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 |
|---|---|---|---|---|
| Destruction ciliary body CPT 66740 | not published | not published | $576.00 – $4,127.37 | 7 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $215.00 – $348.31 | 7 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $430.00 – $4,818.61 | 7 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $430.00 – $4,127.37 | 7 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $435.63 – $705.72 | 7 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $430.00 – $705.72 | 7 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $435.63 – $705.72 | 7 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $430.00 – $705.72 | 7 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $435.63 – $705.72 | 7 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $430.00 – $3,581.90 | 7 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $430.00 – $705.72 | 7 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,728.00 – $4,818.61 | 7 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $430.00 – $5,619.72 | 7 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $2,414.00 – $5,619.72 | 7 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $2,211.05 – $3,581.90 | 7 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $21.67 – $48.65 | 7 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.33 – $70.75 | 7 |
| Device intraute mirena HCPCS J7298 | $333.54 | $1,334.17 | $1,543.61 – $1,543.61 | 1 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $87.50 | $350.00 | $27.26 – $151.08 | 7 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $102.94 – $166.75 | 7 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.61 – $1.61 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.14 – $0.70 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $23.56 | $94.23 | $0.23 – $0.70 | 2 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $204.61 – $331.47 | 7 |
| Dexamethasone panel CPT 80420 | not published | not published | $77.14 – $262.25 | 7 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $315.79 | $1,263.16 | $63.06 – $102.16 | 7 |
| Dextran 40 infusion HCPCS J7100 | $3.43 | $13.70 | $45.20 – $45.20 | 1 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $23.63 – $23.63 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $3.39 – $3.39 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $2.29 | $9.16 | $1.96 – $2.34 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $2.34 | $9.38 | $10.26 – $10.26 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $3.13 | $12.52 | $2.65 – $3.39 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | $2.81 | $11.24 | $5.31 – $6.79 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $32.50 | $130.00 | $22.23 – $36.01 | 7 |
| Diabetes (HbA1c) Test CPT 83036 | $59.75 | $239.00 | $9.71 – $15.73 | 7 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $15.78 – $25.56 | 7 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $576.00 – $3,089.94 | 7 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $658.00 – $10,495.17 | 7 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $430.00 – $775.52 | 7 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $813.00 – $2,077.40 | 7 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $142.58 – $230.97 | 7 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $70.00 | $280.00 | $153.06 – $153.06 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $50.00 | $200.00 | $119.55 – $119.55 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $213.90 – $346.52 | 7 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $213.90 – $346.52 | 7 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $125.00 | $500.00 | $111.97 – $181.39 | 7 |
| Diagnostic Mammogram (one breast) CPT 77065 | $68.75 | $275.00 | $88.75 – $143.78 | 7 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $75.43 – $151.08 | 7 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Dialysis one evaluation CPT 90945 | $405.00 | $1,620.00 | $447.15 – $724.38 | 7 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.82 – $12.67 | 7 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.77 | $3.09 | $0.15 – $0.70 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $45.64 | $182.56 | $11.01 – $11.20 | 2 |
| Dicyclomine injection HCPCS J0500 | $90.06 | $360.22 | $35.83 – $41.07 | 2 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.70 – $0.70 | 1 |
| Diffusing capacity CPT 94729 | $112.50 | $450.00 | not published | 0 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $145.78 | $583.11 | $11.58 – $14.49 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $3,340.91 | $13,363.63 | $5,168.23 – $8,372.53 | 7 |
| Digoxin total therapeutic drug level CPT 80162 | $35.00 | $140.00 | $13.28 – $21.51 | 7 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $182.72 | $730.88 | $90.96 – $95.17 | 2 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Dilate esophagus CPT 43453 | not published | not published | $430.00 – $3,331.27 | 7 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $430.00 – $1,574.55 | 7 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $576.00 – $2,648.00 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $576.00 – $2,648.00 | 2 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $658.00 – $2,648.00 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $478.72 – $775.52 | 7 |
| Dilate urethra stricture CPT 53600 | not published | not published | $267.74 – $433.74 | 7 |
| Dilate urethra stricture CPT 53601 | not published | not published | $142.58 – $230.97 | 7 |
| Dilate urethra stricture CPT 53605 | not published | not published | $576.00 – $6,119.44 | 7 |
| Dilate urethra stricture CPT 53621 | not published | not published | $267.74 – $433.74 | 7 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $137.89 – $223.38 | 7 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $430.00 – $2,077.40 | 7 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $430.00 – $5,619.72 | 7 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $430.00 – $2,077.40 | 7 |
| Dilation of salivary duct CPT 42660 | not published | not published | $577.95 – $936.29 | 7 |
| Dilation of urethra CPT 53661 | not published | not published | $142.58 – $230.97 | 7 |
| Dilation of urethra CPT 53665 | not published | not published | $430.00 – $3,628.95 | 7 |
| Dilation of vagina CPT 57400 | not published | not published | $576.00 – $5,619.72 | 7 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $430.00 – $2,693.58 | 7 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $747.24 – $1,210.52 | 7 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $2,414.00 – $6,119.44 | 7 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,217.00 – $6,119.44 | 7 |
| Dimecaprol injection HCPCS J0470 | $107.90 | $431.60 | $74.93 – $74.93 | 1 |
| Dimenhydrinate injection HCPCS J1240 | $24.68 | $98.70 | $11.40 – $17.08 | 2 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $105.39 | $421.57 | $748.84 – $1,213.13 | 7 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.70 – $0.70 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $19.27 | $77.07 | $1.78 – $1.83 | 2 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $91.33 | $365.32 | not published | 0 |
| Dipyridamole injection HCPCS J1245 | $18.57 | $74.26 | $5.98 – $7.83 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $40.03 – $64.84 | 7 |
| Disability dlco CPT 94727 | $101.25 | $405.00 | $231.39 – $374.85 | 7 |
| Disaccharidases CPT 82657 | $50.00 | $200.00 | $19.51 – $35.92 | 7 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $658.00 – $3,581.90 | 7 |
| Disarticulation shoulder CPT 23920 | not published | not published | $5,474.00 – $22,288.23 | 7 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $82.95 – $3,389.97 | 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.