Equian: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Equian appears in disclosed negotiated rates across 1 hospital and 100 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.

100 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
10-0 ETHILON BLACK 1X5 V75-3 Inpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$105	$73.79	$34.79 – $2,385	—
10-0 ETHILON BLACK 1X5 V75-3 Outpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$105	$73.79	$34.79 – $2,385	—
ASTATO XS 40 PERIPHERAL GUIDE WIRE 200CM 0.014 Inpatient	University of Illinois Hospital and Clinics (UI Health)	C1769 HCPCS	$2,800	$1,960	$924 – $2,800	—
ASTATO XS 40 PERIPHERAL GUIDE WIRE 200CM 0.014 Outpatient	University of Illinois Hospital and Clinics (UI Health)	C1769 HCPCS	$2,800	$1,960	$924 – $2,800	—
Cdsm Imaging Decision Support Inpatient	University of Illinois Hospital and Clinics (UI Health)	G1004 HCPCS	$0.01	$0.01	$0.01 – $218	—
Cdsm Imaging Decision Support Outpatient	University of Illinois Hospital and Clinics (UI Health)	G1004 HCPCS	$0.01	$0.01	$0.01 – $218	—
CILGAVIMAB 150 MG/1.5 ML IM SOLN Inpatient	University of Illinois Hospital and Clinics (UI Health)	Q0220 HCPCS	$0.01	$0.01	$0.01 – $2,385	—
CILGAVIMAB 150 MG/1.5 ML IM SOLN Outpatient	University of Illinois Hospital and Clinics (UI Health)	Q0220 HCPCS	$0.01	$0.01	$0.01 – $2,385	—
CLEAR MATERIAL 7.0MM DISTANCE FROM ENDOSCOPE DISTAL END 2 DRAINS STERILE SINGLE USE OUTSIDE DIAMETER 12.4MM DISTAL END DIAMETER OF COMPATIBLE ENDOSCOPES 10.5MM - 11.1MM Inpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$172	$120	$56.60 – $2,385	—
CLEAR MATERIAL 7.0MM DISTANCE FROM ENDOSCOPE DISTAL END 2 DRAINS STERILE SINGLE USE OUTSIDE DIAMETER 12.4MM DISTAL END DIAMETER OF COMPATIBLE ENDOSCOPES 10.5MM - 11.1MM Outpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$172	$120	$56.60 – $2,385	—
COUNTERSINK CANN 1/4 7.0 HEADED Inpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$2,275	$1,593	$751 – $2,385	—
COUNTERSINK CANN 1/4 7.0 HEADED Outpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$2,275	$1,593	$751 – $2,275	—
Cystourethroscopy W/Fulguration Outpatient	University of Illinois Hospital and Clinics (UI Health)	52214 CPT	$5,978	$4,185	$1,356 – $12,040	—
ELEVATOR #1 8 SLT-CVD BLUNT 6.5MM CREGO Inpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$117	$82.15	$38.73 – $2,385	—
ELEVATOR #1 8 SLT-CVD BLUNT 6.5MM CREGO Outpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$117	$82.15	$38.73 – $2,385	—
Esophgl Motil W/ Stimulation/Perfusion - Motility Study Esophageal Outpatient	University of Illinois Hospital and Clinics (UI Health)	91013 CPT	$2,955	$2,069	$878 – $5,766	—
ESTROGENS CONJUGATED 0.625 MG/GM VA CREA Inpatient	University of Illinois Hospital and Clinics (UI Health)	2500000005 HCPCS	$1,340	$938	$30.00 – $2,385	—
ESTROGENS CONJUGATED 0.625 MG/GM VA CREA Outpatient	University of Illinois Hospital and Clinics (UI Health)	2500000005 HCPCS	$1,340	$938	$30.00 – $2,385	—
Excision of Bone Mandible Outpatient	University of Illinois Hospital and Clinics (UI Health)	21025 CPT	$15,202	$10,641	$1,356 – $15,202	—
Extended Myositis Panel Ej (Glycyl-Trna Synthetase) Antibody Inpatient	University of Illinois Hospital and Clinics (UI Health)	83516 CPT	$35.00	$24.50	$11.55 – $76.00	—
Extended Myositis Panel Ej (Glycyl-Trna Synthetase) Antibody Outpatient	University of Illinois Hospital and Clinics (UI Health)	83516 CPT	$35.00	$24.50	$11.29 – $76.00	—
Extended Myositis Panel P155/140 Antibody Inpatient	University of Illinois Hospital and Clinics (UI Health)	83516 CPT	$35.00	$24.50	$11.55 – $76.00	—
Extended Myositis Panel P155/140 Antibody Outpatient	University of Illinois Hospital and Clinics (UI Health)	83516 CPT	$35.00	$24.50	$11.29 – $76.00	—
Extended Myositis Panel Pl-12 (Alanyl-Trna Synthetase) Antibody Inpatient	University of Illinois Hospital and Clinics (UI Health)	83516 CPT	$35.00	$24.50	$11.55 – $76.00	—
Extended Myositis Panel Pl-12 (Alanyl-Trna Synthetase) Antibody Outpatient	University of Illinois Hospital and Clinics (UI Health)	83516 CPT	$35.00	$24.50	$11.29 – $76.00	—