La Rabida Childrens Hospital: disclosed hospital rates

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Based on the published hospital price files, La Rabida Childrens Hospital appears in disclosed negotiated rates across 1 hospital and 112 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.

112 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ACETAMINOPHEN 1000 MG/100 ML (10 MG/ML) CV INTRAVENOUS SOLUTION Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	24201-100-01 NDC	$4.25	$2.97	$0.72 – $8,500	—
ACUTE LEUKEMIA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	690-2 APR-DRG	$194,475	$136,133	$900 – $184,751	—
ALLERGIC REACTIONS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	811-1 APR-DRG	$15,443	$10,810	$900 – $14,671	—
ASCORBIC ACID/PLACEBO 500 MG/ML INJECTION SOLUTION (STUDY 2021-4452) Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	99909-0374-00 NDC	$65.91	$46.14	$24.39 – $3,678	—
ATENOLOL 25 MG TABLET Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	60687-605-11 NDC	$1.58	$1.11	$0.58 – $3,678	—
BIPOLAR DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	753-3 APR-DRG	$65,872	$46,110	$900 – $62,578	—
BURANSPACHMICRO DIAMOND 0.5MM (MCA5-05SD) Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	30027 LOCAL	$1,000	$700	$170 – $8,500	—
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	192-2 APR-DRG	$85,580	$59,906	$900 – $81,301	—
CARDIOMYOPATHY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	205-1 APR-DRG	$66,039	$46,227	$900 – $62,737	—
CATH ABLATION 9FR 8MM 90CM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	56478 LOCAL	$7,600	$5,320	$1,292 – $8,500	—
CATH BLNDIL LOPRO 3.9 4.7FR 7MM 150CM 30MM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	62628 LOCAL	$600	$420	$222 – $3,678	—
CATH EVD VENTRICULAR STD Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	10695 LOCAL	$486	$340	$180 – $2,656	—
CEFEPIME 2 GRAM SOLUTION FOR INJECTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	60505-6147-0 NDC	$99.26	$69.48	$36.73 – $3,678	—
CHRONIC KIDNEY DISEASE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	470-2 APR-DRG	$47,980	$33,586	$900 – $45,581	—
CHRONIC KIDNEY DISEASE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	470-3 APR-DRG	$118,514	$82,960	$900 – $112,589	—
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 MRERY Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55301 LOCAL	$331	$231	$56.21 – $314	—
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	—
CORTICAL CANCELLOUS GRANULES 30CC Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	945 LOCAL	$1,472	$1,030	$250 – $1,398	—
CUTTING LOOPANGLED 19/22FR Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	37999 LOCAL	$415	$290	$70.52 – $8,500	—
DEFIBRILLATOR IMPLANTS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	179-2 APR-DRG	$292,241	$204,568	$900 – $277,629	—
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	—
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	754-1 APR-DRG	$42,384	$29,669	$900 – $40,265	—
DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0574-0850-10 NDC	$368	$258	$136 – $3,678	—
DISORDERS OF PANCREAS EXCEPT MALIGNANCY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	282-2 APR-DRG	$69,117	$48,382	$900 – $65,661	—