Does Ann & Robert H Lurie Childrens Hospital of Chicago have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Ann & Robert H Lurie Childrens Hospital of Chicago. In a medical emergency, call 911.

Where is Ann & Robert H Lurie Childrens Hospital of Chicago?

225 E Chicago Ave, Box 140, Chicago, IL 60611, in Cook County, Illinois.

What is the phone number of Ann & Robert H Lurie Childrens Hospital of Chicago?

(312) 227-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Ann & Robert H Lurie Childrens Hospital of Chicago?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Ann & Robert H Lurie Childrens Hospital of Chicago

Quick answers

Does Ann & Robert H Lurie Childrens Hospital of Chicago have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Ann & Robert H Lurie Childrens Hospital of Chicago. In a medical emergency, call 911.
Where is Ann & Robert H Lurie Childrens Hospital of Chicago?: 225 E Chicago Ave, Box 140, Chicago, IL 60611, in Cook County, Illinois.
What is the phone number of Ann & Robert H Lurie Childrens Hospital of Chicago?: (312) 227-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Ann & Robert H Lurie Childrens Hospital of Chicago?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5][7][13]

Adolescent & Young Adult Medicine
Allergy & Immunology
Anesthesiology
Audiology
Cancer & Blood Disorders
Cardiology & Cardiac Surgery
Child Abuse Pediatrics
Critical Care
Dentistry
Dermatology
Developmental & Behavioral Pediatrics
Emergency Medicine
Endocrinology
ENT (Otolaryngology)
Fetal Health
Gastroenterology & GI Surgery
Genetics, Genomics & Metabolism
Infectious Diseases
Medical Imaging
Neonatology
Nephrology
Neurology
Neurosurgery
Ophthalmology
Orthopedics & Sports Medicine
Palliative Care
Plastic & Reconstructive Surgery
Primary Care Pediatrics
Psychiatry & Behavioral Health
Pulmonary Medicine
Rehabilitative Services
Rheumatology
Transplant Surgery
Urology
Neuroradiology
Occupational therapy
Physical therapy
Speech-language pathology
Orthotics and prosthetics

Conditions treated^{[6][7][12][14]}

Congenital heart disease
Heart failure
Kawasaki disease
Hypoplastic left heart syndrome
Tetralogy of Fallot
Cardiomyopathy
Brain tumors
Epilepsy
Hydrocephalus
Spina bifida
Chiari malformations
Cerebral palsy
Moyamoya
Arteriovenous malformation (AVM)
Cerebral aneurysm
Stroke
Vein of Galen malformation
Feeding and swallowing problems
Voice and resonance disorders
Speech impairment
Spasticity

Treatments^[6][10]

Heart transplant
Ventricular assist device (VAD)
Cardiac catheterization
Cardiac ablation
Echocardiogram
Electrocardiogram
Holter and event monitoring
MRI
CT scan
Ultrasound
X-ray
Nuclear medicine
Interventional radiology

Procedures^[6][14]

Heart surgery
Neurosurgery

Programs and centers^{[5][6][7][9][12][14]}

Brain Tumor Program
Cystic Fibrosis Center
Epilepsy Program
Cochlear Implant Program
Heart Transplant Program
Cardiovascular Genetics Center
Ventricular Assist Device (VAD) Program
NICU-Cardiac Neurodevelopmental Program
Spina Bifida Center
Neurovascular Disease and Stroke Program
Scoliosis Program
Skull Base Program
Concussion Program
Brachial Plexus Program
Kenneth & Anne Griffin Emergency Care Center

Emergency care (hospital website)^[9]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Interpreters and languages	Free language assistance offered, with Spanish and Polish notices on the site^[4]
Patient portal	MyChart

Recognition^[4][11]

Ranked in 11 specialties, 2026-27 U.S. News & World Report Best Children's Hospitals
Accredited by the American College of Radiology in CT, MRI, Nuclear Medicine and Ultrasound

Doctors and clinicians (34)

34 doctors and other clinicians list Ann & Robert H Lurie Childrens Hospital of Chicago as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 10 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Northwestern Memorial Hospital0.1 mi · Chicago, IL · Acute Care Hospital
Presence Saint Joseph Hospital - Chicago2.7 mi · Chicago, IL · Acute Care Hospital
John H Stroger Jr Hospital3.1 mi · Chicago, IL · Acute Care Hospital
University of Illinois Hospital and Clinics3.1 mi · Chicago, IL · Acute Care Hospital
Presence Saints Mary and Elizabeth Medical Center3.1 mi · Chicago, IL · Acute Care Hospital

Other hospitals nearby

Shirley Ryan Abilitylab0.3 mi · Chicago, IL · Inpatient Rehabilitation Hospital
Rush Specialty Hospital, LLC2.2 mi · Chicago, IL · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Terraces at the Clare0.2 mi · Chicago, IL · 5 of 5 stars
Warren Barr Gold Coast0.5 mi · Chicago, IL · 4 of 5 stars
Warren Barr Lincoln Park2.6 mi · Chicago, IL · 3 of 5 stars

All nursing homes in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

River North Same Day Surgery LLC0.4 mi · Chicago, IL
Surgery Ctr at 900 N Michigan0.4 mi · Chicago, IL
Grand Avenue Surgical Center, Ltd0.8 mi · Chicago, IL

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

LCHC at Fourth Presbyterian - Chicago Lights0.2 mi · Chicago, IL · Community health center
Denny Community Health Center0.4 mi · Chicago, IL · Community health center
Winfield Moody Health Center1.1 mi · Chicago, IL · Community health center

Clinics and urgent care

Midwest Express Care 2, Inc0.8 mi · Chicago, IL · Urgent care center
Medin Medical Services PLLC1.3 mi · Chicago, IL · Urgent care center
Midwest Express Care 2, Inc1.4 mi · Chicago, IL · Urgent care center

Pharmacies

Blue Fig LLC0.4 mi · Chicago, IL · Community/retail pharmacy
Highland Park CVS LLC0.4 mi · Chicago, IL · Pharmacy
Northwestern Memorial Hospital0.4 mi · Chicago, IL · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Ann & Robert H Lurie Childrens Hospital of Chicago reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Not reported to Medicare

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Chicago Best hospitals in Chicago

