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 |
|---|---|---|---|---|
| CT upper extremity w/contrast (both sides) CPT 73201 | $700.00 | $2,800.00 | $373.86 – $605.65 | 7 |
| CT upper extremity without contrast (both sides) CPT 73200 | $625.00 | $2,500.00 | $112.03 – $181.49 | 7 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $187.96 – $304.50 | 7 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $54.32 – $295.77 | 7 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $54.32 – $295.77 | 7 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $576.00 – $6,151.98 | 7 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $576.00 – $3,581.90 | 7 |
| Culture aerobic additional method definitive id each CPT 87077 | $28.75 | $115.00 | $8.08 – $13.09 | 7 |
| Culture afb any source CPT 87116 | $50.00 | $200.00 | $10.80 – $17.50 | 7 |
| Culture anaerobic additional method definitive id each CPT 87076 | $37.50 | $150.00 | $8.08 – $13.09 | 7 |
| Culture anaerobic except blood CPT 87075 | $78.75 | $315.00 | $9.47 – $15.34 | 7 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $9.66 – $15.65 | 7 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $28.22 – $28.22 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $32.50 | $130.00 | $9.44 – $15.29 | 7 |
| Culture body fluid CPT 87070 | $66.50 | $266.00 | $8.62 – $13.96 | 7 |
| Culture fungi definitive id mold CPT 87107 | $40.00 | $160.00 | $10.32 – $16.72 | 7 |
| Culture fungi definitive id yeast CPT 87106 | $31.25 | $125.00 | $10.32 – $16.72 | 7 |
| Culture fungi other (except blood) CPT 87102 | $46.25 | $185.00 | $8.41 – $13.62 | 7 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $7.71 – $12.49 | 7 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $35.00 | $140.00 | $11.82 – $23.67 | 7 |
| Culture mycoplasma any source CPT 87109 | $40.00 | $160.00 | $15.39 – $24.93 | 7 |
| Culture of specimen by kit CPT 87084 | not published | not published | $9.31 – $43.85 | 7 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.89 – $16.02 | 7 |
| Culture screening strep group a CPT 87081 | $31.25 | $125.00 | $6.63 – $10.74 | 7 |
| Culture type pulse field gel CPT 87152 | not published | not published | $5.65 – $12.54 | 7 |
| Culture typing added method CPT 87158 | $20.00 | $80.00 | $5.65 – $12.54 | 7 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $20.28 | 7 |
| Culture typing immunologic CPT 87147 | $22.50 | $90.00 | $5.18 – $8.39 | 7 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $136.25 | $545.00 | $218.06 – $353.26 | 7 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $27.50 | $110.00 | $35.09 – $56.85 | 7 |
| Culture urine each isolate CPT 87088 | $21.00 | $84.00 | $8.09 – $13.11 | 7 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $31.69 | 7 |
| Curette/treat cornea CPT 65435 | not published | not published | $430.00 – $1,730.60 | 7 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,414.00 – $4,127.37 | 7 |
| Cv line/pic reposition CPT 36597 | $625.00 | $2,500.00 | $430.00 – $2,732.77 | 7 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $23.20 | 7 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $26.47 | $105.87 | $2.25 – $2.53 | 2 |
| Cyclic citrullinated peptide antibody CPT 86200 | $35.00 | $140.00 | $12.95 – $20.98 | 7 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $34.04 – $34.04 | 1 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $145.21 | $580.86 | $0.48 – $0.78 | 7 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $18.93 | $75.70 | $1.40 – $1.94 | 2 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $38.24 | $152.96 | $78.85 – $78.85 | 1 |
| Cyclosporine 2 hour CPT 80158 | $40.00 | $160.00 | $18.05 – $29.24 | 7 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.79 | $11.15 | $1.17 – $1.61 | 2 |
| Cyclosporine oral 100 mg HCPCS J7502 | $4.58 | $18.32 | $3.57 – $4.43 | 2 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $133.36 – $216.04 | 7 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $106.64 – $216.04 | 7 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $1,276.44 – $1,276.44 | 1 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $231.04 – $472.00 | 7 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $138.63 – $283.19 | 7 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $357.57 – $730.47 | 7 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $283.19 | 7 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $283.19 | 7 |
| Cystatin c CPT 82610 | $43.75 | $175.00 | $14.69 – $30.00 | 7 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $362.93 – $808.38 | 7 |
| Cystine urine quantitative CPT 82131 | $50.00 | $200.00 | $18.23 – $37.23 | 7 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $658.00 – $6,119.44 | 7 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $231.25 | $925.00 | $33.95 – $605.65 | 7 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $5,474.00 – $16,433.99 | 7 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $10,144.44 – $16,433.99 | 7 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $3,383.00 – $16,433.99 | 7 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $747.24 – $1,210.52 | 7 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $4,175.00 – $5,580.00 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $3,217.00 – $16,433.99 | 7 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $3,383.00 – $9,308.20 | 7 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $576.00 – $6,119.44 | 7 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $813.00 – $6,119.44 | 7 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $576.00 – $6,119.44 | 7 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $576.00 – $6,119.44 | 7 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $576.00 – $6,119.44 | 7 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $658.00 – $6,119.44 | 7 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $658.00 – $9,308.20 | 7 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $576.00 – $3,628.95 | 7 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $430.00 – $3,628.95 | 7 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $658.00 – $3,628.95 | 7 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $576.00 – $6,119.44 | 7 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $576.00 – $3,628.95 | 7 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $576.00 – $1,210.52 | 7 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $576.00 – $3,628.95 | 7 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $576.00 – $6,119.44 | 7 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $658.00 – $6,119.44 | 7 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $576.00 – $9,308.20 | 7 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $576.00 – $3,628.95 | 7 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $576.00 – $3,628.95 | 7 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $926.00 – $6,119.44 | 7 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $576.00 – $6,119.44 | 7 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $430.00 – $1,210.52 | 7 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $926.00 – $3,628.95 | 7 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $576.00 – $1,210.52 | 7 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $1,728.00 – $6,119.44 | 7 |
| Cystoscopy inject material CPT 52327 | not published | not published | $576.00 – $9,308.20 | 7 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $1,728.00 – $9,308.20 | 7 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $576.00 – $6,119.44 | 7 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $576.00 – $3,628.95 | 7 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $576.00 – $3,628.95 | 7 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $813.00 – $9,308.20 | 7 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $576.00 – $3,628.95 | 7 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $813.00 – $3,628.95 | 7 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $813.00 – $6,119.44 | 7 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,383.00 – $6,119.44 | 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.