Principal Healthcare: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Principal Healthcare appears in disclosed negotiated rates across 1 hospital and 49 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.

49 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ADRENAL PROCEDURES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	401-2 APR-DRG	$184,498	$129,149	$900 – $175,273	—
BONE CEMENT 180GM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	53275 LOCAL	$356	$249	$132 – $2,656	—
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	163-2 APR-DRG	$478,890	$335,223	$900 – $454,946	—
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0143-9983-91 NDC	$49.45	$34.62	$18.30 – $3,678	—
CELLULITIS AND OTHER SKIN INFECTIONS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	383-3 APR-DRG	$69,630	$48,741	$900 – $66,148	—
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	011-3 APR-DRG	$1,868,916	$1,308,241	$900 – $1,775,470	—
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	—
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	—
EXPANDEROSMED HYDROGEL Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	33968 LOCAL	$2,380	$1,666	$405 – $2,261	—
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	009-4 APR-DRG	$2,510,661	$1,757,463	$900 – $2,385,128	—
EYE INFECTIONS AND OTHER EYE DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	082-3 APR-DRG	$135,067	$94,547	$900 – $128,314	—
FEVER AND INFLAMMATORY CONDITIONS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	722-3 APR-DRG	$72,637	$50,846	$900 – $69,005	—
FOOT AND TOE PROCEDURES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	314-4 APR-DRG	$96,737	$67,716	$900 – $91,900	—
FORCEP PINNACLE FOREIGN BODY 19G Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	53123 LOCAL	$404	$282	$68.61 – $8,500	—
GUIDEWIRE ANGLE .025 150CM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	37890 LOCAL	$433	$303	$73.66 – $8,500	—
H 61070 PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	7115448 CDM	$1,469	$1,028	$544 – $3,678	—
H ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8610914 CDM	$210	$147	$77.70 – $3,678	—
H LEUKEMIA/LYMPHOMA IMMUNOPHENOTYPING FLOW CYTOMETRY CSF Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8610544 CDM	$709	$496	$262 – $3,678	—
H MOL PATH PROC T2 LV7 CNTNAP2 Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8610347 CDM	$72.00	$50.40	$26.64 – $3,678	—
H MOL PATH UNLISTED NUMEROUS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8610399 CDM	$80.00	$56.00	$29.60 – $3,678	—
H MOLECULAR CYTOGENETICS DNA PROBE CBFB Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8010264 CDM	$490	$343	$83.30 – $8,500	—
INTRACRANIAL HEMORRHAGE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	044-4 APR-DRG	$243,766	$170,636	$900 – $231,578	—
KIDNEY AND URINARY TRACT INFECTIONS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	463-2 APR-DRG	$35,850	$25,095	$900 – $34,057	—
LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0143-9595-01 NDC	$132	$92.13	$48.70 – $3,678	—
LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	001-4 APR-DRG	$3,222,953	$2,256,067	$900 – $3,061,805	—