How many shoppable procedure prices are published for Rush University Medical Center?

Rush University Medical Center in Chicago, IL currently has 112 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Rush University Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Rush University Medical Center's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is Rush University Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Rush University Medical Center an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 608 Beds · rural Updated: 2026-06-02

Rush University Medical Center

1653 West Congress Parkway, Chicago, IL 60612 · 112 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

High Markup · Shop Alternatives

1.71×vs. Fair Market Price

Typical commercial prices here are +71% above the fair benchmark (1.71×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 53% of the Time

File Completeness51

Price Logic60

Peer Alignment84

Clean Billing93

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.71× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +49% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Rush University Medical Center prices routine shoppable procedures at 2.5× Medicare (median 1.58× Fair BaseRate) while upper-quartile commercial rates jump +49% to 2.35× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#109 of 126 in IL · 85th State Percentile#2,891 of 3,385 in U.S. · 85th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.25× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 53% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 78% patient recommendation (60/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (50.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 1.58× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.35×) jump +49% above the median procedure ratio (Q50 1.58×)
Unnegotiated chargemaster list prices average 9.1× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.84× Divergence

2.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+49% Upper Tail

Q25 1.25× · Q50 1.58× · Q75 2.35×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.6× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

3.6× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.8× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

53% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 60/100Elevated

Procedure Prices at Rush University Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 112 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$43,593	$24,554	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$34,864	$24,382	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$41,431	$22,285	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$15,521	$9,855	$8,223	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,814	$8,811	$6,109	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,446	$6,892	$3,372	unverified
Bunion correction surgery CPT Code: `28296`	$4,424	$6,423	$3,446	1.9×
Vaginal delivery (full package) CPT Code: `59400`	$4,483	$6,306	$2,680	2.4×
C-section delivery (full package) CPT Code: `59510`	$3,815	$5,888	$2,975	2.0×
Breast lump removal CPT Code: `19120`	$2,994	$5,706	$3,875	1.5×
Colonoscopy with biopsy CPT Code: `45380`	$2,460	$1,744	$1,256	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,385	$1,532	$511	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,613	$1,379	$338	4.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,389	$1,355	$981	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	$2,375	$1,322	$987	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,277	$1,283	$343	3.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,297	$1,283	$369	3.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,030	$1,106	$1,021	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,900	$936	$303	3.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,243	$936	$448	2.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,345	$902	$258	unverified
CT scan, pelvis CPT Code: `72192`	$936	$858	$163	5.3×
CT scan, chest (no contrast) CPT Code: `71250`	$915	$858	$167	5.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,069	$858	$168	5.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,113	$858	$169	5.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,129	$821	$242	3.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,000	$796	$583	1.4×
Neurobehavioral status check CPT Code: `96116`	$502	$777	$231	unverified
CT scan, head (no contrast) CPT Code: `70450`	$902	$686	$160	4.3×
CT scan, sinuses CPT Code: `70486`	$902	$686	$166	4.1×
Psychological testing by technician CPT Code: `96138`	$312	$624	$395	1.6×
Blood transfusion CPT Code: `36430`	$1,073	$643	$498	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$471	$471	$151	unverified
Psychological testing evaluation CPT Code: `96136`	$216	$431	$128	unverified
Care planning with family CPT Code: `90887`	$188	$375	$107	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$318	$330	$185	1.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$817	$326	$272	1.2×
Group therapy session CPT Code: `90853`	$297	$349	$100	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$249	$259	$166	1.6×
Family therapy session CPT Code: `90847`	$258	$259	$173	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$258	$259	$181	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$174	$282	$201	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$257	$257	$86	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$107	$214	$110	1.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$108	$215	$123	1.7×
Ultrasound, pelvis CPT Code: `76856`	$588	$211	$130	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$682	$217	$134	1.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$347	$218	$148	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$93	$185	$87	2.1×
Screening mammogram (both breasts) CPT Code: `77067`	$311	$176	$123	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$69	$138	$86	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$483	$153	$126	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$563	$156	$132	1.2×
X-ray, chest (single view) CPT Code: `71045`	$199	$112	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$284	$112	$93	1.2×
X-ray, lower back CPT Code: `72110`	$367	$134	$112	1.2×
X-ray, pelvis CPT Code: `72170`	$218	$126	$110	1.1×
X-ray, shoulder CPT Code: `73030`	$338	$105	$92	1.1×
X-ray, foot CPT Code: `73630`	$316	$105	$92	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$257	$105	$93	1.1×
X-ray, hand CPT Code: `73130`	$313	$105	$93	1.1×
X-ray, hip CPT Code: `73502`	$187	$105	$93	1.1×
X-ray, ankle CPT Code: `73610`	$240	$105	$93	1.1×
Typhoid vaccine HCPCS Code: `90675`	$333	$331	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$134	$244	$140	1.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$102	$203	$111	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$72	$138	$56	2.5×
Blood antibody screen CPT Code: `86850`	$67	$129	$46	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$55	$101	$39	2.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$81	$66	$38	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$72	$58	$38	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$72	$58	$40	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$227	$77	$64	1.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$94	$94	$203	0.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$113	$113	$14	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$96	$96	$19	unverified
Culture, blood CPT Code: `87040`	$119	$119	$11	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$117	$117	$37	unverified
Blood test, lipase CPT Code: `83690`	$58	$58	$7	8.3×
Blood test, vitamin D CPT Code: `82306`	$80	$80	$31	2.6×
Blood test, vitamin B12 CPT Code: `82607`	$81	$81	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$78	$78	$14	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$80	$80	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$94	$94	$15	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$79	$79	$20	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$30	$30	$4	7.5×
Blood test, amylase CPT Code: `82150`	$51	$51	$7	7.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$31	$5	6.2×
Blood test, potassium CPT Code: `84132`	$30	$30	$5	6.0×
Blood test, magnesium CPT Code: `83735`	$41	$41	$7	5.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$30	$54	$25	2.2×
Speech therapy (group session) CPT Code: `92508`	$184	$48	$27	1.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$65	$54	$35	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$72	$54	$38	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$89	$48	$34	1.4×
Physical therapy (gait training) CPT Code: `97116`	$72	$46	$33	1.4×
Prosthetic fitting and training CPT Code: `97761`	$78	$56	$45	1.2×
Orthotic fitting and training CPT Code: `97760`	$79	$63	$51	1.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$54	$54	$8	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$57	$6	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$68	$68	$33	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$35	$35	$5	7.0×
Blood test, calcium CPT Code: `82310`	$33	$33	$5	6.6×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$20	$20	$4	5.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$40	$40	$10	4.0×
Culture, bacterial CPT Code: `87070`	$35	$35	$9	3.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$123	$26	$11	2.4×
Blood test, basic metabolic panel CPT Code: `80048`	$72	$20	$9	2.2×
Blood test, liver function panel CPT Code: `80076`	$94	$19	$9	2.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$37	$37	$3	unverified
Blood test, sodium CPT Code: `84295`	$28	$11	$5	2.2×
Blood test, hemoglobin CPT Code: `85018`	$22	$22	$3	unverified

