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 |
|---|---|---|---|---|
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $658.00 – $10,276.96 | 7 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive hand surgery CPT 26250 | not published | not published | $658.00 – $5,680.26 | 7 |
| Extensive hysterectomy CPT 58285 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive jaw surgery CPT 21045 | not published | not published | $4,750.00 – $10,276.96 | 7 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $1,284.00 – $10,276.96 | 7 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,284.00 – $10,276.96 | 7 |
| Extensive prostate surgery CPT 55810 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive prostate surgery CPT 55812 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive prostate surgery CPT 55815 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive prostate surgery CPT 55840 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive prostate surgery CPT 55842 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive prostate surgery CPT 55845 | not published | not published | $2,648.00 – $10,750.00 | 2 |
| Extensive prostate surgery CPT 55862 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive prostate surgery CPT 55865 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive removal of liver CPT 47122 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive sternum surgery CPT 21632 | not published | not published | $5,474.00 – $7,125.00 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $3,383.00 – $10,276.96 | 7 |
| Extensive surgery of throat CPT 42844 | not published | not published | $4,750.00 – $10,276.96 | 7 |
| Extensive surgery of throat CPT 42845 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,777.44 – $6,119.44 | 7 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $3,383.00 – $10,750.00 | 2 |
| Extensive vulva surgery CPT 56632 | not published | not published | $6,594.00 – $6,594.00 | 1 |
| External cannula declotting CPT 36860 | not published | not published | $576.00 – $2,732.77 | 7 |
| External chromosome analysis 20-25 cells CPT 88264 | $106.25 | $425.00 | $134.64 – $234.27 | 7 |
| External newborn metabolic screening panel HCPCS S3620 | not published | not published | $17.72 – $17.72 | 1 |
| External ocular photography CPT 92285 | not published | not published | $40.03 – $64.84 | 7 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $15.49 – $50.21 | 7 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $2,711.60 – $6,274.26 | 7 |
| External recharg sys intern HCPCS L8689 | $1,989.87 | $7,959.47 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $128.75 | $515.00 | $136.44 – $232.88 | 7 |
| Extnd color vision xm CPT 92283 | not published | not published | $63.22 – $102.41 | 7 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $55.00 | $220.00 | $17.93 – $29.05 | 7 |
| Extraction of lens CPT 66930 | not published | not published | $926.00 – $7,175.71 | 7 |
| Extraction of lens CPT 66940 | not published | not published | $926.00 – $4,006.43 | 7 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $813.00 – $4,006.43 | 7 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $142.58 – $230.97 | 7 |
| Eye allergy tests CPT 95060 | not published | not published | $142.58 – $230.97 | 7 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $1,032.00 – $5,580.00 | 2 |
| Eye suture during surgery CPT 67335 | not published | not published | $1,032.00 – $5,580.00 | 2 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $284.15 | 7 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $458.27 | 7 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $972.00 | 7 |
| Face bone graft CPT 21210 | not published | not published | $1,284.00 – $10,276.96 | 7 |
| Facial bones <3 CPT 70140 | $87.50 | $350.00 | $30.05 – $151.08 | 7 |
| Facial nerve function test CPT 92516 | not published | not published | $231.39 – $374.85 | 7 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $2,648.00 – $5,755.71 | 7 |
| Factor ix CPT 85250 | $40.00 | $160.00 | $19.04 – $30.84 | 7 |
| Factor ix alprolix recomb HCPCS J7201 | $2,573.20 | $10,292.80 | $3.59 – $5.82 | 7 |
| Factor ix complex HCPCS J7194 | $1,410.71 | $5,642.85 | $1.70 – $2.75 | 7 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.32 – $8.62 | 7 |
| Factor ix non-recombinant HCPCS J7193 | $1,077.24 | $4,308.97 | $1.40 – $2.26 | 7 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.46 – $7.23 | 7 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.69 – $2.74 | 7 |
| Factor ix recombinant nos HCPCS J7195 | $3,215.80 | $12,863.20 | $1.85 – $3.00 | 7 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.37 – $3.84 | 7 |
| Factor viii CPT 85240 | $40.00 | $160.00 | $17.90 – $29.00 | 7 |
| Factor viii HCPCS J7190 | not published | not published | $1.08 – $1.76 | 7 |
| Factor viii fc fusion recomb HCPCS J7205 | $3,659.19 | $14,636.75 | $2.43 – $3.93 | 7 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.12 – $1.81 | 7 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.10 – $3.40 | 7 |
| Factor viii recombinant nos HCPCS J7192 | $4,092.49 | $16,369.96 | $1.61 – $2.61 | 7 |
| Factor viii recomb novoeight HCPCS J7182 | $691.30 | $2,765.20 | $1.54 – $2.49 | 7 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.23 – $5.23 | 7 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.76 – $17.42 | 7 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.16 – $29.41 | 7 |
| Fallopian tube recnl CPT 58345 | not published | not published | $2,414.00 – $5,619.72 | 7 |
| Family therapy with patient 50 min 90847 CPT 90847 | $79.75 | $319.00 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $2,217.40 | $8,869.59 | $29.98 – $48.56 | 7 |
| Fancc gene CPT 81242 | not published | not published | $32.78 – $59.32 | 7 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $3,217.00 – $5,680.26 | 7 |
| Fat/lipids feces qualitative CPT 82705 | $22.50 | $90.00 | $5.10 – $8.26 | 7 |
| Fatty acids nonesterified CPT 82725 | $40.00 | $160.00 | $14.37 – $30.41 | 7 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $7.39 | 7 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.84 – $103.42 | 7 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $996.56 – $1,614.43 | 7 |
| #fecal-sodium CPT 84302 | $20.00 | $80.00 | $4.86 – $7.87 | 7 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $79.72 – $129.15 | 7 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $18.64 – $30.20 | 7 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Fem/popl revasc w/stent CPT 37226 | $6,125.00 | $24,500.00 | $5,580.00 – $6,594.00 | 2 |
| Feno poc CPT 95012 | $25.00 | $100.00 | $40.03 – $64.84 | 7 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $4,409.20 | $17,636.80 | $1.53 – $1.69 | 2 |
| Fern test HCPCS Q0114 | not published | not published | $7.73 – $15.78 | 7 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $180.47 | $721.86 | $1.11 – $1.79 | 7 |
| Ferritin CPT 82728 | $50.00 | $200.00 | $13.63 – $22.08 | 7 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $161.98 | $647.91 | $0.32 – $0.52 | 7 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.32 – $0.52 | 7 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $1,287.90 | 7 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $175.00 | $700.00 | $107.42 – $181.49 | 7 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $1,229.66 | 7 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $400.00 | $1,600.00 | $759.05 – $1,229.66 | 7 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $162.50 | $650.00 | $216.65 – $350.97 | 7 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $326.55 – $529.02 | 7 |
| Fetal fibronectin CPT 82731 | $92.50 | $370.00 | $64.41 – $104.34 | 7 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $326.55 – $529.02 | 7 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $31.25 | $125.00 | $7.73 – $12.52 | 7 |
| Fetal hemoglobin rosette CPT 85461 | $22.50 | $90.00 | $7.17 – $15.16 | 7 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $31.30 | 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.