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 52 common services exactly as Ann & Robert H Lurie Childrens Hospital of Chicago lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 5 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: H OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES	$578	$404.60	$213.86 – $3,678
New patient office visit (about 30–44 minutes): 10 of 32 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $404.60 Aetna — Aetna Illinois Preferred: $306.34 American Psych Systems — American Psych Systems: $462.40 Beech Street — Beech Street - PPO: $520.20 Blue Cross Blue Shield — Dupage Medical Group: $346.80 Blue Cross Blue Shield — Illinois Health Partners: $404.60 Blue Cross Blue Shield — Northshore Physician Associates: $375.70 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $346.80 Blue Cross Blue Shield — Sherman Choice - PHO: $462.40 Cigna — Cigna: $410.38
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: H OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES	$578	$404.60	$41.60 – $643
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $404.60 Aetna — Aetna: $452.57 Beacon Health Options — Beacon Health Options - Value Options: $289 Beech Street — Beech Street - PPO: $520.20 Blue Cross Blue Shield — Illinois Health Partners: $404.60 Blue Cross Blue Shield — Lake County Physician Association: $404.60 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $346.80 Centegra — Centegra: $346.80 Cigna — Cigna Local Plus: $242.76 Employer's Coalition on Health — Employer's Coalition on Health: $520.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: H OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES	$864	$604.80	$66.40 – $820.80
New patient office visit (about 45–59 minutes): 10 of 35 insurance plan rates Aetna — Aetna Northwestern: $432 American Psych Systems — American Psych Systems: $691.20 Beacon Health Options — Beacon Health Options - Value Options: $432 Benchmark Health — Benchmark Health: $777.60 Blue Cross Blue Shield — Dupage Medical Group: $518.40 Blue Cross Blue Shield — Illinois Health Partners: $604.80 Blue Cross Blue Shield — Sherman Choice - PHO: $691.20 Blue Cross Blue Shield — Unified Physicians Network: $483.84 Cigna — Cigna: $613.44 Cigna — Cigna C-5: $497.66
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: H OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES	$864	$604.80	$319.68 – $3,678
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates Benchmark Health — Benchmark Health: $777.60 Blue Cross Blue Shield — Dupage Medical Group: $518.40 Blue Cross Blue Shield — Northshore Physician Associates: $561.60 Blue Cross Blue Shield — Sherman Choice - PHO: $691.20 Cigna — Cigna Local Plus: $362.88 Cofinity — Cofinity: $734.40 Healthlink Inc. — Healthlink Inc.: $712.80 HFN Inc — HFN - EPO: $734.40 Imagine Health — Imagine Health: $604.80 Macneal Health — Macneal Health: $691.20
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: H OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES	$1,141	$798.70	$70.85 – $1,083.95
New patient office visit (about 60–74 minutes): 10 of 46 insurance plan rates Aetna — Aetna: $893.40 Aetna — Aetna Northwestern: $570.50 Beacon Health Options — Beacon Health Options - Value Options: $570.50 Beech Street — Beech Street - PPO: $1,026.90 Benchmark Health — Benchmark Health: $1,026.90 Blue Cross Blue Shield — Illinois Health Partners: $798.70 Blue Cross Blue Shield — Lake County Physician Association: $798.70 Blue Cross Blue Shield — Northshore Physician Associates: $741.65 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $684.60 Blue Cross Blue Shield — Sherman Choice - PHO: $912.80
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: H OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES	$1,141	$798.70	$422.17 – $3,678
New patient office visit (about 60–74 minutes): 10 of 44 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $798.70 Aetna — Aetna Northwestern: $570.50 American Psych Systems — American Psych Systems: $912.80 Beech Street — Beech Street - PPO: $1,026.90 Benchmark Health — Benchmark Health: $1,026.90 Blue Cross Blue Shield — Illinois Health Partners: $798.70 Blue Cross Blue Shield — Lake County Physician Association: $798.70 Blue Cross Blue Shield — Northshore Physician Associates: $741.65 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $684.60 Blue Cross Blue Shield — Sherman Choice - PHO: $912.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: H OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN	$466	$326.20	$28.35 – $643
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $326.20 Aetna — Aetna: $364.88 Aetna — Aetna Illinois Preferred: $246.98 Beacon Health Options — Beacon Health Options - Value Options: $233 Beech Street — Beech Street - PPO: $419.40 Blue Cross Blue Shield — Sherman Choice - PHO: $372.80 Blue Cross Blue Shield — Unified Physicians Network: $260.96 Cigna — Cigna Local Plus: $195.72 Health Alliance — Health Alliance - PPO: $372.80 Health Smart — Health Smart Preferred Care: $442.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: H OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN	$466	$326.20	$172.42 – $3,678
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $326.20 American Psych Systems — American Psych Systems: $372.80 Benchmark Health — Benchmark Health: $419.40 Blue Cross Blue Shield — Illinois Health Partners: $326.20 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $279.60 Blue Cross Blue Shield — Sherman Choice - PHO: $372.80 Centegra — Centegra: $279.60 Cigna — Cigna: $330.86 Cigna — Cigna Local Plus: $195.72 Health Plus — Health Plus - PHO: $326.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: H OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN	$657	$459.90	$243.09 – $3,678
Established patient office visit (about 30–39 minutes): 10 of 42 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $459.90 Aetna — Aetna Northwestern: $328.50 Beech Street — Beech Street - PPO: $591.30 Benchmark Health — Benchmark Health: $591.30 Blue Cross Blue Shield — Dupage Medical Group: $394.20 Blue Cross Blue Shield — Illinois Health Partners: $459.90 Blue Cross Blue Shield — Lake County Physician Association: $459.90 Blue Cross Blue Shield — Sherman Choice - PHO: $525.60 Centegra — Centegra: $394.20 Cigna — Cigna C-5: $378.43
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: H OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN	$657	$459.90	$42.50 – $643
Established patient office visit (about 30–39 minutes): 10 of 38 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $459.90 Aetna — Aetna Northwestern: $328.50 American Psych Systems — American Psych Systems: $525.60 Beacon Health Options — Beacon Health Options - Value Options: $328.50 Blue Cross Blue Shield — Dupage Medical Group: $394.20 Blue Cross Blue Shield — Illinois Health Partners: $459.90 Blue Cross Blue Shield — Sherman Choice - PHO: $525.60 Centegra — Centegra: $394.20 Cigna — Cigna: $466.47 Cigna — Cigna C-5: $378.43
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: H OP OR ED PSYCH CONSULT (40MIN)	$573	$401.10	$212.01 – $3,678
Office consultation with a specialist (moderate): 10 of 36 insurance plan rates Aetna — Aetna Northwestern: $286.50 American Psych Systems — American Psych Systems: $458.40 Blue Cross Blue Shield — Dupage Medical Group: $343.80 Blue Cross Blue Shield — Illinois Health Partners: $401.10 Blue Cross Blue Shield — Lake County Physician Association: $401.10 Blue Cross Blue Shield — Northshore Physician Associates: $372.45 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $343.80 Blue Cross Blue Shield — Sherman Choice - PHO: $458.40 Centegra — Centegra: $343.80 Cigna — Cigna: $406.83
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: H OP OR ED PSYCH CONSULT (40MIN)	$573	$401.10	$90 – $643
Office consultation with a specialist (moderate): 10 of 33 insurance plan rates Aetna — Aetna: $448.66 Aetna — Aetna Northwestern: $286.50 American Psych Systems — American Psych Systems: $458.40 Beacon Health Options — Beacon Health Options - Value Options: $286.50 Benchmark Health — Benchmark Health: $515.70 Blue Cross Blue Shield — Illinois Health Partners: $401.10 Blue Cross Blue Shield — Sherman Choice - PHO: $458.40 Blue Cross Blue Shield — Unified Physicians Network: $320.88 Centegra — Centegra: $343.80 Cigna — Cigna Local Plus: $240.66
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: H OP OR ED PSYCH CONSULT MOD MDM 40 MIN	$818	$572.60	$302.66 – $3,678
Office consultation with a specialist (moderate to high): 10 of 30 insurance plan rates Aetna — Aetna Illinois Preferred: $433.54 American Psych Systems — American Psych Systems: $654.40 Beech Street — Beech Street - PPO: $736.20 Blue Cross Blue Shield — Dupage Medical Group: $490.80 Blue Cross Blue Shield — Illinois Health Partners: $572.60 Blue Cross Blue Shield — Lake County Physician Association: $572.60 Blue Cross Blue Shield — Sherman Choice - PHO: $654.40 Cigna — Cigna: $580.78 Cigna — Cigna Local Plus: $343.56 Health Alliance — Health Alliance - PPO: $654.40
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: H OP OR ED PSYCH CONSULT MOD MDM 40 MIN	$818	$572.60	$71.40 – $777.10
Office consultation with a specialist (moderate to high): 10 of 29 insurance plan rates Aetna — Aetna: $640.49 Aetna — Aetna Illinois Preferred: $433.54 Aetna — Aetna Northwestern: $409 American Psych Systems — American Psych Systems: $654.40 Beacon Health Options — Beacon Health Options - Value Options: $105 Blue Cross Blue Shield — Dupage Medical Group: $490.80 Blue Cross Blue Shield — Illinois Health Partners: $572.60 Blue Cross Blue Shield — Northshore Physician Associates: $531.70 Blue Cross Blue Shield — Unified Physicians Network: $458.08 Cigna — Cigna: $580.78
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: H ED LEVEL 4 VISIT (99284)	$3,660	$2,562	$900 – $3,678
Emergency room visit (moderately high): rates for 1 insurance plan Centegra — Centegra: $2,196
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: H ED LEVEL 5 VISIT - HIGH (99285)	$5,290	$3,703	$900 – $5,025.50
Emergency room visit (high): rates for 3 insurance plans Imagine Health — Imagine Health: $3,703 Methodist First Choice — Methodist First Choice: $3,703 Wellmark/Healthnetwork — Wellmark/Healthnetwork - PPO: $4,866.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: H ED LEVEL 5 VISIT - HIGH (99285)	$5,290	$3,703	$88 – $5,025.50
Emergency room visit (high): rates for 2 insurance plans Blue Cross Blue Shield — BCBS HMO: $2,613.26 Wellmark/Healthnetwork — Wellmark/Healthnetwork - PPO: $4,866.80

