Swedish American: disclosed hospital rates

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Based on the published hospital price files, Swedish American appears in disclosed negotiated rates across 1 hospital and 37 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.

37 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
BRONCHOSCOPE DISP 1.2 X 3.3MM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	57164 LOCAL	$1,000	$700	$370 – $3,678	—
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	162-2 APR-DRG	$778,974	$545,282	$900 – $740,025	—
CATH BALLN DILATATION 6MM 20MM 135C Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55346 LOCAL	$1,600	$1,120	$592 – $3,678	—
CATH MALECOT SUPRAPUBIC SIL 8FR Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	1046 LOCAL	$391	$274	$66.52 – $8,500	—
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	—
DIABETES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	420-1 APR-DRG	$39,500	$27,650	$900 – $37,525	—
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	72266-146-01 NDC	$141	$99.01	$52.34 – $3,678	—
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	—
EYE INFECTIONS AND OTHER EYE DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	082-1 APR-DRG	$41,027	$28,719	$900 – $38,975	—
H ANTIBODY WEST NILE VIRUS IGM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8610982 CDM	$158	$111	$26.86 – $8,500	—
H CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	5125565 CDM	$1,665	$1,166	$283 – $14,756	—
INTRODUCER SHEATH 8.5FR 50MM 71CM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	56395 LOCAL	$3,839	$2,687	$653 – $8,500	—
INTRODUCER SHEATH ADLT 7FR 60CM 67CM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55693 LOCAL	$84.00	$58.80	$31.08 – $3,678	—
KIDNEY AND URINARY TRACT MALIGNANCY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	461-2 APR-DRG	$94,467	$66,127	$900 – $89,744	—
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0904-0788-16 NDC	$30.24	$21.17	$5.14 – $8,500	—
MAJOR PANCREAS LIVER AND SHUNT PROCEDURES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	260-3 APR-DRG	$423,381	$296,366	$900 – $402,212	—
MALNUTRITION FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	421-2 APR-DRG	$68,301	$47,811	$900 – $64,886	—
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	793-2 APR-DRG	$60,109	$42,076	$900 – $57,104	—
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	930-3 APR-DRG	$30,608	$21,426	$900 – $29,078	—
NEONATAL AFTERCARE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	863-4 APR-DRG	$305,800	$214,060	$900 – $290,510	—
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	633-1 APR-DRG	$91,451	$64,016	$900 – $86,878	—
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	634-1 APR-DRG	$104,438	$73,107	$900 – $99,216	—
NEPHRITIS AND NEPHROSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	462-1 APR-DRG	$40,259	$28,182	$900 – $38,246	—
OTHER O.R. PROCEDURES FOR LYMPHATIC HEMATOPOIETIC OR OTHER NEOPLASMS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	681-2 APR-DRG	$96,063	$67,244	$900 – $91,260	—
OTHER AFTERCARE AND CONVALESCENCE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	862-2 APR-DRG	$30,781	$21,546	$900 – $29,242	—