Swedish Covenant Physician Partners: disclosed hospital rates

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Based on the published hospital price files, Swedish Covenant Physician Partners appears in disclosed negotiated rates across 1 hospital and 94 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.

94 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	11822-3096-80 NDC	$0.77	$0.54	$0.13 – $8,500	—
ACUTE KIDNEY INJURY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	469-1 APR-DRG	$34,365	$24,056	$900 – $32,647	—
ACUTE LEUKEMIA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	690-4 APR-DRG	$381,397	$266,978	$900 – $362,327	—
ADRENAL PROCEDURES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	401-2 APR-DRG	$184,498	$129,149	$900 – $175,273	—
ALLERGIC REACTIONS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	811-1 APR-DRG	$15,443	$10,810	$900 – $14,671	—
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	—
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	234-1 APR-DRG	$72,195	$50,536	$900 – $68,585	—
APREPITANT 40 MG CAPSULE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0781-2321-06 NDC	$46.91	$32.84	$17.36 – $3,678	—
AUTOLOGOUS BONE MARROW TRANSPLANT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	008-4 APR-DRG	$716,776	$501,743	$900 – $680,937	—
BIPOLAR DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	753-3 APR-DRG	$65,872	$46,110	$900 – $62,578	—
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	—
CATH BLNDIL SM 3MM 137CM 1.5CM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	56179 LOCAL	$2,900	$2,030	$900 – $3,678	—
CATH INDIGO THROMECTOMY 12FR 100CM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55407 LOCAL	$26,760	$18,732	$900 – $25,422	—
CATH MICRO INFUSION 2.4FR .021IN 130CM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	52380 LOCAL	$2,900	$2,030	$493 – $8,500	—
CATH URET STIFFEN PED 3FR Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	1772 LOCAL	$80.36	$56.25	$29.73 – $3,678	—
CONTUSION OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	384-1 APR-DRG	$42,875	$30,012	$900 – $40,731	—
COVID VAC 2023-24 (6MO-11YR)(ANDUSOM)(PF) 25 MCG/0.25 ML IM SUSP (EUA) Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	80777-287-07 NDC	$234	$164	$39.72 – $8,500	—
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	045-2 APR-DRG	$117,406	$82,184	$900 – $111,535	—
DEFIBRILLATOR IMPLANTS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	179-2 APR-DRG	$292,241	$204,568	$900 – $277,629	—
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	042-1 APR-DRG	$50,040	$35,028	$900 – $47,538	—
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	—
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	009-3 APR-DRG	$1,325,335	$927,735	$900 – $1,259,068	—
EYE INFECTIONS AND OTHER EYE DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	082-2 APR-DRG	$45,951	$32,165	$900 – $43,653	—
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	314-2 APR-DRG	$108,474	$75,932	$900 – $103,050	—