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: H BASIC METABOLIC PROFILE	$363	$254.10	$61.71 – $344.85
Basic metabolic panel (blood test): rates for 1 insurance plan Employer's Coalition on Health — Employer's Coalition on Health: $326.70
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: H BASIC METABOLIC PROFILE	$363	$254.10	$134.31 – $3,678
Basic metabolic panel (blood test): rates for 1 insurance plan Northwest Community Healthcare — Northwest Community Healthcare: $254.10
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: H LIPID SCREEN FASTING	$403	$282.10	$68.51 – $382.85
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $282.10 Beech Street — Beech Street - PPO: $362.70 Blue Cross Blue Shield — BCBS PPO: $145.89 Blue Cross Blue Shield — Dupage Medical Group: $241.80 Blue Cross Blue Shield — Illinois Health Partners: $282.10 Blue Cross Blue Shield — Northshore Physician Associates: $261.95 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $241.80 Blue Cross Blue Shield — Unified Physicians Network: $225.68 Centegra — Centegra: $241.80 Cigna — Cigna Local Plus: $169.26
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: H LIPID SCREEN RANDOM	$403	$282.10	$149.11 – $3,678
Cholesterol panel (lipid panel): 10 of 36 insurance plan rates Aetna — Aetna Illinois Preferred: $213.59 Aetna — Aetna Northwestern: $201.50 American Psych Systems — American Psych Systems: $322.40 Beech Street — Beech Street - PPO: $362.70 Benchmark Health — Benchmark Health: $362.70 Blue Cross Blue Shield — Illinois Health Partners: $282.10 Blue Cross Blue Shield — Lake County Physician Association: $282.10 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $241.80 Centegra — Centegra: $241.80 Cigna — Cigna: $286.13
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: H LIPID SCREEN FASTING	$403	$282.10	$149.11 – $3,678
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $282.10 Aetna — Aetna Northwestern: $201.50 American Psych Systems — American Psych Systems: $322.40 Beech Street — Beech Street - PPO: $362.70 Blue Cross Blue Shield — Dupage Medical Group: $241.80 Blue Cross Blue Shield — Illinois Health Partners: $282.10 Blue Cross Blue Shield — Lake County Physician Association: $282.10 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $241.80 Blue Cross Blue Shield — Sherman Choice - PHO: $322.40 First Health — First Health: $354.64
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: H RENAL FUNCTION PANEL	$430	$301	$73.10 – $408.50
Kidney function panel: 10 of 42 insurance plan rates Aetna — Aetna: $336.69 American Psych Systems — American Psych Systems: $344 Beech Street — Beech Street - PPO: $387 Blue Cross Blue Shield — BCBS HMO: $146.63 Blue Cross Blue Shield — Dupage Medical Group: $258 Blue Cross Blue Shield — Illinois Health Partners: $301 Blue Cross Blue Shield — Lake County Physician Association: $301 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $258 Blue Cross Blue Shield — Sherman Choice - PHO: $344 Centegra — Centegra: $258
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: H RENAL FUNCTION PANEL	$430	$301	$159.10 – $3,678
Kidney function panel: 10 of 30 insurance plan rates Aetna — Aetna Northwestern: $215 American Psych Systems — American Psych Systems: $344 Beech Street — Beech Street - PPO: $387 Benchmark Health — Benchmark Health: $387 Blue Cross Blue Shield — Northshore Physician Associates: $279.50 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $258 Blue Cross Blue Shield — Sherman Choice - PHO: $344 Cigna — Cigna Local Plus: $180.60 Health Plus — Health Plus - PHO: $301 Healthlink Inc. — Healthlink Inc.: $354.75
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: H HEPATIC FUNCTION PANEL	$311	$217.70	$52.87 – $295.45
Liver function panel: rates for 2 insurance plans Aetna — Aetna: $243.51 Principal Healthcare — Principal Healthcare - PPO: $264.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: H URINALYSIS TRANSFUSION REACTION	$153	$107.10	$26.01 – $145.35
Urine test (automated, with microscope): 10 of 56 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $107.10 Aetna — Aetna Illinois Preferred: $81.09 Aetna — Aetna Northwestern: $76.50 American Psych Systems — American Psych Systems: $122.40 Beacon Health Options — Beacon Health Options - Value Options: $76.50 Beech Street — Beech Street - PPO: $137.70 Benchmark Health — Benchmark Health: $137.70 Blue Cross Blue Shield — BCBS HMO: $52.17 Blue Cross Blue Shield — BCBS PPO: $55.39 Blue Cross Blue Shield — Dupage Medical Group: $91.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: H URINALYSIS COMPLETE INCLUDES MICROSCOPIC	$153	$107.10	$26.01 – $145.35
Urine test (automated, with microscope): 10 of 50 insurance plan rates Aetna — Aetna: $119.80 Aetna — Aetna Illinois Preferred: $81.09 Aetna — Aetna Northwestern: $76.50 American Psych Systems — American Psych Systems: $122.40 Beacon Health Options — Beacon Health Options - Value Options: $76.50 Beech Street — Beech Street - PPO: $137.70 Benchmark Health — Benchmark Health: $137.70 Blue Cross Blue Shield — BCBS HMO: $52.17 Blue Cross Blue Shield — BCBS PPO: $55.39 Blue Cross Blue Shield — Dupage Medical Group: $91.80
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: H URINALYSIS TRANSFUSION REACTION	$153	$107.10	$56.61 – $3,678 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope): 10 of 49 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $107.10 Aetna — Aetna Illinois Preferred: $81.09 American Psych Systems — American Psych Systems: $122.40 Beech Street — Beech Street - PPO: $137.70 Blue Cross Blue Shield — Dupage Medical Group: $91.80 Blue Cross Blue Shield — Illinois Health Partners: $107.10 Blue Cross Blue Shield — Lake County Physician Association: $107.10 Blue Cross Blue Shield — Northshore Physician Associates: $99.45 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $91.80 Blue Cross Blue Shield — Sherman Choice - PHO: $122.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: H URNLS DIP STICK NON-AUTO W/O MICRSCP	$25	$17.50	$4.25 – $92
Urine test (manual, without microscope): 10 of 57 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $17.50 Aetna — Aetna: $19.57 Aetna — Aetna Illinois Preferred: $13.25 Aetna — Aetna Northwestern: $12.50 Beacon Health Options — Beacon Health Options - Value Options: $12.50 Blue Cross Blue Shield — BCBS HMO: $8.53 Blue Cross Blue Shield — BCBS PPO: $9.05 Blue Cross Blue Shield — Dupage Medical Group: $15 Blue Cross Blue Shield — Illinois Health Partners: $17.50 Blue Cross Blue Shield — Lake County Physician Association: $17.50
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: H URNLS DIP STICK NON-AUTO W/O MICRSCP	$25	$17.50	$9.25 – $3,678 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 48 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $17.50 Aetna — Aetna Illinois Preferred: $13.25 Aetna — Aetna Northwestern: $12.50 Beech Street — Beech Street - PPO: $22.50 Benchmark Health — Benchmark Health: $22.50 Blue Cross Blue Shield — Dupage Medical Group: $15 Blue Cross Blue Shield — Lake County Physician Association: $17.50 Blue Cross Blue Shield — Northshore Physician Associates: $16.25 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $15 Centegra — Centegra: $15
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: H URINALYSIS NONAUTO W/O SCOPE	$25	$17.50	$4.25 – $92
Urine test (manual, without microscope): 10 of 43 insurance plan rates Aetna — Aetna: $19.57 Aetna — Aetna Illinois Preferred: $13.25 Aetna — Aetna Northwestern: $12.50 American Psych Systems — American Psych Systems: $20 Beacon Health Options — Beacon Health Options - Value Options: $12.50 Beech Street — Beech Street - PPO: $22.50 Blue Cross Blue Shield — BCBS HMO: $8.53 Blue Cross Blue Shield — BCBS PPO: $9.05 Blue Cross Blue Shield — Dupage Medical Group: $15 Blue Cross Blue Shield — Illinois Health Partners: $17.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: H URINE OCCULT BLOOD /H	$96	$67.20	$16.32 – $92
Urine test (automated, without microscope): 10 of 53 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $67.20 Aetna — Aetna: $75.17 Aetna — Aetna Northwestern: $48 Beech Street — Beech Street - PPO: $86.40 Benchmark Health — Benchmark Health: $86.40 Blue Cross Blue Shield — BCBS HMO: $32.74 Blue Cross Blue Shield — BCBS PPO: $34.75 Blue Cross Blue Shield — Dupage Medical Group: $57.60 Blue Cross Blue Shield — Illinois Health Partners: $67.20 Blue Cross Blue Shield — Lake County Physician Association: $67.20
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: H URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$96	$67.20	$35.52 – $3,678 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 51 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $67.20 Aetna — Aetna Illinois Preferred: $50.88 Aetna — Aetna Northwestern: $48 American Psych Systems — American Psych Systems: $76.80 Beech Street — Beech Street - PPO: $86.40 Blue Cross Blue Shield — Dupage Medical Group: $57.60 Blue Cross Blue Shield — Illinois Health Partners: $67.20 Blue Cross Blue Shield — Northshore Physician Associates: $62.40 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $57.60 Blue Cross Blue Shield — Sherman Choice - PHO: $76.80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: H URINE PH DIPSTICK	$96	$67.20	$16.32 – $92
Urine test (automated, without microscope): 10 of 49 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $67.20 Aetna — Aetna: $75.17 Aetna — Aetna Illinois Preferred: $50.88 Aetna — Aetna Northwestern: $48 American Psych Systems — American Psych Systems: $76.80 Beacon Health Options — Beacon Health Options - Value Options: $48 Beech Street — Beech Street - PPO: $86.40 Benchmark Health — Benchmark Health: $86.40 Blue Cross Blue Shield — BCBS HMO: $32.74 Blue Cross Blue Shield — BCBS PPO: $34.75
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · modifier 90 In the file: H PROSTATE-SPECIFIC ANTIGEN (PSA) SERUM	$192	$134.40	$32.64 – $182.40
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $134.40 Aetna — Aetna: $150.34 Aetna — Aetna Illinois Preferred: $101.76 Aetna — Aetna Northwestern: $96 Beech Street — Beech Street - PPO: $172.80 Benchmark Health — Benchmark Health: $172.80 Blue Cross Blue Shield — BCBS PPO: $69.50 Blue Cross Blue Shield — Dupage Medical Group: $115.20 Blue Cross Blue Shield — Illinois Health Partners: $134.40 Blue Cross Blue Shield — Lake County Physician Association: $134.40
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · modifier 90 In the file: H PROSTATE-SPECIFIC ANTIGEN (PSA) SERUM	$192	$134.40	$71.04 – $3,678
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $134.40 Aetna — Aetna Northwestern: $96 Beech Street — Beech Street - PPO: $172.80 Blue Cross Blue Shield — Dupage Medical Group: $115.20 Blue Cross Blue Shield — Illinois Health Partners: $134.40 Blue Cross Blue Shield — Northshore Physician Associates: $124.80 Blue Cross Blue Shield — Sherman Choice - PHO: $153.60 Centegra — Centegra: $115.20 Cigna — Cigna C-5: $110.59 Cigna — Cigna Local Plus: $80.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: H THYROID-STIMULATING HORMONE - SENSITIVE (S-TSH) SERUM	$409	$286.30	$69.53 – $388.55
Thyroid stimulating hormone (TSH) test: 10 of 52 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $286.30 Aetna — Aetna: $320.25 Aetna — Aetna Illinois Preferred: $216.77 Aetna — Aetna Northwestern: $204.50 American Psych Systems — American Psych Systems: $327.20 Beacon Health Options — Beacon Health Options - Value Options: $204.50 Beech Street — Beech Street - PPO: $368.10 Benchmark Health — Benchmark Health: $368.10 Blue Cross Blue Shield — BCBS HMO: $139.47 Blue Cross Blue Shield — BCBS PPO: $148.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: H THYROID-STIMULATING HORMONE - SENSITIVE (S-TSH) SERUM	$409	$286.30	$151.33 – $3,678
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $286.30 Aetna — Aetna Illinois Preferred: $216.77 Aetna — Aetna Northwestern: $204.50 Beech Street — Beech Street - PPO: $368.10 Blue Cross Blue Shield — Dupage Medical Group: $245.40 Blue Cross Blue Shield — Lake County Physician Association: $286.30 Blue Cross Blue Shield — Northshore Physician Associates: $265.85 Blue Cross Blue Shield — Sherman Choice - PHO: $327.20 Centegra — Centegra: $245.40 Cigna — Cigna: $290.39
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: H CBC & AUTOMATED DIFFERENTIAL/H	$223	$156.10	$37.91 – $211.85
Complete blood count (CBC) with differential: rates for 1 insurance plan Sagamore Health Network — Sagamore Health Network - PPO: $196.24
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: H CBC	$143	$100.10	$24.31 – $135.85
Complete blood count (CBC), automated: rates for 3 insurance plans Aetna — Aetna: $111.97 Employer's Coalition on Health — Employer's Coalition on Health: $128.70 Security Health Plan — Security Health Plan - HMO: $128.70
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: H CBC	$143	$100.10	$52.91 – $3,678
Complete blood count (CBC), automated: rates for 1 insurance plan Security Health Plan — Security Health Plan - HMO: $128.70
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: H PROTHROMBIN TIME	$150	$105	$25.50 – $142.50
Blood clotting time test (prothrombin time, PT): 10 of 43 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $105 Aetna — Aetna Illinois Preferred: $79.50 Aetna — Aetna Northwestern: $75 American Psych Systems — American Psych Systems: $120 Beacon Health Options — Beacon Health Options - Value Options: $75 Beech Street — Beech Street - PPO: $135 Blue Cross Blue Shield — Lake County Physician Association: $105 Blue Cross Blue Shield — Northshore Physician Associates: $97.50 Blue Cross Blue Shield — Sherman Choice - PHO: $120 Blue Cross Blue Shield — Unified Physicians Network: $84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: H PROTHROMBIN TIME PLASMA	$150	$105	$25.50 – $142.50
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates Aetna — Aetna: $117.45 Aetna — Aetna Illinois Preferred: $79.50 Aetna — Aetna Northwestern: $75 Beacon Health Options — Beacon Health Options - Value Options: $75 Blue Cross Blue Shield — Illinois Health Partners: $105 Blue Cross Blue Shield — Northshore Physician Associates: $97.50 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $90 Centegra — Centegra: $90 Cigna — Cigna: $106.50 First Health — First Health: $132
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: H PROTHROMBIN TIME	$150	$105	$55.50 – $3,678 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $105 Aetna — Aetna Illinois Preferred: $79.50 Aetna — Aetna Northwestern: $75 Beech Street — Beech Street - PPO: $135 Blue Cross Blue Shield — Illinois Health Partners: $105 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $90 Centegra — Centegra: $90 Cigna — Cigna C-5: $86.40 Cofinity — Cofinity: $127.50 Employer's Coalition on Health — Employer's Coalition on Health: $135
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: H THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$178	$124.60	$30.26 – $169.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 65 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $124.60 Aetna — Aetna: $139.37 Aetna — Aetna Illinois Preferred: $94.34 Aetna — Aetna Northwestern: $89 American Psych Systems — American Psych Systems: $142.40 Beacon Health Options — Beacon Health Options - Value Options: $89 Beech Street — Beech Street - PPO: $160.20 Benchmark Health — Benchmark Health: $160.20 Blue Cross Blue Shield — BCBS HMO: $60.70 Blue Cross Blue Shield — BCBS PPO: $64.44
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: H THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$178	$124.60	$65.86 – $3,678
Blood clotting test (partial thromboplastin time, PTT): 10 of 53 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $124.60 Aetna — Aetna Illinois Preferred: $94.34 Aetna — Aetna Northwestern: $89 American Psych Systems — American Psych Systems: $142.40 Benchmark Health — Benchmark Health: $160.20 Blue Cross Blue Shield — Dupage Medical Group: $106.80 Blue Cross Blue Shield — Illinois Health Partners: $124.60 Blue Cross Blue Shield — Lake County Physician Association: $124.60 Blue Cross Blue Shield — Northshore Physician Associates: $115.70 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $106.80
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: H ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) PLASMA	$178	$124.60	$30.26 – $169.10
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Blue Cross Blue Shield — Illinois Health Partners: $124.60 Blue Cross Blue Shield — Sherman Choice - PHO: $142.40 Centegra — Centegra: $106.80 First Health — First Health: $156.64 HFN Inc — HFN - EPO: $151.30 Humana — Humana National POS: $151.30 MercyCare Health — MercyCare Health - HMO/PPO: $65.86

