West Suburban Health Providers: disclosed hospital rates

iDirect answer

Based on the published hospital price files, West Suburban Health Providers appears in disclosed negotiated rates across 2 hospitals and 154 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.

154 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
10-0 ETHILON BLACK 1X5 V75-3 Inpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$105	$73.79	$34.79 – $2,385	—
10-0 ETHILON BLACK 1X5 V75-3 Outpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$105	$73.79	$34.79 – $2,385	—
ACUTE KIDNEY INJURY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	469-1 APR-DRG	$34,365	$24,056	$900 – $32,647	—
ALLOGENEIC BONE MARROW TRANSPLANT Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	007-4 APR-DRG	$2,669,547	$1,868,683	$900 – $2,536,069	—
ARTIFASCIA DURA SUBSTITUTE 2.75 X 2.75 (7CM X 7CM) Inpatient	University of Illinois Hospital and Clinics (UI Health)	C1889 HCPCS	$5,513	$3,859	$1,929 – $5,513	—
ARTIFASCIA DURA SUBSTITUTE 2.75 X 2.75 (7CM X 7CM) Outpatient	University of Illinois Hospital and Clinics (UI Health)	C1889 HCPCS	$5,513	$3,859	$1,819 – $5,513	—
ASPIRATOR 3-HOLE 6 NDLE Inpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$485	$339	$170 – $485	—
ASPIRATOR 3-HOLE 6 NDLE Outpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$485	$339	$160 – $485	—
ASPIRATOR KIT 1-HOLE 4 NDLE Inpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$555	$388	$194 – $555	—
ASPIRATOR KIT 1-HOLE 4 NDLE Outpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$555	$388	$183 – $555	—
ASPIRATOR KIT 3-HOLE 4 NDLE Inpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$555	$388	$194 – $555	—
ASPIRATOR KIT 3-HOLE 4 NDLE Outpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$555	$388	$183 – $555	—
ASPIRATOR KIT 3-HOLE 6 NDLE Inpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$555	$388	$194 – $555	—
ASPIRATOR KIT 3-HOLE 6 NDLE Outpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$555	$388	$183 – $555	—
ASPIRATOR NEEDLE 1 HOLE 4 Inpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$485	$339	$170 – $485	—
ASPIRATOR NEEDLE 1 HOLE 4 Outpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$485	$339	$160 – $485	—
ASPIRATOR NEEDLE 3 HOLE 4 Inpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$485	$339	$170 – $485	—
ASPIRATOR NEEDLE 3 HOLE 4 Outpatient	University of Illinois Hospital and Clinics (UI Health)	C9362 HCPCS	$485	$339	$160 – $485	—
ASTATO XS 40 PERIPHERAL GUIDE WIRE 200CM 0.014 Inpatient	University of Illinois Hospital and Clinics (UI Health)	C1769 HCPCS	$2,800	$1,960	$924 – $2,800	—
ASTATO XS 40 PERIPHERAL GUIDE WIRE 200CM 0.014 Outpatient	University of Illinois Hospital and Clinics (UI Health)	C1769 HCPCS	$2,800	$1,960	$924 – $2,800	—
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	049-1 APR-DRG	$104,511	$73,158	$900 – $99,285	—
BRACE FEMUR FX DF2 LT KNEE SMALL Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	67624 LOCAL	$10,000	$7,000	$1,700 – $9,500	—
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE Outpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	0517-6710-01 NDC	$198	$139	$33.69 – $8,500	—
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	—
CLEAR MATERIAL 7.0MM DISTANCE FROM ENDOSCOPE DISTAL END 2 DRAINS STERILE SINGLE USE OUTSIDE DIAMETER 12.4MM DISTAL END DIAMETER OF COMPATIBLE ENDOSCOPES 10.5MM - 11.1MM Inpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$172	$120	$56.60 – $2,385	—