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 |
|---|---|---|---|---|
| Fetal monitor/interpret only CPT 59051 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Fetal monitor w/report CPT 59050 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Fetal non stress test CPT 59025 | $118.75 | $475.00 | $216.65 – $350.97 | 7 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $326.55 – $529.02 | 7 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $326.55 – $529.02 | 7 |
| #_fet/norfentcnfrmur CPT 80354 | $30.00 | $120.00 | $29.32 – $161.55 | 2 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $15.23 – $15.23 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $35.00 | $140.00 | $10.18 – $16.49 | 7 |
| Fibrin degradation products CPT 85362 | $31.25 | $125.00 | $6.89 – $11.16 | 7 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $7.71 – $15.75 | 7 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $16.49 | 7 |
| Fibrinogen activity CPT 85384 | $32.50 | $130.00 | $9.17 – $15.75 | 7 |
| Fibrinogen test CPT 85370 | not published | not published | $12.27 – $20.14 | 7 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $5.59 – $25.08 | 7 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $12.49 | 7 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $12.49 | 7 |
| Fibrinolytic plasminogen CPT 85415 | $25.00 | $100.00 | $17.19 – $27.85 | 7 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $16.49 | 7 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $6.53 – $10.58 | 7 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $4,750.00 – $12,596.95 | 7 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $136.47 | $545.88 | $0.30 – $0.49 | 7 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $494.48 | $1,977.92 | $1.00 – $1.61 | 7 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $411.24 | $1,644.96 | $0.46 – $0.74 | 7 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $658.00 – $3,581.90 | 7 |
| Filtered speech hearing test CPT 92571 | not published | not published | $40.03 – $64.84 | 7 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $4,175.00 – $7,125.00 | 2 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $3.66 – $3.66 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $225.00 | $900.00 | $758.85 – $1,229.33 | 7 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $435.63 – $705.72 | 7 |
| Finger tendon transfer CPT 26497 | not published | not published | $658.00 – $5,680.26 | 7 |
| Finger tendon transfer CPT 26498 | not published | not published | $813.00 – $5,680.26 | 7 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $3,383.00 – $3,383.00 | 1 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $63.22 – $102.41 | 7 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $63.22 – $102.41 | 7 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $40.03 – $64.84 | 7 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $40.03 – $64.84 | 7 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $216.65 – $350.97 | 7 |
| Fixation of ankle joint CPT 27860 | not published | not published | $430.00 – $5,680.26 | 7 |
| Fixation of knee joint CPT 27570 | not published | not published | $430.00 – $2,791.51 | 7 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,284.00 – $12,596.95 | 7 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $430.00 – $1,574.55 | 7 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $658.00 – $5,680.26 | 7 |
| Flebogamma injection HCPCS J1572 | $29.46 | $117.82 | $70.08 – $70.08 | 1 |
| Flecainide (tambocor)-sendout CPT 80181 | $40.00 | $160.00 | $18.64 – $30.20 | 7 |
| Fl exam g/colon tube w contrast CPT 49465 | $198.75 | $795.00 | $255.69 – $414.22 | 7 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $430.00 – $1,614.43 | 7 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $658.00 – $12,596.95 | 7 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $658.00 – $12,596.95 | 7 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $430.00 – $2,867.21 | 7 |
| Flow cytometry interp 16 or more CPT 88189 | $21.25 | $85.00 | $32.52 – $90.57 | 2 |
| Flow cytometry marker each additional CPT 88185 | $21.25 | $85.00 | $32.52 – $36.91 | 2 |
| Flow cytometry one marker technical component CPT 88184 | $250.00 | $1,000.00 | $54.16 – $622.27 | 7 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $210.17 – $210.17 | 1 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $133.36 – $216.04 | 7 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $17.81 – $73.82 | 2 |
| Floxuridine injection HCPCS J9200 | $207.00 | $828.00 | $4,128.02 – $6,687.39 | 7 |
| Flt3 gene CPT 81245 | not published | not published | $131.38 – $268.13 | 7 |
| Flt3 gene analysis CPT 81246 | not published | not published | $65.86 – $134.46 | 7 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $3.21 | $12.83 | $3.86 – $4.94 | 2 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $296.15 | $1,184.61 | $254.52 – $463.19 | 2 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $16.22 – $26.28 | 7 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $430.00 – $1,229.33 | 7 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $498.14 – $806.98 | 7 |
| Fluocinolone acetonide implt HCPCS J7311 | $14,411.38 | $57,645.54 | $340.31 – $551.31 | 7 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $399.88 – $647.81 | 7 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $231.39 – $374.85 | 7 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $231.39 – $374.85 | 7 |
| Fluorescent antibody titer dna CPT 86256 | $35.00 | $140.00 | $12.05 – $19.52 | 7 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $162.50 | $650.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $162.50 | $650.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $30.63 | 7 |
| Fluoroscopy up to 1 hour CPT 76000 | $125.00 | $500.00 | $60.68 – $414.22 | 7 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $10.74 | $42.97 | $3.73 – $6.50 | 2 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $67.13 | $268.51 | $15.11 – $18.03 | 2 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $39.49 – $39.49 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $255.69 – $414.22 | 7 |
| Fmri brain by tech CPT 70554 | not published | not published | $255.69 – $414.22 | 7 |
| Fna bx w/ct gdn 1st les CPT 10009 | $225.00 | $900.00 | $758.85 – $1,229.33 | 7 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $758.85 – $1,229.33 | 7 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $2.26 | $9.06 | not published | 0 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $21.68 | $86.74 | not published | 0 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $13.06 | $52.24 | not published | 0 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $12.50 | $50.00 | not published | 0 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $30.63 | 7 |
| Folic acid CPT 82746 | $45.00 | $180.00 | $14.70 – $23.81 | 7 |
| Follow-up angiography CPT 75898 | $1,875.00 | $7,500.00 | $68.88 – $5,481.46 | 7 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $142.67 – $231.13 | 7 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $576.00 – $4,127.37 | 7 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $811.11 | $3,244.46 | $6.28 – $10.17 | 7 |
| Fondaparinux sodium HCPCS J1652 | $187.33 | $749.33 | $1.68 – $2.18 | 2 |
| Foot X-ray CPT 73630 | $137.50 | $550.00 | $32.27 – $151.08 | 7 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $658.00 – $6,151.98 | 7 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $73.13 – $591.28 | 2 |
| Forensic cytopathology CPT 88125 | not published | not published | $7.66 – $90.47 | 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.