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: H MR BRAIN W AND WO CONTRAST	$7,508	$5,255.60	$1,276.36 – $7,132.60
MRI of the brain, before and after contrast: 10 of 49 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $5,255.60 Aetna — Aetna: $3,268 Aetna — Aetna Illinois Preferred: $3,979.24 Aetna — Aetna Northwestern: $3,754 American Psych Systems — American Psych Systems: $6,006.40 Beacon Health Options — Beacon Health Options - Value Options: $3,754 Beech Street — Beech Street - PPO: $6,757.20 Benchmark Health — Benchmark Health: $6,757.20 Blue Cross Blue Shield — BCBS HMO: $2,560.23 Blue Cross Blue Shield — BCBS PPO: $2,717.90
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: H MR BRAIN W AND WO CONTRAST	$7,508	$5,255.60	$900 – $7,132.60
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $5,255.60 Aetna — Aetna Illinois Preferred: $3,979.24 Aetna — Aetna Northwestern: $3,754 American Psych Systems — American Psych Systems: $6,006.40 Beech Street — Beech Street - PPO: $6,757.20 Benchmark Health — Benchmark Health: $6,757.20 Blue Cross Blue Shield — Dupage Medical Group: $4,504.80 Blue Cross Blue Shield — Illinois Health Partners: $5,255.60 Blue Cross Blue Shield — Lake County Physician Association: $5,255.60 Blue Cross Blue Shield — Northshore Physician Associates: $4,880.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: H XRAY CHEST 2 VIEW	$926	$648.20	$157.42 – $879.70
Chest X-ray, 2 views: 10 of 57 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $648.20 Aetna — Aetna: $725.06 Aetna — Aetna Illinois Preferred: $490.78 Aetna — Aetna Northwestern: $463 American Psych Systems — American Psych Systems: $740.80 Beacon Health Options — Beacon Health Options - Value Options: $463 Beech Street — Beech Street - PPO: $833.40 Benchmark Health — Benchmark Health: $833.40 Blue Cross Blue Shield — BCBS HMO: $315.77 Blue Cross Blue Shield — BCBS PPO: $335.21
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: H XRAY CHEST 2 VIEW	$926	$648.20	$342.62 – $3,678
Chest X-ray, 2 views: 10 of 49 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $648.20 Aetna — Aetna Northwestern: $463 Beech Street — Beech Street - PPO: $833.40 Benchmark Health — Benchmark Health: $833.40 Blue Cross Blue Shield — Dupage Medical Group: $555.60 Blue Cross Blue Shield — Illinois Health Partners: $648.20 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $555.60 Blue Cross Blue Shield — Sherman Choice - PHO: $740.80 Centegra — Centegra: $555.60 Cigna — Cigna: $657.46
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: H XR SPINE LUMBAR 5 VIEWS	$1,201	$840.70	$204.17 – $1,140.95
X-ray of the lower spine, at least 4 views: 10 of 45 insurance plan rates Aetna — Aetna Illinois Preferred: $636.53 Aetna — Aetna Northwestern: $600.50 American Psych Systems — American Psych Systems: $960.80 Beacon Health Options — Beacon Health Options - Value Options: $600.50 Beech Street — Beech Street - PPO: $1,080.90 Blue Cross Blue Shield — BCBS HMO: $409.54 Blue Cross Blue Shield — BCBS PPO: $434.76 Blue Cross Blue Shield — Illinois Health Partners: $840.70 Blue Cross Blue Shield — Lake County Physician Association: $840.70 Blue Cross Blue Shield — Northshore Physician Associates: $780.65
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: H XR SPINE LUMBAR MIN 4 VIEWS	$1,201	$840.70	$204.17 – $1,140.95
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $840.70 Aetna — Aetna: $940.38 Aetna — Aetna Illinois Preferred: $636.53 American Psych Systems — American Psych Systems: $960.80 Beech Street — Beech Street - PPO: $1,080.90 Benchmark Health — Benchmark Health: $1,080.90 Blue Cross Blue Shield — Dupage Medical Group: $720.60 Blue Cross Blue Shield — Illinois Health Partners: $840.70 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $720.60 Blue Cross Blue Shield — Sherman Choice - PHO: $960.80
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: H XR SPINE LUMBAR 5 VIEWS	$1,201	$840.70	$444.37 – $3,678
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $840.70 American Psych Systems — American Psych Systems: $960.80 Beech Street — Beech Street - PPO: $1,080.90 Blue Cross Blue Shield — Dupage Medical Group: $720.60 Blue Cross Blue Shield — Northshore Physician Associates: $780.65 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $720.60 Centegra — Centegra: $720.60 Cigna — Cigna C-5: $691.78 Cigna — Cigna Local Plus: $504.42 Employer's Coalition on Health — Employer's Coalition on Health: $1,080.90
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: H MR SPINE LUMBAR NEURO WO CONT	$5,856	$4,099.20	$900 – $5,563.20
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $4,099.20 American Psych Systems — American Psych Systems: $4,684.80 Blue Cross Blue Shield — Illinois Health Partners: $4,099.20 Blue Cross Blue Shield — Lake County Physician Association: $4,099.20 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $3,513.60 Centegra — Centegra: $3,513.60 Cigna — Cigna Local Plus: $2,459.52 Employer's Coalition on Health — Employer's Coalition on Health: $5,270.40 First Health — First Health: $5,153.28 Health Alliance — Health Alliance - PPO: $4,684.80
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: H MR SPINE LUMBAR NEURO WO CONT	$5,856	$4,099.20	$995.52 – $5,563.20
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $4,099.20 Aetna — Aetna: $3,268 Beacon Health Options — Beacon Health Options - Value Options: $2,928 Blue Cross Blue Shield — BCBS HMO: $1,996.90 Blue Cross Blue Shield — Dupage Medical Group: $3,513.60 Blue Cross Blue Shield — Lake County Physician Association: $4,099.20 Blue Cross Blue Shield — Northshore Physician Associates: $3,806.40 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $3,513.60 Centegra — Centegra: $3,513.60 Health Smart — Health Smart Preferred Care: $5,563.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: H MR LOWER EXTREM JOINT WO CONTRAST	$5,182	$3,627.40	$880.94 – $4,922.90
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $3,627.40 Aetna — Aetna: $3,268 Aetna — Aetna Illinois Preferred: $2,746.46 American Psych Systems — American Psych Systems: $4,145.60 Beacon Health Options — Beacon Health Options - Value Options: $2,591 Benchmark Health — Benchmark Health: $4,663.80 Blue Cross Blue Shield — BCBS HMO: $1,767.06 Blue Cross Blue Shield — Dupage Medical Group: $3,109.20 Blue Cross Blue Shield — Illinois Health Partners: $3,627.40 Blue Cross Blue Shield — Lake County Physician Association: $3,627.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: H MR LOWER EXTREM JOINT WO CONTRAST	$5,182	$3,627.40	$900 – $4,922.90
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $3,627.40 Aetna — Aetna Northwestern: $2,591 Blue Cross Blue Shield — Dupage Medical Group: $3,109.20 Blue Cross Blue Shield — Lake County Physician Association: $3,627.40 Centegra — Centegra: $3,109.20 Cofinity — Cofinity: $4,404.70 Health Plus — Health Plus - PHO: $3,627.40 Healthlink Inc. — Healthlink Inc.: $4,275.15 Healthstar — Healthstar - PPO Next: $4,560.16 HFN Inc — HFN - PPO: $4,663.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: H CT ABD PELVIS W CONTRAST	$7,357	$5,149.90	$900 – $6,989.15
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Aetna — Aetna Illinois Preferred: $3,899.21
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: H US ABDOMEN	$2,466	$1,726.20	$419.22 – $2,342.70
Ultrasound of the abdomen, complete: 10 of 49 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $1,726.20 Aetna — Aetna: $1,930.88 Aetna — Aetna Illinois Preferred: $1,306.98 American Psych Systems — American Psych Systems: $1,972.80 Beacon Health Options — Beacon Health Options - Value Options: $1,233 Beech Street — Beech Street - PPO: $2,219.40 Benchmark Health — Benchmark Health: $2,219.40 Blue Cross Blue Shield — BCBS HMO: $840.91 Blue Cross Blue Shield — BCBS PPO: $892.69 Blue Cross Blue Shield — Dupage Medical Group: $1,479.60
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: H US ABDOMEN	$2,466	$1,726.20	$900 – $3,678
Ultrasound of the abdomen, complete: 10 of 48 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $1,726.20 Aetna — Aetna Illinois Preferred: $1,306.98 Aetna — Aetna Northwestern: $1,233 Beech Street — Beech Street - PPO: $2,219.40 Blue Cross Blue Shield — Dupage Medical Group: $1,479.60 Blue Cross Blue Shield — Illinois Health Partners: $1,726.20 Blue Cross Blue Shield — Lake County Physician Association: $1,726.20 Blue Cross Blue Shield — Northshore Physician Associates: $1,602.90 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $1,479.60 Blue Cross Blue Shield — Sherman Choice - PHO: $1,972.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: H US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$1,682	$1,177.40	$285.94 – $1,597.90
Pregnancy ultrasound (after the first trimester): 10 of 53 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $1,177.40 Aetna — Aetna: $1,317.01 Aetna — Aetna Illinois Preferred: $891.46 Aetna — Aetna Northwestern: $841 American Psych Systems — American Psych Systems: $1,345.60 Beacon Health Options — Beacon Health Options - Value Options: $841 Benchmark Health — Benchmark Health: $1,513.80 Blue Cross Blue Shield — BCBS HMO: $573.56 Blue Cross Blue Shield — BCBS PPO: $608.88 Blue Cross Blue Shield — Dupage Medical Group: $1,009.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: H US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$1,682	$1,177.40	$622.34 – $3,678
Pregnancy ultrasound (after the first trimester): 10 of 46 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $1,177.40 Aetna — Aetna Northwestern: $841 Beech Street — Beech Street - PPO: $1,513.80 Benchmark Health — Benchmark Health: $1,513.80 Blue Cross Blue Shield — Dupage Medical Group: $1,009.20 Blue Cross Blue Shield — Illinois Health Partners: $1,177.40 Blue Cross Blue Shield — Lake County Physician Association: $1,177.40 Blue Cross Blue Shield — Northshore Physician Associates: $1,093.30 Blue Cross Blue Shield — Sherman Choice - PHO: $1,345.60 Centegra — Centegra: $1,009.20
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: H US PELVIS TRANSVAGINAL	$950	$665	$161.50 – $902.50
Transvaginal ultrasound: 10 of 47 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $665 Aetna — Aetna: $743.85 Aetna — Aetna Illinois Preferred: $503.50 Aetna — Aetna Northwestern: $475 Beacon Health Options — Beacon Health Options - Value Options: $475 Beech Street — Beech Street - PPO: $855 Benchmark Health — Benchmark Health: $855 Blue Cross Blue Shield — BCBS HMO: $323.95 Blue Cross Blue Shield — Illinois Health Partners: $665 Blue Cross Blue Shield — Lake County Physician Association: $665
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: H US PELVIS TRANSVAGINAL	$950	$665	$351.50 – $3,678
Transvaginal ultrasound: 10 of 45 insurance plan rates Aetna — Aetna Illinois Preferred: $503.50 Aetna — Aetna Northwestern: $475 American Psych Systems — American Psych Systems: $760 Beech Street — Beech Street - PPO: $855 Benchmark Health — Benchmark Health: $855 Blue Cross Blue Shield — Illinois Health Partners: $665 Blue Cross Blue Shield — Lake County Physician Association: $665 Blue Cross Blue Shield — Northshore Physician Associates: $617.50 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $570 Blue Cross Blue Shield — Sherman Choice - PHO: $760

