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 |
|---|---|---|---|---|
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $64.04 – $216.04 | 7 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $133.36 – $216.04 | 7 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $237.81 | $951.24 | $133.36 – $216.04 | 7 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $72.31 – $216.04 | 7 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $196.44 | $785.75 | $133.36 – $216.04 | 7 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $2.17 – $2.17 | 1 |
| Granisetron hcl injection HCPCS J1626 | $40.33 | $161.33 | $0.60 – $0.70 | 2 |
| Great toe-hand transfer CPT 26551 | not published | not published | $4,750.00 – $12,596.95 | 7 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $264.33 – $428.22 | 7 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,211.05 – $3,581.90 | 7 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,797.52 – $6,151.98 | 7 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,797.52 – $6,151.98 | 7 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.23 – $19.81 | 7 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $25.50 | 7 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $108.05 | 7 |
| Growth hormone panel CPT 80430 | not published | not published | $84.27 – $209.51 | 7 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $23.75 – $122.47 | 7 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $4,750.00 – $4,750.00 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,056.34 – $3,331.27 | 7 |
| G-tube reposition CPT 43761 | not published | not published | $267.74 – $433.74 | 7 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $103.55 – $3,628.95 | 7 |
| Guided cath fluid drainage 10030 CPT 10030 | $557.50 | $2,230.00 | $758.85 – $1,229.33 | 7 |
| Guid loc target vol rad tx CPT 77387 | $93.75 | $375.00 | $49.80 – $49.80 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,662.71 – $2,693.58 | 7 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $813.00 – $6,797.28 | 7 |
| Hair analysis HCPCS P2031 | not published | not published | $7.33 – $14.85 | 2 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $792.00 – $1,283.05 | 7 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $435.63 – $705.72 | 7 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $435.63 – $705.72 | 7 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $69.04 | $276.17 | $12.04 – $13.19 | 2 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $18.87 | $75.48 | $1.82 – $2.34 | 2 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $6.07 – $6.07 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $658.00 – $5,680.26 | 7 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $813.00 – $12,596.95 | 7 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $813.00 – $5,680.26 | 7 |
| Hand X-ray CPT 73130 | $137.50 | $550.00 | $34.50 – $151.08 | 7 |
| Haptoglobin quantitative CPT 83010 | $35.00 | $140.00 | $12.58 – $20.38 | 7 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,668.97 – $2,703.73 | 7 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $576.00 – $3,581.90 | 7 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $576.00 – $4,127.37 | 7 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $430.00 – $765.89 | 7 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $142.58 – $230.97 | 7 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $142.58 – $230.97 | 7 |
| Hba1/hba2 full gene sequence CPT 81259 | $200.00 | $800.00 | $600.00 – $972.00 | 7 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $150.00 | $600.00 | $202.40 – $327.89 | 7 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $607.91 | 7 |
| Hbb full gene sequence CPT 81364 | $200.00 | $800.00 | $324.58 – $525.82 | 7 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $283.19 | 7 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $327.89 | 7 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $607.91 | 7 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $15.73 | 7 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $187.96 – $304.50 | 7 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $24.77 | 7 |
| Hcg qualitative CPT 84703 | $31.25 | $125.00 | $7.52 – $12.18 | 7 |
| Hcg quantitative CPT 84702 | $40.00 | $160.00 | $15.05 – $24.38 | 7 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $430.00 – $2,791.51 | 7 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $430.00 – $1,283.05 | 7 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $430.00 – $1,283.05 | 7 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $208.22 – $942.61 | 7 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $412.70 – $694.01 | 7 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $306.20 – $694.01 | 7 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $296.73 – $942.61 | 7 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,387.37 – $2,247.54 | 7 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $650.00 | $2,600.00 | $347.93 – $1,209.10 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $650.00 | $2,600.00 | $633.51 – $1,209.10 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $746.36 – $1,209.10 | 7 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $241.12 – $669.58 | 7 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $241.12 – $669.58 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $750.00 | $3,000.00 | $187.96 – $304.50 | 7 |
| Head CT scan (with contrast) CPT 70460 | $700.00 | $2,800.00 | $187.96 – $304.50 | 7 |
| Head CT scan (without contrast) CPT 70450 | $625.00 | $2,500.00 | $112.03 – $181.49 | 7 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $1,100.90 | 7 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $2,632.50 | 7 |
| Heart first pass multiple CPT 78483 | not published | not published | $280.02 – $942.61 | 7 |
| Heart image spect CPT 78494 | not published | not published | $273.89 – $694.01 | 7 |
| Heart infarct image CPT 78466 | not published | not published | $255.51 – $694.01 | 7 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $260.52 – $942.61 | 7 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.34 – $33.92 | 7 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $6.80 | 7 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $11.05 | 7 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $15.68 – $27.30 | 7 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $133.36 – $216.04 | 7 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $13.27 | 7 |
| Hematocrit CPT 85014 | $13.75 | $55.00 | $2.37 – $3.84 | 7 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $131.33 – $405.08 | 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.