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 |
|---|---|---|---|---|
| Injection, doxercalciferol HCPCS J1270 | $23.83 | $95.33 | $0.67 – $1.10 | 2 |
| Injection during cath supravalvular aortography CPT 93567 | $162.50 | $650.00 | $1,032.00 – $1,032.00 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $20.99 – $34.01 | 7 |
| Injection epidural blood patch or clot CPT 62273 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 7 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.70 – $0.70 | 1 |
| Injection eye drug CPT 67028 | not published | not published | $353.96 – $573.42 | 7 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $1.25 – $1.25 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Injection for bladder x-ray CPT 51600 | $100.00 | $400.00 | $1,032.00 – $1,032.00 | 1 |
| Injection for hip x-ray CPT 27095 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection for ureter x-ray CPT 50684 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $66.55 – $66.55 | 1 |
| Injection, fulvestrant HCPCS J9395 | $321.42 | $1,285.68 | $17.63 – $19.02 | 2 |
| Injection glatiramer acetate HCPCS J1595 | $135.23 | $540.91 | $252.67 – $252.67 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $1,727.33 | $6,909.32 | $12.32 – $19.96 | 7 |
| Injection into brain canal CPT 61026 | not published | not published | $430.00 – $1,225.43 | 7 |
| Injection into brain canal CPT 61055 | not published | not published | $328.94 – $532.87 | 7 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $996.56 – $1,614.43 | 7 |
| Injection into spinal artery CPT 62294 | not published | not published | $658.00 – $1,535.46 | 7 |
| Injection into vocal cord CPT 31513 | not published | not published | $419.13 – $678.99 | 7 |
| Injection intraop add-on CPT 48400 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Injection, isavuconazonium HCPCS J1833 | $219.25 | $877.01 | $1.00 – $1.63 | 7 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection jugular CPT 36299 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $2.45 – $3.43 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $215.84 | $863.35 | $5.73 – $9.28 | 7 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $77.16 – $124.99 | 7 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,662.71 – $2,693.58 | 7 |
| Injection,onabotulinumtoxina HCPCS J0585 | $989.21 | $3,956.83 | $6.50 – $10.53 | 7 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $173.82 – $173.82 | 1 |
| Injection, peramivir HCPCS J2547 | $38.82 | $155.28 | $1.68 – $2.72 | 7 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $2.78 – $2.78 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $267.74 – $433.74 | 7 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $428.40 – $694.01 | 7 |
| Injection, renflexis HCPCS Q5104 | $435.93 | $1,743.72 | $27.00 – $43.74 | 7 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.77 – $59.56 | 7 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 7 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $200.00 | $800.00 | $1,032.00 – $2,414.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $200.00 | $800.00 | $1,032.00 – $2,414.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 7 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $615.00 | $2,460.00 | $756.44 – $1,225.43 | 7 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $615.00 | $2,460.00 | $756.44 – $1,225.43 | 7 |
| Injection, siltuximab HCPCS J2860 | $4,551.21 | $18,204.86 | $165.83 – $268.65 | 7 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $175.00 | $700.00 | $328.94 – $532.87 | 7 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $175.00 | $700.00 | $328.94 – $532.87 | 7 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $231.25 | $925.00 | $328.94 – $532.87 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $76.25 | $305.00 | $50.18 – $81.29 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $68.75 | $275.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $101.25 | $405.00 | $227.94 – $369.26 | 7 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $68.75 | $275.00 | $77.16 – $124.99 | 7 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $26.41 – $26.41 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $4.17 – $4.17 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $430.00 – $4,006.43 | 7 |
| Injection treatment of eye CPT 66030 | not published | not published | $430.00 – $4,006.43 | 7 |
| Injection treatment of nerve CPT 64605 | not published | not published | $430.00 – $3,389.97 | 7 |
| Injection treatment of nerve CPT 64610 | not published | not published | $430.00 – $3,389.97 | 7 |
| Injection treatment of nerve CPT 64681 | not published | not published | $576.00 – $1,535.46 | 7 |
| Injection treatment of nose CPT 30200 | not published | not published | $430.00 – $936.29 | 7 |
| Inject sacroiliac joint CPT 27096 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $340.14 – $551.02 | 7 |
| Inject/treat eye socket CPT 67505 | not published | not published | $340.14 – $551.02 | 7 |
| Inject/treat eye socket CPT 67515 | not published | not published | $340.14 – $551.02 | 7 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $2,135.96 | $8,543.83 | $33.89 – $54.90 | 7 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $20.87 – $33.82 | 7 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $2,557.82 | $10,231.29 | $384.85 – $623.45 | 7 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $56.10 – $90.88 | 7 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $756.44 – $1,225.43 | 7 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $446.25 | $1,785.00 | $947.82 – $1,535.46 | 7 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.54 – $3.76 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $134.23 | $536.93 | $1.30 – $2.11 | 7 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.29 – $3.70 | 7 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $167.35 – $271.10 | 7 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $193.76 – $313.89 | 7 |
| Inj., evomela, 1 mg HCPCS J9246 | $1,475.98 | $5,903.94 | $18.50 – $29.97 | 7 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.78 – $15.84 | 7 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $33.88 – $54.88 | 7 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $101.71 – $101.71 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $207.71 | $830.85 | $22.02 – $35.67 | 7 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.99 – $228.40 | 7 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.70 – $0.70 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | $820.74 | $3,282.95 | $1.23 – $1.98 | 7 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $14.76 – $14.76 | 1 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $338.38 – $338.38 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $261.21 – $261.21 | 1 |
| Inj for ext venography CPT 36005 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.70 – $1.67 | 7 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $575.50 – $932.31 | 7 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $4.34 – $4.34 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $75.05 | $300.21 | $6.16 – $43.37 | 7 |
| Inj, fulvestrant (teva) HCPCS J9393 | $57.40 | $229.60 | $4.82 – $67.51 | 7 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $9.19 | $36.76 | $7.90 – $7.90 | 1 |
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.