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: H CC 93452 HEART CATH LEFT W LT VENT ANGIO	$8,413	$5,889.10	$900 – $7,992.35
Left heart catheterization (diagnostic): rates for 3 insurance plans Multiplan — Multiplan - PPO: $7,992.35 Security Health Plan — Security Health Plan - HMO: $7,571.70 St. Francis — St. Francis - IPA: $5,889.10
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: H CC 93452 HEART CATH LEFT W LT VENT ANGIO	$8,413	$5,889.10	$1,430.21 – $18,349
Left heart catheterization (diagnostic): rates for 1 insurance plan Private Health Care System — Private Health Care System - EPO: $7,571.70
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: H CC 93619 COMP EP W/O INDUC/ATTEMPT ARRHYTH	$8,028	$5,619.60	$1,364.76 – $7,626.60
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans Principal Healthcare — Principal Healthcare - PPO: $6,823.80 Private Health Care System — Private Health Care System - EPO: $7,225.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: H SLEEP POLYSOMNOGR 4+ PARA AGE 6 AND OVER	$7,062	$4,943.40	$900 – $6,708.90
Sleep study (overnight, in a sleep lab): 10 of 41 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $4,943.40 Aetna — Aetna Illinois Preferred: $3,742.86 Beech Street — Beech Street - PPO: $6,355.80 Blue Cross Blue Shield — Dupage Medical Group: $4,237.20 Blue Cross Blue Shield — Lake County Physician Association: $4,943.40 Blue Cross Blue Shield — Northshore Physician Associates: $4,590.30 Centegra — Centegra: $4,237.20 Cigna — Cigna C-5: $4,067.71 Cigna — Cigna Local Plus: $2,966.04 Cofinity — Cofinity: $6,002.70
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: H SLEEP POLYSOMNOGR 4+ PARA AGE 6 AND OVER	$7,062	$4,943.40	$1,200.54 – $6,708.90
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates American Psych Systems — American Psych Systems: $5,649.60 Beech Street — Beech Street - PPO: $6,355.80 Blue Cross Blue Shield — BCBS PPO: $2,556.44 Blue Cross Blue Shield — Illinois Health Partners: $4,943.40 Blue Cross Blue Shield — Lake County Physician Association: $4,943.40 Blue Cross Blue Shield — Northshore Physician Associates: $4,590.30 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $4,237.20 Blue Cross Blue Shield — Unified Physicians Network: $3,954.72 Cigna — Cigna: $5,014.02 Cigna — Cigna C-5: $4,067.71
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 52 In the file: H SLEEP POLYSOMNOGR 4+ PARA < 6 HOURS AGE 6 AND OV	$7,062	$4,943.40	$1,200.54 – $6,708.90
Sleep study (overnight, in a sleep lab): 10 of 54 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $4,943.40 Aetna — Aetna: $5,529.55 Aetna — Aetna Northwestern: $3,531 American Psych Systems — American Psych Systems: $5,649.60 Beacon Health Options — Beacon Health Options - Value Options: $3,531 Beech Street — Beech Street - PPO: $6,355.80 Benchmark Health — Benchmark Health: $6,355.80 Blue Cross Blue Shield — BCBS HMO: $2,408.14 Blue Cross Blue Shield — BCBS PPO: $2,556.44 Blue Cross Blue Shield — Dupage Medical Group: $4,237.20

