Shriners Hospital: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Shriners Hospital appears in disclosed negotiated rates across 1 hospital and 64 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.

64 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ACUTE ANXIETY AND DELIRIUM STATES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	756-2 APR-DRG	$56,798	$39,759	$900 – $53,958	—
ALLERGIC REACTIONS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	811-3 APR-DRG	$57,501	$40,251	$900 – $54,626	—
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	—
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	—
AUTOLOGOUS BONE MARROW TRANSPLANT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	008-3 APR-DRG	$583,012	$408,108	$900 – $553,861	—
BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10000 UNIT/GRAM TOPICAL OINTMENT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	1093-95-6833 NDC	$15.37	$10.76	$5.69 – $3,678	—
CHEST PAIN Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	203-2 APR-DRG	$28,557	$19,990	$900 – $27,129	—
CYSTIC FIBROSIS - PULMONARY DISEASE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	131-3 APR-DRG	$203,975	$142,783	$900 – $193,776	—
DISORDERS OF PERSONALITY AND IMPULSE CONTROL Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	752-2 APR-DRG	$48,250	$33,775	$900 – $45,837	—
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	304-2 APR-DRG	$418,787	$293,151	$900 – $397,847	—
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	—
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	—
FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20% - 5 ML SYRINGE Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	63323-820-03 NDC	$258	$181	$43.90 – $8,500	—
GASTROINTESTINAL VASCULAR INSUFFICIENCY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	246-3 APR-DRG	$325,704	$227,992	$900 – $309,418	—
H HSV 1/2 ANTIBODY SCREEN IGG CSF Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8979208 CDM	$300	$210	$51.00 – $8,500	—
H IR 52310 CYSTO REMOVAL FOREIGN BODY CALCULUS/STENT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	7115291 CDM	$2,371	$1,660	$877 – $3,678	—
H MOL PATH PROC UNLISTED_MLDSEQ Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8611048 CDM	$2,500	$1,750	$94.00 – $8,500	—
H SD EXT PWR MYO CNTRL MECH ELBOW Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	9175287 CDM	$25,490	$17,843	$4,333 – $24,216	—
HERNIA PROCEDURES EXCEPT INGUINAL FEMORAL AND UMBILICAL Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	227-3 APR-DRG	$88,303	$61,812	$900 – $83,888	—
HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0009-0011-04 NDC	$149	$105	$25.40 – $8,500	—
INSERTION REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	176-3 APR-DRG	$155,502	$108,851	$900 – $147,727	—
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	817-2 APR-DRG	$28,950	$20,265	$900 – $27,502	—
INTESTINAL OBSTRUCTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	247-2 APR-DRG	$33,427	$23,399	$900 – $31,755	—
KIDNEY AND URINARY TRACT INFECTIONS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	463-1 APR-DRG	$27,157	$19,010	$900 – $25,799	—
MAJOR BILIARY TRACT PROCEDURES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	261-3 APR-DRG	$244,380	$171,066	$900 – $232,161	—