FIRST HEALTH PLAN [6034]: disclosed hospital rates

iDirect answer

Based on the published hospital price files, FIRST HEALTH PLAN [6034] appears in disclosed negotiated rates across 3 hospitals and 436 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.

436 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
1 Stg Dstl Hypospadias Rpr W/Urtp Skin Flaps Outpatient	Northwestern Memorial Hospital	54324 CPT	$44,492	$31,144	—	—
1 Stg Dstl Hypospadias Rpr W/Urtp Skin Flaps Outpatient	Northwestern Medicine Central DuPage Hospital	54324 CPT	$44,492	$31,144	—	—
1.5MM LOK SCRW SLF-TPNG W T4 STARDRV RECESS 24MM Outpatient	Northwestern Memorial Hospital	C1713 HCPCS	$849	$594	$86.81 – $849	—
1.5MM TI CORTEX SCREW SELF-TAPPING 6MM Outpatient	Northwestern Memorial Hospital	C1713 HCPCS	$136	$94.98	$29.20 – $733	—
1.5MM TI CORTEX SCREW SELF-TAPPING 6MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$733	$513	$122 – $733	—
1.5MM TI CORTEX SCREW SELF-TAPPING 6MM Outpatient	Northwestern Medicine Central DuPage Hospital	C1713 HCPCS	$687	$481	$47.42 – $687	—
105MM PRE BENT SPHERX ROD Outpatient	Northwestern Memorial Hospital	C1889 HCPCS	$1,502	$1,052	$314 – $4,334	—
105MM PRE BENT SPHERX ROD Outpatient	Northwestern Medicine Lake Forest Hospital	C1889 HCPCS	$3,069	$2,148	$509 – $3,069	—
105MM PRE BENT SPHERX ROD Outpatient	Northwestern Medicine Central DuPage Hospital	C1889 HCPCS	$4,334	$3,034	$299 – $4,334	—
16MM X10 CROSSLINK FIXED Outpatient	Northwestern Memorial Hospital	C1713 HCPCS	$3,332	$2,332	$780 – $3,332	—
16MM X10 CROSSLINK FIXED Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$3,332	$2,332	$553 – $3,332	—
2.4/2.7MM VA-LOK X-PLT EXTRA SM Outpatient	Northwestern Memorial Hospital	C1713 HCPCS	$7,041	$4,929	$481 – $7,041	—
2.4MM TI CRTX SCRW ST 18MM Outpatient	Northwestern Memorial Hospital	C1713 HCPCS	$189	$132	$44.19 – $646	—
2.4MM VA-LCP VOLAR RIM DSTL RAD PLT 6H HD 5H SHAFT RT Outpatient	Northwestern Memorial Hospital	C1713 HCPCS	$2,236	$1,565	$523 – $7,653	—
2.4MM VA-LCP VOLAR RIM DSTL RAD PLT 6H HD 5H SHAFT RT Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$7,653	$5,357	$1,270 – $7,653	—
2.5 X 22MM MEDTRONIC RESOLUTE INTEGRITY RX DRUG ELUTING STENT Outpatient	Northwestern Memorial Hospital	C1874 HCPCS	$6,129	$4,290	$419 – $6,129	—
2.7MM CORT SCR SELF-TAP SMALL HEX 12MM Outpatient	Northwestern Memorial Hospital	C1713 HCPCS	$197	$138	$20.18 – $197	—
2.7MM CORT SCR SELF-TAP SMALL HEX 12MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$197	$138	$32.75 – $197	—
2.7MM CORT SCR SELF-TAP SMALL HEX 42MM Outpatient	Northwestern Memorial Hospital	C1713 HCPCS	$197	$138	$20.18 – $197	—
2.7MM CORT SCR SELF-TAP SMALL HEX 42MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$197	$138	$32.75 – $197	—
2.7MM CORTICAL SCREW ST SMALL HEX 46MM Outpatient	Northwestern Memorial Hospital	C1713 HCPCS	$197	$138	$20.18 – $197	—
2.7MM METAPHYSEAL SCR SLF-TPNG W T8 STRDRV RECESS 10MM Outpatient	Northwestern Memorial Hospital	C1713 HCPCS	$184	$129	$43.15 – $737	—
21GA X 15CM NEEDLE PERC ENTRY ECHOTP W/O BASEPLT Outpatient	Northwestern Memorial Hospital	SUP-150868 CDM	$12.41	$8.69	$1.62 – $34.58	—
21GA X 15CM NEEDLE PERC ENTRY ECHOTP W/O BASEPLT Outpatient	Northwestern Medicine Lake Forest Hospital	SUP-150868 CDM	$25.34	$17.74	$4.21 – $25.34	—
21GA X 15CM NEEDLE PERC ENTRY ECHOTP W/O BASEPLT Outpatient	Northwestern Medicine Central DuPage Hospital	SUP-150868 CDM	$34.58	$24.21	$4.94 – $34.58	—