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: H THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$177	$123.90	$30.09 – $168.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $123.90 Aetna — Aetna: $138.59 Aetna — Aetna Illinois Preferred: $93.81 Beacon Health Options — Beacon Health Options - Value Options: $88.50 Beech Street — Beech Street - PPO: $159.30 Blue Cross Blue Shield — BCBS HMO: $60.36 Blue Cross Blue Shield — BCBS PPO: $64.07 Blue Cross Blue Shield — Dupage Medical Group: $106.20 Blue Cross Blue Shield — Illinois Health Partners: $123.90 Blue Cross Blue Shield — Lake County Physician Association: $123.90
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: H THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$177	$123.90	$65.49 – $3,678
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 42 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $123.90 Aetna — Aetna Illinois Preferred: $93.81 Aetna — Aetna Northwestern: $88.50 Benchmark Health — Benchmark Health: $159.30 Blue Cross Blue Shield — Dupage Medical Group: $106.20 Blue Cross Blue Shield — Illinois Health Partners: $123.90 Blue Cross Blue Shield — Lake County Physician Association: $123.90 Blue Cross Blue Shield — Northshore Physician Associates: $115.05 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $106.20 Blue Cross Blue Shield — Sherman Choice - PHO: $141.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: H PT THERAPEUTIC PROC PER 15 MIN	$177	$123.90	$30.09 – $168.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 57 insurance plan rates Aetna — Aetna: $138.59 Aetna — Aetna Illinois Preferred: $93.81 Aetna — Aetna Northwestern: $88.50 American Psych Systems — American Psych Systems: $141.60 Beacon Health Options — Beacon Health Options - Value Options: $88.50 Beech Street — Beech Street - PPO: $159.30 Benchmark Health — Benchmark Health: $159.30 Blue Cross Blue Shield — BCBS HMO: $60.36 Blue Cross Blue Shield — BCBS PPO: $64.07 Blue Cross Blue Shield — Dupage Medical Group: $106.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: H PT EVALUATION LOW COMPLEXITY PER 15 MIN	$315	$220.50	$53.55 – $299.25
Physical therapy evaluation (low complexity): 10 of 49 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $220.50 Aetna — Aetna: $246.65 Aetna — Aetna Northwestern: $157.50 American Psych Systems — American Psych Systems: $252 Beacon Health Options — Beacon Health Options - Value Options: $157.50 Beech Street — Beech Street - PPO: $283.50 Benchmark Health — Benchmark Health: $283.50 Blue Cross Blue Shield — BCBS HMO: $107.42 Blue Cross Blue Shield — Dupage Medical Group: $189 Blue Cross Blue Shield — Lake County Physician Association: $220.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: H PT EVAL LOW COMPLEX	$725	$507.50	$109 – $688.75
Physical therapy evaluation (low complexity): 10 of 48 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $507.50 Aetna — Aetna Illinois Preferred: $384.25 Aetna — Aetna Northwestern: $362.50 American Psych Systems — American Psych Systems: $580 Beacon Health Options — Beacon Health Options - Value Options: $362.50 Beech Street — Beech Street - PPO: $652.50 Blue Cross Blue Shield — BCBS PPO: $262.45 Blue Cross Blue Shield — Illinois Health Partners: $507.50 Blue Cross Blue Shield — Lake County Physician Association: $507.50 Blue Cross Blue Shield — Northshore Physician Associates: $471.25
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · modifier GP In the file: H PT EVAL LOW COMPLEX	$725	$507.50	$268.25 – $3,678
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates Aetna — Aetna Illinois Preferred: $384.25 Aetna — Aetna Northwestern: $362.50 American Psych Systems — American Psych Systems: $580 Blue Cross Blue Shield — Illinois Health Partners: $507.50 Blue Cross Blue Shield — Lake County Physician Association: $507.50 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $435 Centegra — Centegra: $435 Cigna — Cigna C-5: $417.60 Cigna — Cigna Local Plus: $304.50 Cofinity — Cofinity: $616.25
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: H PT EVALUATION MODERATE COMPLEXITY PER 15 MIN	$315	$220.50	$53.55 – $299.25
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $220.50 Aetna — Aetna: $246.65 Aetna — Aetna Northwestern: $157.50 American Psych Systems — American Psych Systems: $252 Beacon Health Options — Beacon Health Options - Value Options: $157.50 Blue Cross Blue Shield — BCBS HMO: $107.42 Blue Cross Blue Shield — BCBS PPO: $114.03 Blue Cross Blue Shield — Dupage Medical Group: $189 Blue Cross Blue Shield — Lake County Physician Association: $220.50 Blue Cross Blue Shield — Northshore Physician Associates: $204.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · modifier GP In the file: H PT EVALUATION MODERATE COMPLEXITY PER 15 MIN	$315	$220.50	$116.55 – $3,678
Physical therapy evaluation (moderate complexity): 10 of 42 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $220.50 Aetna — Aetna Illinois Preferred: $166.95 Aetna — Aetna Northwestern: $157.50 American Psych Systems — American Psych Systems: $252 Benchmark Health — Benchmark Health: $283.50 Blue Cross Blue Shield — Dupage Medical Group: $189 Blue Cross Blue Shield — Illinois Health Partners: $220.50 Blue Cross Blue Shield — Lake County Physician Association: $220.50 Blue Cross Blue Shield — Northshore Physician Associates: $204.75 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $189
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: H PT EVAL MOD COMPLEX	$825	$577.50	$109 – $783.75
Physical therapy evaluation (moderate complexity): 10 of 40 insurance plan rates Aetna — Aetna: $645.98 Aetna — Aetna Illinois Preferred: $437.25 Aetna — Aetna Northwestern: $412.50 American Psych Systems — American Psych Systems: $660 Beacon Health Options — Beacon Health Options - Value Options: $412.50 Beech Street — Beech Street - PPO: $742.50 Benchmark Health — Benchmark Health: $742.50 Blue Cross Blue Shield — BCBS HMO: $281.33 Blue Cross Blue Shield — BCBS PPO: $298.65 Blue Cross Blue Shield — Illinois Health Partners: $577.50
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: H PT EVAL HIGH COMPLEX	$925	$647.50	$109 – $878.75
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $647.50 Aetna — Aetna: $724.27 Aetna — Aetna Illinois Preferred: $490.25 Beech Street — Beech Street - PPO: $832.50 Benchmark Health — Benchmark Health: $832.50 Blue Cross Blue Shield — BCBS HMO: $315.43 Blue Cross Blue Shield — BCBS PPO: $334.85 Blue Cross Blue Shield — Dupage Medical Group: $555 Blue Cross Blue Shield — Illinois Health Partners: $647.50 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $555
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: H PT EVALUATION HIGH COMPLEXITY PER 15 MIN	$315	$220.50	$53.55 – $299.25
Physical therapy evaluation (high complexity): 10 of 46 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $220.50 Aetna — Aetna: $246.65 Aetna — Aetna Illinois Preferred: $166.95 American Psych Systems — American Psych Systems: $252 Beacon Health Options — Beacon Health Options - Value Options: $157.50 Beech Street — Beech Street - PPO: $283.50 Benchmark Health — Benchmark Health: $283.50 Blue Cross Blue Shield — BCBS HMO: $107.42 Blue Cross Blue Shield — Dupage Medical Group: $189 Blue Cross Blue Shield — Illinois Health Partners: $220.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · modifier GP In the file: H PT EVAL HIGH COMPLEX	$925	$647.50	$342.25 – $3,678
Physical therapy evaluation (high complexity): 10 of 45 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $647.50 Aetna — Aetna Illinois Preferred: $490.25 American Psych Systems — American Psych Systems: $740 Beech Street — Beech Street - PPO: $832.50 Blue Cross Blue Shield — Dupage Medical Group: $555 Blue Cross Blue Shield — Illinois Health Partners: $647.50 Blue Cross Blue Shield — Lake County Physician Association: $647.50 Blue Cross Blue Shield — Northshore Physician Associates: $601.25 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $555 Blue Cross Blue Shield — Sherman Choice - PHO: $740
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: H PSYCHOTHERAPY 30 MIN	$430	$301	$29.48 – $408.50
Psychotherapy, 30 minutes: 10 of 49 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $301 Aetna — Aetna: $70 Aetna — Aetna Illinois Preferred: $227.90 Aetna — Aetna Northwestern: $215 American Psych Systems — American Psych Systems: $344 Beacon Health Options — Beacon Health Options - Value Options: $55 Beech Street — Beech Street - PPO: $387 Benchmark Health — Benchmark Health: $387 Blue Cross Blue Shield — BCBS HMO: $146.63 Blue Cross Blue Shield — Lake County Physician Association: $301
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: H PSYCHOTHERAPY 30 MIN	$430	$301	$159.10 – $3,678
Psychotherapy, 30 minutes: 10 of 36 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $301 Aetna — Aetna Illinois Preferred: $227.90 Aetna — Aetna Northwestern: $215 American Psych Systems — American Psych Systems: $344 Beech Street — Beech Street - PPO: $387 Blue Cross Blue Shield — Lake County Physician Association: $301 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $258 Blue Cross Blue Shield — Sherman Choice - PHO: $344 Centegra — Centegra: $258 Cigna — Cigna C-5: $247.68
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: H PSYCHOTHERAPY 45 MIN	$571	$399.70	$44.20 – $542.45
Psychotherapy, 45 minutes: 10 of 55 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $399.70 Aetna — Aetna: $105 Aetna — Aetna Illinois Preferred: $302.63 Aetna — Aetna Northwestern: $285.50 American Psych Systems — American Psych Systems: $456.80 Beacon Health Options — Beacon Health Options - Value Options: $105 Blue Cross Blue Shield — BCBS HMO: $194.71 Blue Cross Blue Shield — BCBS PPO: $206.70 Blue Cross Blue Shield — Dupage Medical Group: $342.60 Blue Cross Blue Shield — Illinois Health Partners: $399.70
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: H PSYCHOTHERAPY 45 MIN	$571	$399.70	$211.27 – $3,678
Psychotherapy, 45 minutes: 10 of 49 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $399.70 Aetna — Aetna Illinois Preferred: $302.63 Aetna — Aetna Northwestern: $285.50 American Psych Systems — American Psych Systems: $456.80 Beech Street — Beech Street - PPO: $513.90 Blue Cross Blue Shield — Dupage Medical Group: $342.60 Blue Cross Blue Shield — Illinois Health Partners: $399.70 Blue Cross Blue Shield — Lake County Physician Association: $399.70 Blue Cross Blue Shield — Northshore Physician Associates: $371.15 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $342.60
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: H PSYCHOTHERAPY 60 MIN	$727	$508.90	$66.71 – $690.65
Psychotherapy, 60 minutes: 10 of 49 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $508.90 Aetna — Aetna: $138.08 Aetna — Aetna Northwestern: $363.50 American Psych Systems — American Psych Systems: $581.60 Beacon Health Options — Beacon Health Options - Value Options: $105 Beech Street — Beech Street - PPO: $654.30 Benchmark Health — Benchmark Health: $654.30 Blue Cross Blue Shield — BCBS HMO: $247.91 Blue Cross Blue Shield — Dupage Medical Group: $436.20 Blue Cross Blue Shield — Illinois Health Partners: $508.90
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: H PSYCHOTHERAPY 60 MIN	$727	$508.90	$268.99 – $3,678
Psychotherapy, 60 minutes: 10 of 39 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $508.90 Aetna — Aetna Northwestern: $363.50 American Psych Systems — American Psych Systems: $581.60 Beech Street — Beech Street - PPO: $654.30 Benchmark Health — Benchmark Health: $654.30 Blue Cross Blue Shield — Illinois Health Partners: $508.90 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $436.20 Blue Cross Blue Shield — Sherman Choice - PHO: $581.60 Cigna — Cigna C-5: $418.75 Cigna — Cigna Local Plus: $305.34
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY W/O PATIENT 50 MIN	$466	$326.20	$70 – $442.70
Family psychotherapy, without the patient: rates for 9 insurance plans Blue Cross Blue Shield — Northshore Physician Associates: $302.90 La Rabida Childrens Hospital — La Rabida Childrens Hospital: $233 Macneal Health — Macneal Health: $372.80 MercyCare Health — MercyCare Health - HMO/PPO: $172.42 Methodist First Choice — Methodist First Choice: $326.20 Principal Healthcare — Principal Healthcare - PPO: $396.10 St. Francis — St. Francis - IPA: $326.20 Swedish American — Swedish American: $419.40 UI Health — UI Health: $326.20
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: FAMILY PSYCHOTHERAPY W/O PATIENT 50 MIN	$466	$326.20	$172.42 – $3,678
Family psychotherapy, without the patient: rates for 5 insurance plans Blue Cross Blue Shield — Lake County Physician Association: $326.20 Blue Cross Blue Shield — Northshore Physician Associates: $302.90 La Rabida Childrens Hospital — La Rabida Childrens Hospital: $233 Private Health Care System — PHCS - PPO: $419.40 St. Francis — St. Francis - IPA: $326.20
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: H GROUP PSYCHOTHERAPY	$349	$244.30	$33.70 – $331.55
Group psychotherapy: rates for 7 insurance plans Cigna — Cigna: $247.79 Humana — Humana: $296.65 National Provider Network — National Provider Network - PPO: $331.55 Presence Health Partners — Presence Health Partners - Family Med Network: $244.30 Principal Healthcare — Principal Healthcare - PPO: $296.65 Security Health Plan — Security Health Plan - HMO: $314.10 West Suburban Health Providers — West Suburban Health Providers: $244.30
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: H GROUP PSYCHOTHERAPY	$349	$244.30	$129.13 – $3,678
Group psychotherapy: rates for 7 insurance plans Blue Cross Blue Shield — Dupage Medical Group: $209.40 Cigna — Cigna: $247.79 HFN Inc — HFN - EPO: $296.65 HFN Inc — HFN - PPO: $314.10 La Rabida Childrens Hospital — La Rabida Childrens Hospital: $174.50 Unicare — Unicare: $3,678 West Suburban Health Providers — West Suburban Health Providers: $244.30