Showing top 25 high-impact procedures of 112 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 50.0%

Audit a Bill or Quote at Rush University Medical Center (Zero PHI Required)

CMS CCN: 140119

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $43,593

Insurer Median $24,554

1. Amount on Your Bill or Quote ($) Pre-filled with Rush University Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $43,593 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $43,593

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.0% of gross = $43,593).

Step 2 · Cash vs. Insurance Arbitrage Save $43,593 Paying Cash

Self-Pay Cash Rate ($43,593) Beats Your Bill

Rush University Medical Center's published 45 CFR § 180 self-pay cash rate is $43,593 (vs. $24,554 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$68,099 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($87,186) is $68,099 above the denoised Fair BaseRate ($19,087) and 6.2× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 362174823

Filing Period: 196003

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (50.0% 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite60/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait358 min

Left ER Before Seen9%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate4.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Rush University Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-22·administrative_or_closure
Closure Notice
Recorded
2025-03-24·warning_notice
Warning Notice
Recorded
2024-06-24·administrative_or_closure
Closure Notice
Recorded
2024-05-13·cap_corrective_action
CAP Request
Recorded
2024-02-06·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (3,109 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Rush University Medical Center.

Price Index: 1.49× regional baseline

Quality: 50/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

WellCare

+137.5%

Devoted Health

+182.7%

Median Household Income$81,797U.S. Census ACS

Local Uninsured Share9.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 140119 EIN 362174823

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 140119) ↗ Verify IRS Form 990 (EIN 362174823) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-02

Validated Rate Rows2,787 (CMS v3.0.0)

File Integrity DigestVerified · CCN 140119

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.

Submit MRF Update Correction Policy