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 |
|---|---|---|---|---|
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $430.00 – $2,867.21 | 7 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $430.00 – $2,867.21 | 7 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $112.50 | $450.00 | $430.00 – $705.72 | 7 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $4,131.60 – $6,693.19 | 7 |
| Prgrmg eval implantable dfb CPT 93282 | $93.75 | $375.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $2,250.00 | $9,000.00 | $1,032.00 – $1,032.00 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $3,750.00 | $15,000.00 | $1,728.00 – $31,824.13 | 7 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $750.00 | $3,000.00 | $1,032.00 – $3,217.00 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $175.00 | $700.00 | $430.00 – $705.72 | 7 |
| Pr incision & drainage abscess simple/single CPT 10060 | $105.00 | $420.00 | $215.00 – $348.31 | 7 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $162.50 | $650.00 | $326.55 – $529.02 | 7 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $112.50 | $450.00 | $435.63 – $705.72 | 7 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $142.67 – $231.13 | 7 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $142.67 – $231.13 | 7 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $66.25 | $265.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $576.00 – $3,389.97 | 7 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $340.14 – $551.02 | 7 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $576.00 – $4,127.37 | 7 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $576.00 – $4,127.37 | 7 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $926.00 – $4,127.37 | 7 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $202.23 | $808.91 | $258.65 – $477.40 | 7 |
| Procalcitonin CPT 84145 | $53.75 | $215.00 | $27.22 – $44.10 | 7 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $181.12 – $181.12 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $43.05 | $172.22 | $4.68 – $7.36 | 2 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.70 – $0.70 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $430.00 – $4,818.61 | 7 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $430.00 – $2,077.40 | 7 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $430.00 – $2,077.40 | 7 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $430.00 – $1,614.43 | 7 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $430.00 – $4,818.61 | 7 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $430.00 – $2,077.40 | 7 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $430.00 – $2,077.40 | 7 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $430.00 – $4,818.61 | 7 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $430.00 – $2,077.40 | 7 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $430.00 – $4,818.61 | 7 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $430.00 – $10,539.21 | 7 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $133.36 – $216.04 | 7 |
| Progesterone CPT 84144 | $53.75 | $215.00 | $20.86 – $33.79 | 7 |
| Prolactin CPT 84146 | $53.75 | $215.00 | $19.38 – $31.40 | 7 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $227.94 – $369.26 | 7 |
| Promethazine 25 mg tablet HCPCS Q0169 | $0.47 | $1.90 | $0.70 – $0.70 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $4.89 – $7.22 | 2 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $340.14 – $551.02 | 7 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $430.00 – $954.81 | 7 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $658.00 – $22,288.23 | 7 |
| Prophylactic tx radius CPT 25490 | not published | not published | $658.00 – $12,596.95 | 7 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $658.00 – $5,680.26 | 7 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $658.00 – $22,288.23 | 7 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $4.24 | $16.95 | $0.18 – $0.70 | 2 |
| _propoxygc/msur CPT 80367 | $25.00 | $100.00 | $29.32 – $161.55 | 2 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $23.80 | $95.19 | $4.50 – $4.50 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | $250.00 | $1,000.00 | $298.41 – $622.27 | 7 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $813.00 – $9,308.20 | 7 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,728.00 – $9,308.20 | 7 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $2,954.00 – $6,119.44 | 7 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,217.00 – $6,119.44 | 7 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $31.33 | $125.33 | $1.36 – $1.80 | 2 |
| Protein analysis w/probe CPT 88372 | not published | not published | $24.57 – $78.66 | 3 |
| Protein c activity CPT 85303 | $35.00 | $140.00 | $13.84 – $22.42 | 7 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.04 – $24.37 | 7 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $58.75 | $235.00 | $10.74 – $17.40 | 7 |
| Protein s total CPT 85305 | $35.00 | $140.00 | $11.61 – $18.81 | 7 |
| Protein total 24 hour urine CPT 84156 | $25.00 | $100.00 | $3.67 – $5.95 | 7 |
| Protein total body fluid CPT 84157 | $21.25 | $85.00 | $3.97 – $6.48 | 7 |
| Protein total serum plasma whole blood CPT 84155 | $20.00 | $80.00 | $3.67 – $5.95 | 7 |
| Protein western blot tissue CPT 88371 | not published | not published | $24.01 – $66.69 | 3 |
| Prothrombin complex kcentra HCPCS J7168 | $18.22 | $72.86 | $2.14 – $3.47 | 7 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $3.94 – $6.38 | 7 |
| Proton treatment complex CPT 77525 | not published | not published | $1,339.25 – $2,169.58 | 7 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,339.25 – $2,169.58 | 7 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,339.25 – $2,169.58 | 7 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $592.11 – $959.23 | 7 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.30 – $15.78 | 7 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $142.67 – $231.13 | 7 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,728.00 – $6,215.65 | 7 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $6,594.00 – $31,824.13 | 7 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $6,594.00 – $31,824.13 | 7 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $6,594.00 – $6,594.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | $1,750.00 | $7,000.00 | $5,474.00 – $5,474.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $5,474.00 – $5,474.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $3,750.00 | $15,000.00 | $5,474.00 – $5,474.00 | 1 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $5,750.00 | $23,000.00 | $2,648.00 – $2,648.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $5,474.00 – $5,474.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $5,474.00 – $5,474.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $5,474.00 – $20,040.97 | 7 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $5,474.00 – $5,474.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $576.00 – $12,596.95 | 7 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $576.00 – $2,791.51 | 7 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $576.00 – $12,596.95 | 7 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $576.00 – $12,596.95 | 7 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $576.00 – $12,596.95 | 7 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $3,750.00 | $15,000.00 | $5,474.00 – $20,040.97 | 7 |
| Prq trlml c athrc st angiop1 CPT 92933 | $6,125.00 | $24,500.00 | $5,474.00 – $31,824.13 | 7 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $12,370.97 – $20,040.97 | 7 |
| Prq trluml c angiop 1art&/br CPT 92920 | $3,000.00 | $12,000.00 | $5,474.00 – $9,880.68 | 7 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $6,594.00 – $20,040.97 | 7 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $5,474.00 – $20,040.97 | 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.