
DISORDERS OF GALLBLADDER AND BILIARY TRACT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	284-4 APR-DRG	$39,999	$27,999	$900 – $37,999	—
DISORDERS OF PANCREAS EXCEPT MALIGNANCY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	282-2 APR-DRG	$69,117	$48,382	$900 – $65,661	—
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	304-3 APR-DRG	$818,360	$572,852	$900 – $777,442	—
EAR PROSKARTUSH INCUS STRUT CANN 4.4MM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	13289 LOCAL	$976	$683	$361 – $3,678	—
EYE INFECTIONS AND OTHER EYE DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	082-1 APR-DRG	$41,027	$28,719	$900 – $38,975	—
GRAFT TISSUE ACELLULAR 4 X 12M THIN Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	57514 LOCAL	$7,692	$5,384	$1,308 – $8,500	—
H BATTERY CHARGER 12 VOLT UTAH Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	9175401 CDM	$1,293	$905	$220 – $1,228	—