Imagine Health: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Imagine Health appears in disclosed negotiated rates across 1 hospital and 37 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.

37 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	—
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	—
AMPUTATION OF LOWER LIMB EXCEPT TOES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	305-4 APR-DRG	$131,632	$92,142	$900 – $125,050	—
BIPOLAR SEALER DIVIDER MARYLAND 37CM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	67373 LOCAL	$1,256	$880	$214 – $8,500	—
CARDIAC ARREST AND SHOCK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	196-1 APR-DRG	$32,560	$22,792	$900 – $30,932	—
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	303-4 APR-DRG	$644,214	$450,950	$900 – $612,004	—
ESCITALOPRAM 5 MG TABLET Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	68001-591-00 NDC	$29.68	$20.78	$10.98 – $3,678	—
ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	67684-1901-2 NDC	$2,942	$2,059	$500 – $8,500	—
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	950-3 APR-DRG	$452,180	$316,526	$900 – $429,571	—
FRACTURES AND DISLOCATIONS EXCEPT FEMUR PELVIS AND BACK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	342-2 APR-DRG	$17,822	$12,476	$900 – $16,931	—
H ADD TO LOW EXT BEL KNEE THIGH LACER GLUT/ISCHIAL MUSCLE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	9175553 CDM	$760	$532	$281 – $2,656	—
H CLTX FX GRT TOE PHLX/PHLG W/O MANJ Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	5128490 CDM	$401	$281	$148 – $3,678	—
H MR LOWER EXTREM NONJOINT W CONTRA Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	7114036 CDM	$5,165	$3,616	$878 – $8,500	—
H QUANTITATIVE ASSAY DRUG Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8611074 CDM	$251	$176	$42.67 – $8,500	—
INBORN ERRORS OF METABOLISM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	423-4 APR-DRG	$494,980	$346,486	$900 – $470,231	—
INSERTION REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	176-2 APR-DRG	$189,142	$132,399	$900 – $179,685	—
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	951-1 APR-DRG	$81,086	$56,760	$900 – $77,032	—
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	793-2 APR-DRG	$60,109	$42,076	$900 – $57,104	—
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	636-2 APR-DRG	$76,047	$53,233	$900 – $72,245	—
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	633-1 APR-DRG	$91,451	$64,016	$900 – $86,878	—
OTHER GASTROENTERITIS NAUSEA AND VOMITING Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	249-1 APR-DRG	$24,915	$17,440	$900 – $23,669	—
OTHER KIDNEY URINARY TRACT AND RELATED PROCEDURES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	447-3 APR-DRG	$187,544	$131,280	$900 – $178,166	—
OTHER MENTAL HEALTH DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	760-4 APR-DRG	$29,116	$20,381	$900 – $27,660	—
OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	385-1 APR-DRG	$27,066	$18,946	$900 – $25,713	—
PENIS TESTES AND SCROTAL PROCEDURES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	483-2 APR-DRG	$84,885	$59,420	$900 – $80,641	—