Uchicago Medicine Adventhealth Bolingbrook
500 Remington Boulevard, Bolingbrook, IL · AdventHealth · · NPI 1164530465
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray knee 1-2 views (both sides) CPT 73560 | $125.00 | $500.00 | $35.61 – $151.08 | 7 |
| X-ray knee 3 views (both sides) CPT 73562 | $137.50 | $550.00 | $41.18 – $151.08 | 7 |
| X-ray knee ap standing bilateral CPT 73565 | $187.50 | $750.00 | $42.30 – $151.08 | 7 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $125.00 | $500.00 | $31.16 – $151.08 | 7 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $112.50 | $450.00 | $45.63 – $181.49 | 7 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $150.00 | $600.00 | $51.77 – $181.49 | 7 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $175.00 | $700.00 | $71.81 – $181.49 | 7 |
| X-ray male genital tract CPT 74440 | not published | not published | $98.54 – $414.22 | 7 |
| X-ray mandible complete > 4 views CPT 70110 | $175.00 | $700.00 | $39.51 – $181.49 | 7 |
| X-ray mandible ltd <4 views CPT 70100 | $87.50 | $350.00 | $37.28 – $151.08 | 7 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $30.60 – $30.60 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $125.00 | $500.00 | $37.28 – $151.08 | 7 |
| X-ray neck soft tissue CPT 70360 | $125.00 | $500.00 | $31.16 – $151.08 | 7 |
| X-ray nose to rectum for foreign body child CPT 76010 | $87.50 | $350.00 | $26.70 – $151.08 | 7 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $84.62 – $414.22 | 7 |
| X-ray optic foramina CPT 70190 | not published | not published | $38.40 – $151.08 | 7 |
| X-ray pelvis 1-2 views CPT 72170 | $112.50 | $450.00 | $36.17 – $181.49 | 7 |
| X-ray pelvis complete > 3 views CPT 72190 | $127.50 | $510.00 | $42.86 – $181.49 | 7 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $231.25 | $925.00 | $164.97 – $605.65 | 7 |
| X-ray ribs 2 views left CPT 71100 | $125.00 | $500.00 | $33.95 – $151.08 | 7 |
| X-ray ribs 3 views bilateral CPT 71110 | $175.00 | $700.00 | $37.28 – $181.49 | 7 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $175.00 | $700.00 | $35.61 – $181.49 | 7 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $175.00 | $700.00 | $48.98 – $181.49 | 7 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $127.50 | $510.00 | $36.72 – $181.49 | 7 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $125.00 | $500.00 | $30.60 – $151.08 | 7 |
| X-ray scapula complete (both sides) CPT 73010 | $127.50 | $510.00 | $32.82 – $181.49 | 7 |
| X-ray sella turcica CPT 70240 | not published | not published | $31.71 – $151.08 | 7 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $87.50 | $350.00 | $23.91 – $151.08 | 7 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $125.00 | $500.00 | $38.96 – $151.08 | 7 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $325.00 | $1,300.00 | $45.63 – $948.59 | 7 |
| X-ray skull < 4 views CPT 70250 | $127.50 | $510.00 | $36.72 – $181.49 | 7 |
| X-ray skull > 4 views complete CPT 70260 | $175.00 | $700.00 | $43.97 – $181.49 | 7 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $95.19 – $181.49 | 7 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $175.00 | $700.00 | $124.92 – $304.50 | 7 |
| X-ray small intestine follow-through study CPT 74248 | $275.00 | $1,100.00 | $153.21 – $153.21 | 1 |
| X-ray spine single view CPT 72020 | $87.50 | $350.00 | $22.80 – $151.08 | 7 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $125.00 | $500.00 | $38.96 – $151.08 | 7 |
| X-ray sternum > 2 views CPT 71120 | $125.00 | $500.00 | $30.60 – $151.08 | 7 |
| X-ray surgical specimen CPT 76098 | $325.00 | $1,300.00 | $13.89 – $948.59 | 7 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $175.00 | $700.00 | $124.92 – $304.50 | 7 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $125.00 | $500.00 | $53.99 – $151.08 | 7 |
| X-ray thoracic spine 2 views CPT 72070 | $127.50 | $510.00 | $35.61 – $181.49 | 7 |
| X-ray thoracic spine 3 views CPT 72072 | $150.00 | $600.00 | $37.28 – $181.49 | 7 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $125.00 | $500.00 | $31.16 – $151.08 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $87.50 | $350.00 | $40.07 – $151.08 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $127.50 | $510.00 | $72.36 – $181.49 | 7 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $125.00 | $500.00 | $31.71 – $151.08 | 7 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $125.00 | $500.00 | $33.95 – $151.08 | 7 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $200.00 | $800.00 | $124.92 – $304.50 | 7 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $175.00 | $700.00 | $122.48 – $304.50 | 7 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $124.92 – $124.92 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $196.55 – $196.55 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $125.00 | $500.00 | $32.27 – $151.08 | 7 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $175.00 | $700.00 | $93.53 – $304.50 | 7 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.80 – $20.91 | 7 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.67 – $2.71 | 7 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $21.37 | 7 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $133.36 – $216.04 | 7 |
| Ziconotide injection HCPCS J2278 | $793.71 | $3,174.82 | $10.14 – $16.43 | 7 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $15.08 | $60.32 | $1.51 – $2.45 | 7 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $2.36 – $2.36 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $43.75 | $175.00 | $51.31 – $83.12 | 7 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $27.30 | 7 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $136.79 | $547.14 | $15.92 – $16.33 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $675.08 | $2,700.34 | $7.88 – $12.77 | 7 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $44.36 | $177.42 | $11.57 – $12.75 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $313.06 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.