Health Smart: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Health Smart appears in disclosed negotiated rates across 1 hospital and 7 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.

7 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ANTITHYMOCYTE GLOBULIN (EQUINE)/PLACEBO 50 MG/ML INTRAVENOUS SOLUTION (STUDY 2022-4917) Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	99909-0230-00 NDC	$18.59	$13.01	$3.16 – $8,500	—
CATH ANGIO BENTSON 5FR 100CM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55724 LOCAL	$204	$143	$34.68 – $8,500	—
H AURAL HABILITATION THERAPY PRELINGUAL PER 15MIN Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	9111802 CDM	$158	$111	$26.86 – $8,500	—
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0409-9158-01 NDC	$67.97	$47.58	$11.55 – $8,500	—
PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0006-4837-01 NDC	$218	$153	$37.14 – $8,500	—
SCREW6.5MM X 95MM SS Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	12715 LOCAL	$139	$97.38	$23.65 – $132	—
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55150-370-25 NDC	$22.84	$15.99	$3.88 – $8,500	—