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 |
|---|---|---|---|---|
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $75.49 | 7 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $175.51 – $329.67 | 7 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $618.64 – $1,095.93 | 7 |
| Pms2 known familial variants CPT 81318 | not published | not published | $146.17 – $536.22 | 7 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $430.00 – $1,089.01 | 7 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $17.81 – $57.93 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $2.75 | $11.00 | $20.90 – $42.23 | 7 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $3,167.11 | $12,668.45 | $136.67 – $221.40 | 7 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $920.24 – $1,490.79 | 7 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $920.24 – $1,490.79 | 7 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $1,700.00 | $6,800.00 | $920.24 – $1,490.79 | 7 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.37 – $17.03 | 7 |
| Porfimer sodium injection HCPCS J9600 | $10,365.00 | $41,460.00 | $24,228.42 – $39,250.04 | 7 |
| Positional change of finger CPT 26555 | not published | not published | $658.00 – $12,596.95 | 7 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $10.69 – $40.50 | 7 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $399.88 – $647.81 | 7 |
| Postpartum Care Only CPT 59430 | not published | not published | $2,414.00 – $2,414.00 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $20.00 | $80.00 | $4.65 – $7.66 | 7 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $50.44 | $201.76 | $0.22 – $0.70 | 2 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $4.61 – $9.44 | 7 |
| Potassium serum/plasma/whole blood CPT 84132 | $20.00 | $80.00 | $4.76 – $7.71 | 7 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | $2.28 | $9.12 | not published | 0 |
| Powder prem protct 1oz HCPCS A4371 | $0.37 | $1.48 | not published | 0 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $221.94 | 7 |
| Pq dr cath chg w cont s&i CPT 75984 | $250.00 | $1,000.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $3,500.00 | $14,000.00 | $5,474.00 – $12,596.95 | 7 |
| Pq thr inj ext pse CPT 36002 | $375.00 | $1,500.00 | $430.00 – $1,089.01 | 7 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $875.00 | $3,500.00 | $1,032.00 – $2,414.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $1,875.00 | $7,500.00 | $1,728.00 – $5,680.26 | 7 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $1,875.00 | $7,500.00 | $1,728.00 – $5,680.26 | 7 |
| Pralatrexate injection HCPCS J9307 | $5,465.56 | $21,862.23 | $392.63 – $636.06 | 7 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $182.27 | $729.08 | $121.47 – $121.47 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $576.00 – $5,680.26 | 7 |
| Pr application of long arm splint CPT 29105 | $87.50 | $350.00 | $174.14 – $282.10 | 7 |
| Pr application splint static short arm CPT 29125 | $43.75 | $175.00 | $142.58 – $230.97 | 7 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $40.03 – $64.84 | 7 |
| Pr biopsy skin punch single lesion CPT 11104 | $175.00 | $700.00 | $435.63 – $705.72 | 7 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $658.00 – $22,288.23 | 7 |
| Pr correction hammertoe CPT 28285 | not published | not published | $658.00 – $5,680.26 | 7 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $18.75 | $75.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $576.00 – $6,119.44 | 7 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $168.75 | $675.00 | $215.00 – $348.31 | 7 |
| Prealbumin CPT 84134 | $35.00 | $140.00 | $14.59 – $23.64 | 7 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $1.39 – $1.39 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.10 | $16.41 | $0.48 – $0.70 | 2 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.53 | $10.11 | $0.02 – $0.70 | 2 |
| Pregabalin - sendout CPT 80366 | $25.00 | $100.00 | $25.87 – $161.55 | 2 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $576.00 – $3,331.27 | 7 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $15.05 – $24.38 | 7 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $325.00 | $1,300.00 | $112.03 – $181.49 | 7 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $200.00 | $800.00 | $112.03 – $181.49 | 7 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $231.39 – $374.85 | 7 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $399.88 – $647.81 | 7 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $399.88 – $647.81 | 7 |
| Preparation for bladder xray CPT 51605 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $577.95 – $936.29 | 7 |
| Prepare donor heart CPT 33944 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $54.32 – $90.47 | 7 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $2,414.00 – $2,414.00 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare penis study CPT 54230 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $920.24 – $1,490.79 | 7 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep skin to 100cm2 other CPT 15004 | $325.00 | $1,300.00 | $435.63 – $705.72 | 7 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $450.00 | $1,800.00 | $576.00 – $1,283.05 | 7 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pressure velocity wire add ves CPT 93572 | $500.00 | $2,000.00 | $1,032.00 – $1,032.00 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $15.49 – $295.77 | 7 |
| Pretreat rbc absorption reference CPT 86978 | $30.00 | $120.00 | $15.49 – $102.41 | 7 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $23.66 – $295.77 | 7 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $30.00 | $120.00 | $15.49 – $102.41 | 7 |
| Pretreat rbc w enzyme reference CPT 86971 | $150.00 | $600.00 | $15.49 – $295.77 | 7 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $32.50 | $130.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $70.00 | $280.00 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $105.00 | $420.00 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $137.50 | $550.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $142.67 – $231.13 | 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.