Independent Physicians at Mercy: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Independent Physicians at Mercy appears in disclosed negotiated rates across 1 hospital and 111 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.

111 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ABDOMINAL PAIN Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	251-2 APR-DRG	$21,545	$15,082	$900 – $20,468	—
ACUTE ANXIETY AND DELIRIUM STATES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	756-3 APR-DRG	$29,978	$20,985	$900 – $28,479	—
ACUTE BRONCHITIS AND RELATED SYMPTOMS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	145-2 APR-DRG	$14,216	$9,951	$900 – $13,506	—
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	—
ADRENAL PROCEDURES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	401-1 APR-DRG	$191,498	$134,048	$900 – $181,923	—
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	233-2 APR-DRG	$97,133	$67,993	$900 – $92,276	—
ASTHMA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	141-1 APR-DRG	$26,356	$18,449	$900 – $25,038	—
BEHAVIORAL DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	758-3 APR-DRG	$415,128	$290,589	$900 – $394,371	—
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	132-2 APR-DRG	$39,490	$27,643	$900 – $37,515	—
BUTTON GASTROSTOMY MINI 14FR 3.0CM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	35699 LOCAL	$364	$255	$61.88 – $8,500	—
BUTTON GASTROSTOMY MINI ENFIT 12FR 2.0CM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	56310 LOCAL	$376	$263	$139 – $3,678	—
CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1250 MG/5 ML) ORAL SUSPENSION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0054-31-1763 NDC	$76.10	$53.27	$28.16 – $3,678	—
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	201-3 APR-DRG	$94,349	$66,044	$900 – $89,631	—
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	162-4 APR-DRG	$1,945,095	$1,361,566	$900 – $1,847,840	—
CATH BALLN DILATATION TYSHAK MINI 10MM 4MM 65MM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55106 LOCAL	$2,228	$1,560	$379 – $8,500	—
CATH BALLN OCCLUSION 7FR 100CM LATEX FREE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	51658 LOCAL	$1,166	$816	$431 – $3,678	—
CLEFT LIP AND PALATE REPAIR Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	095-2 APR-DRG	$64,829	$45,380	$900 – $61,587	—
COIL EMBOLIZATION BARRICADE 5MM 10CM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	56386 LOCAL	$2,780	$1,946	$900 – $2,656	—
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	131-4 APR-DRG	$472,237	$330,566	$900 – $448,625	—
DENTAL DISEASES AND DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	114-1 APR-DRG	$24,664	$17,265	$900 – $23,431	—
DENTAL DISEASES AND DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	114-4 APR-DRG	$67,950	$47,565	$900 – $64,553	—
DIABETES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	420-1 APR-DRG	$39,500	$27,650	$900 – $37,525	—
DIGESTIVE MALIGNANCY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	240-3 APR-DRG	$125,531	$87,872	$900 – $119,254	—