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: H 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$2,885	$2,019.50	$900 – $3,678
Upper GI endoscopy (diagnostic): rates for 7 insurance plans Blue Cross Blue Shield — Dupage Medical Group: $1,731 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $1,731 Imagine Health — Imagine Health: $2,019.50 Private Health Care System — PHCS - PPO: $2,596.50 St. Francis — St. Francis - IPA: $2,019.50 Unicare — Unicare: $3,678 West Suburban Health Providers — West Suburban Health Providers: $2,019.50
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: H 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$2,885	$2,019.50	$490.45 – $2,740.75
Upper GI endoscopy (diagnostic): rates for 6 insurance plans American Psych Systems — American Psych Systems: $2,308 Beacon Health Options — Beacon Health Options - Value Options: $1,442.50 Blue Cross Blue Shield — Illinois Health Partners: $2,019.50 HFN Inc — HFN - EPO: $2,452.25 Imagine Health — Imagine Health: $2,019.50 Independent Physicians at Mercy — Independent Physicians at Mercy: $1,731
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: H 43239 EDG TRANSORAL BIOPSY SINGLE/MULTIPLE	$3,225	$2,257.50	$900 – $3,678
Upper GI endoscopy with biopsy: rates for 10 insurance plans Beech Street — Beech Street - PPO: $2,902.50 Blue Cross Blue Shield — Lake County Physician Association: $2,257.50 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $1,935 Cigna — Cigna C-5: $1,857.60 First Health — First Health: $2,838 La Rabida Childrens Hospital — La Rabida Childrens Hospital: $1,612.50 Macneal Health — Macneal Health: $2,580 MercyCare Health — MercyCare Health - HMO/PPO: $1,193.25 Sagamore Health Network — Sagamore Health Network - PPO: $2,838 Swedish American — Swedish American: $2,902.50
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: H 43239 EDG TRANSORAL BIOPSY SINGLE/MULTIPLE	$3,225	$2,257.50	$548.25 – $3,063.75
Upper GI endoscopy with biopsy: rates for 4 insurance plans Healthlink Inc. — Healthlink Inc.: $2,660.63 La Rabida Childrens Hospital — La Rabida Childrens Hospital: $1,612.50 Private Health Care System — Private Health Care System - EPO: $2,902.50 Shriners Hospital — Shriners Hospital: $2,418.75
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: H IR 55700 BIOPSYPROSTRATENEEDLE/PUNCH	$2,547	$1,782.90	$900 – $3,678
Prostate biopsy: 10 of 25 insurance plan rates Benchmark Health — Benchmark Health: $2,292.30 Blue Cross Blue Shield — Dupage Medical Group: $1,528.20 Blue Cross Blue Shield — Lake County Physician Association: $1,782.90 Blue Cross Blue Shield — Sherman Choice - PHO: $2,037.60 Cigna — Cigna C-5: $1,467.07 Cigna — Cigna Local Plus: $1,069.74 First Health — First Health: $2,241.36 Health Alliance — Health Alliance - PPO: $2,037.60 HFN Inc — HFN - PPO: $2,292.30 Humana — Humana: $2,164.95
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: H IR 55700 BIOPSYPROSTRATENEEDLE/PUNCH	$2,547	$1,782.90	$432.99 – $2,419.65
Prostate biopsy: 10 of 24 insurance plan rates Aetna — Aetna: $1,994.30 Aetna — Aetna Northwestern: $1,273.50 Beacon Health Options — Beacon Health Options - Value Options: $1,273.50 Benchmark Health — Benchmark Health: $2,292.30 Blue Cross Blue Shield — BCBS HMO: $868.53 Blue Cross Blue Shield — Unified Physicians Network: $1,426.32 Centegra — Centegra: $1,528.20 Cigna — Cigna: $1,808.37 Cigna — Cigna C-5: $1,467.07 Cigna — Cigna Local Plus: $1,069.74
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: H IR 62323 INJECTION DX/THER CERVICAL/THORACIC W IMAGING GUIDANCE	$3,758	$2,630.60	$900 – $3,678
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Blue Cross Blue Shield — Lake County Physician Association: $2,630.60 Blue Cross Blue Shield — Northwestern Medicine Physician Network IPA: $2,254.80 Cigna — Cigna Local Plus: $1,578.36 First Health — First Health: $3,307.04 HFN Inc — HFN - EPO: $3,194.30 Integrated Health Plan — Integrated Health Plan: $3,570.10 La Rabida Childrens Hospital — La Rabida Childrens Hospital: $1,879 Medicare — Medicare: $2,656 Private Health Care System — Private Health Care System - EPO: $3,382.20 Wellmark/Healthnetwork — Wellmark/Healthnetwork - PPO: $3,457.36
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: H IR 62323 INJECTION DX/THER CERVICAL/THORACIC W IMAGING GUIDANCE	$3,758	$2,630.60	$638.86 – $3,570.10
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans Advanced Physicians Association IPA — Advanced Physicians Association IPA: $2,630.60 Aetna — Aetna Northwestern: $1,879 Beacon Health Options — Beacon Health Options - Value Options: $1,879 Blue Cross Blue Shield — Unified Physicians Network: $2,104.48 Health Smart — Health Smart Preferred Care: $3,570.10 HFN Inc — HFN - EPO: $3,194.30 HFN Inc — HFN - PPO: $3,382.20 Imagine Health — Imagine Health: $2,630.60 Methodist First Choice — Methodist First Choice: $2,630.60
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: H IR 64483 INJ TF EPIDURAL LUMBAR/SACRL SGL	$2,000	$1,400	$340 – $1,900
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $1,400 Aetna — Aetna Illinois Preferred: $1,060 American Psych Systems — American Psych Systems: $1,600 Beacon Health Options — Beacon Health Options - Value Options: $1,000 Beech Street — Beech Street - PPO: $1,800 Benchmark Health — Benchmark Health: $1,800 Blue Cross Blue Shield — BCBS HMO: $682 Blue Cross Blue Shield — BCBS PPO: $724 Blue Cross Blue Shield — Dupage Medical Group: $1,200 Blue Cross Blue Shield — Illinois Health Partners: $1,400
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: H IR 64483 INJ TF EPIDURAL LUMBAR/SACRL SGL	$2,000	$1,400	$740 – $3,678
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates American Psych Systems — American Psych Systems: $1,600 Blue Cross Blue Shield — Dupage Medical Group: $1,200 Blue Cross Blue Shield — Sherman Choice - PHO: $1,600 Centegra — Centegra: $1,200 Cigna — Cigna: $1,420 Healthstar — Healthstar - PPO Next: $1,760 HFN Inc — HFN - EPO: $1,700 Macneal Health — Macneal Health: $1,600 MercyCare Health — MercyCare Health - HMO/PPO: $740 Methodist First Choice — Methodist First Choice: $1,400

