Ann & Robert H Lurie Childrens Hospital of Chicago
225 E Chicago Ave, Box 140, Chicago, IL 60611 · 99 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Ann & Robert H Lurie Childrens Hospital of Chicago concentrates commercial margin in outpatient surgical suites (4.7× Medicare) and specialty drug infusions (3.8× Medicare) relative to routine diagnostics (5.3×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 58% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (80.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 4.7× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (14.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 17.1× Medicare (25¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Ann & Robert H Lurie Childrens Hospital of Chicago
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $160,170 | 8.2× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $112,051 | 5.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $36,952 | 4.5× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $4,920 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,570 | 8.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,478 | 10.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $4,318 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,935 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,564 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $3,391 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $3,403 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $2,760 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,700 | unverified |
| CT scan, sinuses CPT Code: 70486 | $2,538 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,502 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,386 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,407 | unverified |
| Blood transfusion CPT Code: 36430 | $2,332 | 4.7× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,269 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $2,209 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,912 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,784 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,645 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $1,499 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,357 | unverified |
Audit a Bill or Quote at Ann & Robert H Lurie Childrens Hospital of Chicago (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $183,028
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (80.0% of gross = $183,028).
Self-Pay Cash Rate ($160,170) Beats Your Bill
Ann & Robert H Lurie Childrens Hospital of Chicago's published 45 CFR § 180 self-pay cash rate is $160,170 (vs. $160,170 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($228,814) is $209,382 above the denoised Fair BaseRate ($19,432) and 16.3× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (80.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ann & Robert H Lurie Childrens Hospital of Chicago.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.