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 |
|---|---|---|---|---|
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $105.00 | $420.00 | $215.00 – $348.31 | 7 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $435.63 – $705.72 | 7 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $792.00 – $1,283.05 | 7 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $66.12 – $216.04 | 7 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $576.00 – $5,680.26 | 7 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $340.14 – $551.02 | 7 |
| Drng of finger abscess comp 26011 CPT 26011 | $600.00 | $2,400.00 | $430.00 – $2,867.21 | 7 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $758.85 – $1,229.33 | 7 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $576.00 – $936.29 | 7 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $658.00 – $5,619.72 | 7 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $576.00 – $5,680.26 | 7 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $430.00 – $5,680.26 | 7 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $430.00 – $2,077.40 | 7 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $658.00 – $5,755.71 | 7 |
| Drng of scrotum abscess 55100 CPT 55100 | $600.00 | $2,400.00 | $430.00 – $2,867.21 | 7 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $4,150.00 – $4,175.00 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $430.00 – $2,693.58 | 7 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $430.00 – $936.29 | 7 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $2.46 | $9.83 | $1.24 – $5.43 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $30.78 | $123.11 | $12.54 – $12.54 | 1 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $5.89 | $23.56 | $20.36 – $216.04 | 7 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $40.04 | $160.17 | $20.00 – $216.04 | 7 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $13.48 | $53.91 | $15.83 – $216.04 | 7 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $18.43 – $216.04 | 7 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $38.81 | $155.25 | $74.95 – $216.04 | 7 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $15.29 – $62.48 | 7 |
| Drug assay posaconazole CPT 80187 | $37.50 | $150.00 | $27.11 – $43.92 | 7 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $43.92 | 7 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $38.57 – $62.48 | 7 |
| Drug assay voriconazole CPT 80285 | not published | not published | $27.11 – $43.92 | 7 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $30.20 | 7 |
| Drug of abuse screen urine CPT 80305 | $35.00 | $140.00 | $12.60 – $20.41 | 7 |
| Drug screening tapentadol CPT 80372 | $25.00 | $100.00 | $25.87 – $161.55 | 2 |
| Drug screen quant tiagabine CPT 80199 | $37.50 | $150.00 | $19.51 – $43.92 | 7 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $29.66 – $161.55 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $97.53 – $321.96 | 7 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $63.39 – $185.38 | 7 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $97.53 – $400.01 | 7 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $97.53 – $253.68 | 7 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $100.67 | 7 |
| Drug test prsmv instrmnt CPT 80306 | $31.25 | $125.00 | $17.14 – $27.77 | 7 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $53.75 | $215.00 | $62.14 – $100.67 | 7 |
| Drvvt confirm - quest CPT 85597 | $25.00 | $100.00 | $17.98 – $29.13 | 7 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $430.00 – $6,824.99 | 7 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,125.00 | $4,500.00 | $2,092.58 – $3,389.97 | 7 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $430.00 – $705.72 | 7 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $435.63 – $705.72 | 7 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $430.00 – $1,283.05 | 7 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $792.00 – $1,283.05 | 7 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $430.00 – $954.81 | 7 |
| Ductogram sgl duct CPT 77053 | not published | not published | $63.45 – $414.22 | 7 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $399.88 – $647.81 | 7 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $255.69 – $414.22 | 7 |
| Duplex scan unilateral study 93986 CPT 93986 | $325.00 | $1,300.00 | $112.03 – $181.49 | 7 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $325.00 | $1,300.00 | $112.03 – $181.49 | 7 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $231.25 | $925.00 | $160.97 – $374.85 | 7 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $500.00 | $2,000.00 | $190.54 – $414.22 | 7 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $710.30 | $2,841.18 | $85.12 – $137.89 | 7 |
| Dxa bone density axl vrt fx CPT 77085 | $92.50 | $370.00 | $64.56 – $181.49 | 7 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $576.00 – $3,089.94 | 7 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $576.00 – $3,089.94 | 7 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $430.00 – $3,089.94 | 7 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $430.00 – $1,574.55 | 7 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $430.00 – $1,574.55 | 7 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $231.39 – $374.85 | 7 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $137.89 – $223.38 | 7 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $419.13 – $678.99 | 7 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $576.00 – $3,089.94 | 7 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $267.74 – $433.74 | 7 |
| Dynamic surface emg CPT 96002 | not published | not published | $231.39 – $374.85 | 7 |
| Ear and throat examination CPT 92502 | not published | not published | $577.95 – $936.29 | 7 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,662.71 – $2,693.58 | 7 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,284.00 – $10,276.96 | 7 |
| Ear irrigation 69209 CPT 69209 | $30.00 | $120.00 | $63.22 – $102.41 | 7 |
| Ear protector evaluation CPT 92596 | not published | not published | $40.03 – $64.84 | 7 |
| Ecallantide injection HCPCS J1290 | $4,014.63 | $16,058.51 | $579.96 – $939.54 | 7 |
| Ecg 12 lead tracing only CPT 93005 | $112.50 | $450.00 | $63.22 – $102.41 | 7 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $63.22 – $102.41 | 7 |
| Ecg < 30 days transmission & analysis CPT 93271 | $250.00 | $1,000.00 | $101.88 – $165.05 | 7 |
| Ecg external < 48 hours recording CPT 93225 | $217.50 | $870.00 | $142.58 – $230.97 | 7 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $250.00 | $1,000.00 | $63.22 – $102.41 | 7 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $32.50 | $130.00 | $40.03 – $64.84 | 7 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $107.50 | $430.00 | $40.03 – $64.84 | 7 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $800.00 | $3,200.00 | $585.55 – $948.59 | 7 |
| Echocardiography doppler color flow mapping CPT 93325 | $237.50 | $950.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $840.06 – $1,360.90 | 7 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $225.00 | $900.00 | $255.69 – $414.22 | 7 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $373.86 – $605.65 | 7 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $200.00 | $800.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $75.15 – $181.49 | 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.