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$1,354,661	$948,262.70	$900 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,286,927.95
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates Benchmark Health — Benchmark Health: $1,219,194.90 Blue Cross Blue Shield — BCBS PPO: $743,708.89 Blue Cross Blue Shield — Illinois Health Partners: $948,262.70 Cigna — Cigna C-5: $780,284.74 HFN Inc — HFN - EPO: $1,151,461.85 Medicare — Medicare: $2,656 Multiplan — Multiplan - PPO: $1,286,927.95 Northwest Community Healthcare — Northwest Community Healthcare: $948,262.70 Security Health Plan — Security Health Plan - HMO: $1,219,194.90 St. Elizabeth — St. Elizabeth - PHO: $1,151,461.85
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$900 – $3,678
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans Magellan — Magellan Behavioral Health: $900 Medicare — Medicare: $2,656 Unicare — Unicare: $3,678
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$270,257.72	$189,180.40	$900 – $256,744.83
Neck (cervical) spinal fusion, without complications: 10 of 12 insurance plan rates Advanced Physicians Association IPA — Advanced Physicians Association IPA: $189,180.40 Aetna — Aetna Illinois Preferred: $143,236.59 Beech Street — Beech Street - PPO: $243,231.95 Benchmark Health — Benchmark Health: $243,231.95 Cigna — Cigna C-5: $155,668.45 Health Plus — Health Plus - PHO: $189,180.40 Humana — Humana National POS: $229,719.06 Integrated Health Plan — Integrated Health Plan: $256,744.83 La Rabida Childrens Hospital — La Rabida Childrens Hospital: $135,128.86 MercyCare Health — MercyCare Health - HMO/PPO: $99,995.36
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$72,336.42	$50,635.50	$900 – $68,719.60
Uterus and ovary surgery (not for cancer), without complications: rates for 4 insurance plans Aetna — Aetna Northwestern: $36,168.21 Health Alliance — Health Alliance - PPO: $57,869.14 Integrated Health Plan — Integrated Health Plan: $68,719.60 National Provider Network — National Provider Network - PPO: $68,719.60

Source: Ann & Robert H Lurie Childrens Hospital of Chicago’s standard charges file (luriechildrens.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Children's Hospital
Address	225 E Chicago Ave, Box 140, Chicago, IL 60611
County	Cook County
State	Illinois
Phone	(312) 227‑4000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	143300
Name in Medicare records	ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO
Profile level	Medicare data + hospital website
Name on the hospital’s website	Lurie Children's Hospital of Chicago
Official website	luriechildrens.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

About Us - Lurie Children's — luriechildrens.org
Specialties and Conditions - Lurie Children's — luriechildrens.org
Pediatric Cardiology | Children's Heart Center | Lurie Children's — luriechildrens.org
Rehabilitative Services | Lurie Children's — luriechildrens.org
Pediatric Emergency Room in Chicago | Lurie Children's — luriechildrens.org
Pediatric Radiology | MRI & X-ray | Lurie Children's — luriechildrens.org
Patient Experience | Lurie Children's — luriechildrens.org
Neurovascular Disease and Stroke Program | Lurie Children's — luriechildrens.org
Pediatric Neuroradiology Fellowship | Lurie Children's — luriechildrens.org
Pediatric Neurosurgery | Chicago Neurosurgeons | Lurie Children's — luriechildrens.org