THE ALLIANCE [1703]: disclosed hospital rates

iDirect answer

Based on the published hospital price files, THE ALLIANCE [1703] appears in disclosed negotiated rates across 2 hospitals and 278 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.

278 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
1 Stg Dstl Hypospadias Rpr W/Urtp Skin Flaps Outpatient	Northwestern Medicine Central DuPage Hospital	54324 CPT	$44,492	$31,144	—	—
1.5MM TI CORTEX SCREW SELF-TAPPING 6MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$733	$513	$122 – $733	—
1.5MM TI CORTEX SCREW SELF-TAPPING 6MM Outpatient	Northwestern Medicine Central DuPage Hospital	C1713 HCPCS	$687	$481	$47.42 – $687	—
105MM PRE BENT SPHERX ROD Outpatient	Northwestern Medicine Lake Forest Hospital	C1889 HCPCS	$3,069	$2,148	$509 – $3,069	—
105MM PRE BENT SPHERX ROD Outpatient	Northwestern Medicine Central DuPage Hospital	C1889 HCPCS	$4,334	$3,034	$299 – $4,334	—
16MM X10 CROSSLINK FIXED Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$3,332	$2,332	$553 – $3,332	—
2.4MM VA-LCP VOLAR RIM DSTL RAD PLT 6H HD 5H SHAFT RT Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$7,653	$5,357	$1,270 – $7,653	—
2.7MM CORT SCR SELF-TAP SMALL HEX 12MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$197	$138	$32.75 – $197	—
2.7MM CORT SCR SELF-TAP SMALL HEX 42MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$197	$138	$32.75 – $197	—
21GA X 15CM NEEDLE PERC ENTRY ECHOTP W/O BASEPLT Outpatient	Northwestern Medicine Lake Forest Hospital	SUP-150868 CDM	$25.34	$17.74	$4.21 – $25.34	—
21GA X 15CM NEEDLE PERC ENTRY ECHOTP W/O BASEPLT Outpatient	Northwestern Medicine Central DuPage Hospital	SUP-150868 CDM	$34.58	$24.21	$4.94 – $34.58	—
25G RETROBULBAR NEEDLE Outpatient	Northwestern Medicine Lake Forest Hospital	SUP-348208 CDM	$17.54	$12.28	$2.91 – $17.54	—
25MM X10 CROSSLINK FIXED Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$3,332	$2,332	$553 – $3,332	—
3.2MM TITANIUM ROD 240MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$1,041	$729	$173 – $1,041	—
3.2MM TITANIUM ROD 240MM Outpatient	Northwestern Medicine Central DuPage Hospital	C1713 HCPCS	$2,302	$1,612	$159 – $2,302	—
3.5MM CANN SCR FULL THD 34MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$1,543	$1,080	$256 – $1,543	—
3.5MM CANN SCR PARTIAL THD 18MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$1,543	$1,080	$256 – $1,543	—
3D THREAD SCRW 5.5MMX45 TI Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$3,481	$2,437	$578 – $3,481	—
4.0 X 15 SELF-DRILL FIX SCREW Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$833	$583	$138 – $833	—
4.0MM CANC SCR SMALL HEX 32MM FULLY THD Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$195	$137	$32.39 – $195	—
4.0MM CANN SCR 1/3 THD 10MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$1,640	$1,148	$272 – $1,640	—
4.0MM CANN SCR 1/3 THD 26MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$1,640	$1,148	$272 – $1,640	—
4.0MM CANN SCRW-LONG THRD 52MM Outpatient	Northwestern Medicine Lake Forest Hospital	C1713 HCPCS	$1,096	$767	$182 – $1,096	—
4.5X15MM PK PAPYRUS COVERED STENT Outpatient	Northwestern Medicine Lake Forest Hospital	C1874 HCPCS	$23,675	$16,573	$3,930 – $23,675	—
4.5X15MM PK PAPYRUS COVERED STENT Outpatient	Northwestern Medicine Central DuPage Hospital	C1874 HCPCS	$32,308	$22,616	$2,229 – $32,308	—