Unicare: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Unicare appears in disclosed negotiated rates across 1 hospital and 67 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.

67 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ABORTION WITHOUT D&C ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	564-1 APR-DRG	—	—	$900 – $3,678	—
ACUTE BRONCHITIS AND RELATED SYMPTOMS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	145-3 APR-DRG	$93,755	$65,629	$900 – $89,067	—
ACUTE LEUKEMIA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	690-4 APR-DRG	$381,397	$266,978	$900 – $362,327	—
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	755-4 APR-DRG	—	—	$900 – $7,799	—
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	198-2 APR-DRG	—	—	$900 – $3,779	—
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	234-2 APR-DRG	$113,849	$79,695	$900 – $108,157	—
BEHAVIORAL DISORDERS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	758-3 APR-DRG	$415,128	$290,589	$900 – $394,371	—
BUTTON GASTROSTOMY SECUR-LOK 14FR 1.0CM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	10702 LOCAL	$439	$307	$162 – $3,678	—
CANNISTER PENUMBRA SUCT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	55403 LOCAL	$1,440	$1,008	$533 – $3,678	—
CARDIAC ARREST AND SHOCK Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	196-1 APR-DRG	$32,560	$22,792	$900 – $30,932	—
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	—
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	—
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	—
DIGESTIVE MALIGNANCY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	240-1 APR-DRG	—	—	$900 – $4,794	—
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	517-4 APR-DRG	—	—	$900 – $16,859	—
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	—
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	514-1 APR-DRG	—	—	$900 – $5,327	—
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0409-9094-16 NDC	$74.66	$52.26	$12.69 – $8,500	—
FRACTURE OF FEMUR Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	340-2 APR-DRG	$29,602	$20,721	$900 – $28,122	—
H 76377 RECONST 3D W POSTPRO Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	7115426 CDM	$2,014	$1,410	$342 – $8,500	—
H CALCIUM URINE RANDOM Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8610215 CDM	$161	$113	$27.37 – $8,500	—
H EEG AWAKE AND ASLEEP Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	9118005 CDM	$1,625	$1,138	$276 – $8,500	—
H MR UPPER EXTREM NON JOINT W CONTRAST Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	7114030 CDM	$5,025	$3,518	$854 – $8,500	—
H UREA NITROGEN QUANT BF Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	8310008 CDM	$138	$96.60	$51.06 – $3,678	—