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 |
|---|---|---|---|---|
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $19.26 | 7 |
| Chromo high res and frag x - sendout CPT 81243 | $62.50 | $250.00 | $57.04 – $92.40 | 7 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $173.66 – $281.33 | 7 |
| Chromosome analysis 100 CPT 88249 | $107.50 | $430.00 | $173.17 – $280.54 | 7 |
| Chromosome analysis 15-20 cell count CPT 88262 | $100.00 | $400.00 | $125.49 – $203.29 | 7 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $160.81 – $280.54 | 7 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $243.47 | 7 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $190.92 – $428.23 | 7 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $280.54 | 7 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $305.48 | 7 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $111.13 | 7 |
| Chromosome count additional CPT 88285 | not published | not published | $20.52 – $43.59 | 7 |
| Chromosome karyotype study CPT 88280 | $28.25 | $113.00 | $27.11 – $54.22 | 7 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $55.78 | 7 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $20.19 | 7 |
| Chylomicron screen, bf - sendout CPT 82664 | $50.00 | $200.00 | $37.11 – $99.63 | 7 |
| Cidofovir injection HCPCS J0740 | $198.45 | $793.78 | $546.29 – $885.00 | 7 |
| Cilastatin sodium injection HCPCS J0743 | $76.82 | $307.29 | $11.20 – $13.96 | 2 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $576.00 – $4,127.37 | 7 |
| Ciltacabtagene car-pos t HCPCS Q2056 | $318,456.66 | $1,273,826.62 | $565,868.94 – $916,707.69 | 7 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $1.21 – $1.21 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $100.77 – $181.49 | 7 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $3.08 | $12.33 | $2.10 – $3.73 | 2 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $417.50 | $1,670.01 | $47.22 – $47.22 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $576.00 – $3,628.95 | 7 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $576.00 – $1,210.52 | 7 |
| Circumcision (newborn) CPT 54150 | not published | not published | $430.00 – $3,628.95 | 7 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $774.71 | $3,098.84 | $2.65 – $7.57 | 2 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $261.30 – $533.81 | 7 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $197.11 | $788.43 | $10.68 – $17.30 | 7 |
| Claviculectomy partial CPT 23120 | not published | not published | $926.00 – $5,680.26 | 7 |
| Claviculectomy total CPT 23125 | not published | not published | $926.00 – $5,680.26 | 7 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $577.95 – $936.29 | 7 |
| Clearance of airways CPT 31720 | not published | not published | $234.66 – $380.15 | 7 |
| Clearance of tear duct CPT 68530 | not published | not published | $340.14 – $551.02 | 7 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $142.58 – $230.97 | 7 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $142.58 – $230.97 | 7 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $142.58 – $230.97 | 7 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $40.03 – $64.84 | 7 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $4.83 – $4.83 | 1 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $149.42 | $597.68 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,383.00 – $5,619.72 | 7 |
| Cllr miami j sm HCPCS L0174 | $143.70 | $574.79 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $233.25 | $932.99 | $4.19 – $6.79 | 7 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $1,402.75 | $5,611.00 | $35.08 – $36.01 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $484.25 | $1,937.00 | $264.33 – $428.22 | 7 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,075.00 | $4,300.00 | $430.00 – $2,791.51 | 7 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,723.15 – $2,791.51 | 7 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $264.33 – $428.22 | 7 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $576.00 – $2,791.51 | 7 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $264.33 – $428.22 | 7 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $430.00 – $2,791.51 | 7 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $131.25 | $525.00 | $264.33 – $428.22 | 7 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,284.00 – $2,693.58 | 7 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $576.00 – $936.29 | 7 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $658.00 – $2,693.58 | 7 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $576.00 – $2,791.51 | 7 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $576.00 – $5,755.71 | 7 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $264.33 – $428.22 | 7 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $264.33 – $428.22 | 7 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $576.00 – $5,680.26 | 7 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $130.00 | $520.00 | $253.81 – $411.18 | 7 |
| Close mastoid fistula CPT 69700 | not published | not published | $658.00 – $2,693.58 | 7 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $5,474.00 – $12,596.95 | 7 |
| Close tear duct opening CPT 68760 | not published | not published | $340.14 – $551.02 | 7 |
| Close tear duct opening CPT 68761 | not published | not published | $340.14 – $551.02 | 7 |
| Close tear system fistula CPT 68770 | not published | not published | $813.00 – $4,127.37 | 7 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $12.94 – $25.92 | 7 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $576.00 – $2,693.58 | 7 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $300.00 | $1,200.00 | $430.00 – $936.29 | 7 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $430.00 – $1,730.60 | 7 |
| Closure of salivary fistula CPT 42600 | not published | not published | $430.00 – $5,755.71 | 7 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $430.00 – $5,755.71 | 7 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $672.23 – $1,089.01 | 7 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $30.67 | 7 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $33.08 | 7 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $30.67 | 7 |
| Clot factor xii hageman CPT 85280 | $40.00 | $160.00 | $19.35 – $31.35 | 7 |
| Clot factor xiii fibrin scrn CPT 85291 | $8.00 | $32.00 | $9.11 – $14.76 | 7 |
| Clot factor xiii fibrin stab CPT 85290 | $40.00 | $160.00 | $16.34 – $26.47 | 7 |
| Clotting assay whole blood CPT 85396 | not published | not published | $16.75 – $25.92 | 2 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.54 – $1.54 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $131.25 | $525.00 | $264.33 – $428.22 | 7 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $264.33 – $428.22 | 7 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $131.25 | $525.00 | $264.33 – $428.22 | 7 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $430.00 – $2,791.51 | 7 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $264.33 – $428.22 | 7 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $430.00 – $2,791.51 | 7 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $264.33 – $428.22 | 7 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $264.33 – $428.22 | 7 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $264.33 – $428.22 | 7 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $131.25 | $525.00 | $264.33 – $428.22 | 7 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $264.33 – $428.22 | 7 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $131.25 | $525.00 | $264.33 – $428.22 | 7 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $576.00 – $2,791.51 | 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.