Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
H IR 36569 PIC>5YO WO IMAGING GUIDANCE
Chicago, IL
See all hospitals reporting CPT 36569 →Price type
Ann & Robert H. Lurie Children's Hospital of Chicago’s median price of $1.8k is 4% above the median hospital's median price ($1.8k), higher than 52% of the 2,417 hospitals reporting CPT 36569. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 44 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $387.60 | $387.60 | $387.60 – $387.60 |
| 2 | Magellan magellan behavioral health per diem · inpatient | $900.00 | $900.00 | $900.00 – $900.00 |
| 3 | Cigna cigna local plus percent of total billed charges · inpatientfrom % of charges | $957.60 | $957.60 | $957.60 – $957.60 |
| 4 | Cigna cigna local plus percent of total billed charges · outpatientfrom % of charges | $957.60 | $957.60 | $957.60 – $957.60 |
| 5 | Blue Cross Blue Shield bcbs hmo percent of total billed charges · outpatientfrom % of charges | $987.24 | $987.24 | $987.24 – $987.24 |
| 6 | Blue Cross Blue Shield bcbs hmo case rate · outpatient | $1,015 | $1,015 | $1,015 – $1,015 |
| 7 | Blue Cross Blue Shield bcbs ppo percent of total billed charges · outpatientfrom % of charges | $1,040 | $1,040 | $1,040 – $1,040 |
| 8 | Aetna aetna northwestern percent of total billed charges · inpatientfrom % of charges | $1,140 | $1,140 | $1,140 – $1,140 |
| 9 | Aetna aetna northwestern percent of total billed charges · outpatientfrom % of charges | $1,140 | $1,140 | $1,140 – $1,140 |
| 10 | Aetna aetna illinois preferred percent of total billed charges · inpatientfrom % of charges | $1,208 | $1,208 | $1,208 – $1,208 |
| 11 | Aetna aetna illinois preferred percent of total billed charges · outpatientfrom % of charges | $1,208 | $1,208 | $1,208 – $1,208 |
| 12 | Blue Cross Blue Shield unified physicians network percent of total billed charges · outpatientfrom % of charges | $1,277 | $1,277 | $1,277 – $1,277 |
| 13 | Cigna cigna c-5 percent of total billed charges · inpatientfrom % of charges | $1,313 | $1,313 | $1,313 – $1,313 |
| 14 | Cigna cigna c-5 percent of total billed charges · outpatientfrom % of charges | $1,313 | $1,313 | $1,313 – $1,313 |
| 15 | Blue Cross Blue Shield dupage medical group percent of total billed charges · inpatientfrom % of charges | $1,368 | $1,368 | $1,368 – $1,368 |
| 16 | Blue Cross Blue Shield dupage medical group percent of total billed charges · outpatientfrom % of charges | $1,368 | $1,368 | $1,368 – $1,368 |
| 17 | Blue Cross Blue Shield northwestern medicine physician network ipa percent of total billed charges · inpatientfrom % of charges | $1,368 | $1,368 | $1,368 – $1,368 |
| 18 | Blue Cross Blue Shield northwestern medicine physician network ipa percent of total billed charges · outpatientfrom % of charges | $1,368 | $1,368 | $1,368 – $1,368 |
| 19 | Blue Cross Blue Shield northshore physician associates percent of total billed charges · inpatientfrom % of charges | $1,482 | $1,482 | $1,482 – $1,482 |
| 20 | Blue Cross Blue Shield northshore physician associates percent of total billed charges · outpatientfrom % of charges | $1,482 | $1,482 | $1,482 – $1,482 |
| 21 | Blue Cross Blue Shield illinois health partners percent of total billed charges · inpatientfrom % of charges | $1,596 | $1,596 | $1,596 – $1,596 |
| 22 | Blue Cross Blue Shield illinois health partners percent of total billed charges · outpatientfrom % of charges | $1,596 | $1,596 | $1,596 – $1,596 |
| 23 | Blue Cross Blue Shield lake county physician association percent of total billed charges · inpatientfrom % of charges | $1,596 | $1,596 | $1,596 – $1,596 |
| 24 | Blue Cross Blue Shield lake county physician association percent of total billed charges · outpatientfrom % of charges | $1,596 | $1,596 | $1,596 – $1,596 |
| 25 | Cigna cigna percent of total billed charges · inpatientfrom % of charges | $1,619 | $1,619 | $1,619 – $1,619 |
Last updated: Apr 1, 2026
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