Longevity Health Plan: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Longevity Health Plan appears in disclosed negotiated rates across 1 hospital and 22 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.

22 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Extended Myositis Panel Ej (Glycyl-Trna Synthetase) Antibody Outpatient	University of Illinois Hospital and Clinics (UI Health)	83516 CPT	$35.00	$24.50	$11.29 – $76.00	—
Extended Myositis Panel P155/140 Antibody Outpatient	University of Illinois Hospital and Clinics (UI Health)	83516 CPT	$35.00	$24.50	$11.29 – $76.00	—
Extended Myositis Panel Pl-12 (Alanyl-Trna Synthetase) Antibody Outpatient	University of Illinois Hospital and Clinics (UI Health)	83516 CPT	$35.00	$24.50	$11.29 – $76.00	—
Extended Myositis Panel Pl-7 (Threonyl-Trna Synthetase) Antibody Outpatient	University of Illinois Hospital and Clinics (UI Health)	83516 CPT	$35.00	$24.50	$11.29 – $76.00	—
HC 13 Beta D Glucan Outpatient	University of Illinois Hospital and Clinics (UI Health)	87449 CPT	$573	$401	$11.73 – $573	—
HC 23-Dinor-11 Beta-Prostaglandin F2 Alpha Urine Outpatient	University of Illinois Hospital and Clinics (UI Health)	84150 CPT	$375	$263	$40.89 – $375	—
HC 23-Dinor-11 Beta-Prostaglandin F2 Alpha Urine Creatine Outpatient	University of Illinois Hospital and Clinics (UI Health)	82570 CPT	$90.00	$63.00	$5.07 – $90.00	—
HC A1a Genotype With Reflex to Phenotype (Serpina1) Gene Analysis Outpatient	University of Illinois Hospital and Clinics (UI Health)	81332 CPT	$340	$238	$42.73 – $340	—
HC A1a Genotype With Reflex to Phenotype Alpha-1-Antitrypsin Total Outpatient	University of Illinois Hospital and Clinics (UI Health)	82103 CPT	$132	$92.40	$13.16 – $132	—
HC A1a Genotype With Reflex to Phenotype Reflex Alpha-1-Antitrypsin; Phenotype Outpatient	University of Illinois Hospital and Clinics (UI Health)	82104 CPT	$81.00	$56.70	$14.16 – $81.00	—
HC Absolute Cd4 and Cd8 Count and Cd4/8 Ratio Outpatient	University of Illinois Hospital and Clinics (UI Health)	86360 CPT	$369	$258	$45.99 – $369	—
HC Acetone Quantitative Outpatient	University of Illinois Hospital and Clinics (UI Health)	82010 CPT	$80.00	$56.00	$8.00 – $80.00	—
HC Acid Alpha Glucosidase Bld Spt Outpatient	University of Illinois Hospital and Clinics (UI Health)	82657 CPT	$1,019	$713	$21.70 – $1,019	—
HC Acid-Fast Bacillus (Afb) Culture and Afb Stain Urine Only Outpatient	University of Illinois Hospital and Clinics (UI Health)	87116 CPT	$103	$72.10	$10.57 – $103	—
HC AcylcarnitinesQuantEach Spec - Acylcarnitines Urine Quant Outpatient	University of Illinois Hospital and Clinics (UI Health)	82017 CPT	$792	$554	$16.52 – $792	—
HC Acylglycines Quantitative Urine Outpatient	University of Illinois Hospital and Clinics (UI Health)	82542 CPT	$399	$279	$22.54 – $399	—
HC AcylglycinesQuant Urine Outpatient	University of Illinois Hospital and Clinics (UI Health)	82542 CPT	$431	$302	$22.54 – $431	—
HC Adenosine Deaminase CSF Outpatient	University of Illinois Hospital and Clinics (UI Health)	84311 CPT	$168	$118	$7.93 – $168	—
HC Adenosine Deaminase Pleural Outpatient	University of Illinois Hospital and Clinics (UI Health)	84311 CPT	$168	$118	$7.93 – $168	—
HC Adenosine DeaminasePeritoneal Outpatient	University of Illinois Hospital and Clinics (UI Health)	84311 CPT	$168	$118	$7.93 – $168	—
HC Agna-1 CSF Outpatient	University of Illinois Hospital and Clinics (UI Health)	86255 CPT	$211	$148	$11.80 – $211	—
HC Alcohol UrineQuant Outpatient	University of Illinois Hospital and Clinics (UI Health)	80320 CPT	$160	$112	$0.01 – $160	—