Home › Hospitals › Ann & Robert H Lurie Childrens Hospital of Chicago › Supplies, drugs & other 25 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,378.30
$1,969
3.7×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $6,503.70
$9,291
0.7×
Bia whole body composition assessment w/i&r (0358T) $37.10
$53
1.2×
Catheterize for urine spec (P9612) $14.70
$21
1.6×
Diab manage trn per indiv (G0108) $105
$150
1.9×
Direct refer hospital observ (G0379) $280
$400
0.4×
Drug test def 1-7 classes (G0480) range across 15 matching MRF lines $187.60–$478.10
$268–$683
varies
Drug test def 22+ classes (G0483) $187.60
$268
0.8×
Fractional abl lsr fenestration first 100 sqcm (0479T) $869.40
$1,242
1.1×
Hospital outpt clinic visit (G0463) $175
$250
1.2×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $1,111.60
$1,588
1.2×
Ire Abltj 1+Tum Organ Perq (0600T) $9,328.90
$13,327
0.8×
Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) $2,587.20
$3,696
12.9×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,111.60
$1,588
1.2×
Oth resp proc, group (G0239) $73.50
$105
1.8×
Oth resp proc, indiv (G0238) $91.70
$131
3.0×
Pattern erg w/i&r (0509T) $505.40
$722
2.2×
Pemivibart infusion (M0224) $898.80
$1,284
1.9×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $504.70
$721
0.7×
Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) $5,713.40
$8,162
1.2×
Therapeutic procd strg endur (G0237) $84.70
$121
2.7×
Therapeutic ultrafiltration (0692T) $2,772
$3,960
1.7×
Tte w or w/o fol w/cont, com (C8921) $2,387
$3,410
2.8×
Tte w or w/o fol w/cont, f/u (C8922) $1,391.60
$1,988
1.7×
Tte w or wo fol wcon,doppler (C8929) $4,494.70
$6,421
5.4×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.