UI Health: disclosed hospital rates

iDirect answer

Based on the published hospital price files, UI Health appears in disclosed negotiated rates across 1 hospital and 99 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.

99 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	755-1 APR-DRG	$41,581	$29,107	$900 – $39,502	—
ALCOHOL ABUSE AND DEPENDENCE Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	775-3 APR-DRG	$18,945	$13,261	$900 – $17,998	—
ALLERGIC REACTIONS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	811-1 APR-DRG	$15,443	$10,810	$900 – $14,671	—
BALLN ADVANCE LP 8MM 4CM 0.035 80CM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55769 LOCAL	$376	$263	$139 – $3,678	—
BIPOLAR DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	753-1 APR-DRG	$41,712	$29,198	$900 – $39,626	—
BIPOLAR DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	753-2 APR-DRG	$81,962	$57,373	$900 – $77,864	—
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	132-2 APR-DRG	$39,490	$27,643	$900 – $37,515	—
BUTTON GASTROSTOMY SECUR-LOK 14FR 1.2CM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	10704 LOCAL	$439	$307	$162 – $3,678	—
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0517-6710-01 NDC	$117	$82.12	$43.40 – $3,678	—
CARDIAC ARREST AND SHOCK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	196-3 APR-DRG	$30,101	$21,071	$900 – $28,596	—
CARDIAC STRUCTURAL AND VALVULAR DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	200-4 APR-DRG	$1,059,768	$741,838	$900 – $1,006,780	—
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	—
CETIRIZINE 1 MG/ML ORAL SOLUTION Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	68094-004-59 NDC	$89.35	$62.54	$33.06 – $3,678	—
COIL PV-14-30-HELIX Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55844 LOCAL	$3,000	$2,100	$900 – $2,850	—
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	057-3 APR-DRG	$42,657	$29,860	$900 – $40,524	—
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	—
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	—
DENTAL DISEASES AND DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	114-1 APR-DRG	$24,664	$17,265	$900 – $23,431	—
DIABETES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	420-2 APR-DRG	$40,200	$28,140	$900 – $38,190	—
DISORDERS OF GALLBLADDER AND BILIARY TRACT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	284-4 APR-DRG	$39,999	$27,999	$900 – $37,999	—
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	304-3 APR-DRG	$818,360	$572,852	$900 – $777,442	—
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	303-3 APR-DRG	$571,381	$399,967	$900 – $542,812	—
EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL MALIGNANCIES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	110-2 APR-DRG	$159,085	$111,359	$900 – $151,131	—
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	792-2 APR-DRG	$271,508	$190,056	$900 – $257,933	—