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 removal drug delivery implant CPT 11982 | not published | not published | $478.72 – $775.52 | 7 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $62.50 | $250.00 | $142.58 – $230.97 | 7 |
| Pr removal intrauterine device CPT 58301 | $662.00 | $2,648.00 | $326.55 – $529.02 | 7 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $237.50 | $950.00 | $435.63 – $705.72 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $112.50 | $450.00 | $215.00 – $348.31 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $137.50 | $550.00 | $215.00 – $348.31 | 7 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $112.50 | $450.00 | $215.00 – $348.31 | 7 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $137.50 | $550.00 | $215.00 – $348.31 | 7 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $576.00 – $3,581.90 | 7 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $576.00 – $5,680.26 | 7 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $658.00 – $12,596.95 | 7 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $472.77 – $765.89 | 7 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $813.00 – $12,596.95 | 7 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $813.00 – $12,596.95 | 7 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $625.00 | $2,500.00 | $430.00 – $2,732.77 | 7 |
| PSA (Prostate) Test CPT 84153 | $43.75 | $175.00 | $18.39 – $29.79 | 7 |
| Psychoeducation 45 min + HCPCS G0177 | $85.00 | $340.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $80.00 | $320.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $231.39 – $374.85 | 7 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $142.58 – $230.97 | 7 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $32.50 | $130.00 | $15.18 – $24.59 | 7 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $0.00 | $0.01 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $18.35 – $29.73 | 7 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $32.50 | $130.00 | $13.94 – $22.58 | 7 |
| Pt application of modality traction mechanical CPT 97012 | $32.50 | $130.00 | $14.22 – $23.04 | 7 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $69.37 – $486.00 | 7 |
| Pten gene full sequence CPT 81321 | not published | not published | $475.64 – $972.00 | 7 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.24 – $75.49 | 7 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $3,383.00 – $10,276.96 | 7 |
| Pt evaluation high complexity patient/family CPT 97163 | $106.25 | $425.00 | $94.04 – $152.34 | 7 |
| Pt evaluation low complexity patient/family CPT 97161 | $93.75 | $375.00 | $98.89 – $160.20 | 7 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $100.00 | $400.00 | $99.73 – $161.56 | 7 |
| Pt prgrm for implt neurostim HCPCS L8681 | $2,198.99 | $8,795.97 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $52.50 | $210.00 | $68.90 – $111.62 | 7 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $53.75 | $215.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.33 – $19.97 | 7 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $32.50 | $130.00 | $28.06 – $45.46 | 7 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $32.50 | $130.00 | $30.54 – $49.47 | 7 |
| Pt wheelchair management each 15 minutes CPT 97542 | $32.50 | $130.00 | $31.68 – $51.32 | 7 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $5,474.00 – $20,040.97 | 7 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $5,474.00 – $5,474.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $8,763.55 | 7 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $267.21 – $694.01 | 7 |
| Pulse ox continuous overnight monitoring CPT 94762 | $93.75 | $375.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $32.50 | $130.00 | not published | 0 |
| Pulse ox single CPT 94760 | $22.50 | $90.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 7 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $43.75 | $175.00 | $142.58 – $230.97 | 7 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $112.50 | $450.00 | $435.63 – $705.72 | 7 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $430.00 – $5,755.71 | 7 |
| Puncture spinal lumbar diagnostic CPT 62270 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 7 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $112.09 – $216.04 | 7 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $133.36 – $216.04 | 7 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $756.44 – $1,225.43 | 7 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $756.44 – $1,225.43 | 7 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $39.72 | $158.90 | $8.85 – $20.38 | 2 |
| Pyruvate CPT 84210 | not published | not published | $11.72 – $23.46 | 7 |
| Pyruvate kinase CPT 84220 | $22.50 | $90.00 | $9.44 – $15.29 | 7 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $142.58 – $230.97 | 7 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $434.79 – $942.61 | 7 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $273.33 – $694.01 | 7 |
| Quest t3 uptake CPT 84479 | $31.25 | $125.00 | $6.47 – $10.48 | 7 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $777.30 – $777.30 | 1 |
| Rabies ig ht&sol human im/sc CPT 90377 | $299.86 | $1,199.42 | $222.25 – $360.04 | 7 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $408.80 | $1,635.19 | $279.85 – $453.36 | 7 |
| Radial keratotomy CPT 65771 | not published | not published | $3,383.00 – $10,750.00 | 2 |
| Radiation physics consult CPT 77336 | $217.50 | $870.00 | $133.24 – $233.34 | 7 |
| Radiation therapy dose plan CPT 77300 | $222.50 | $890.00 | $54.54 – $233.34 | 7 |
| Radiation treatment aid(s) CPT 77332 | $222.50 | $890.00 | $86.28 – $233.34 | 7 |
| Radiation treatment aid(s) CPT 77333 | $275.00 | $1,100.00 | $15.57 – $233.34 | 7 |
| Radiation treatment aid(s) CPT 77334 | $500.00 | $2,000.00 | $139.74 – $650.02 | 7 |
| Radiation treatment delivery CPT 77401 | not published | not published | $38.40 – $38.40 | 1 |
| Radiation treatment delivery CPT 77402 | $72.50 | $290.00 | $109.34 – $177.13 | 7 |
| Radiation treatment delivery CPT 77412 | $300.00 | $1,200.00 | $241.12 – $959.23 | 7 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,648.00 – $10,750.00 | 2 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $5,474.00 – $12,596.95 | 7 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $5,474.00 – $12,596.95 | 7 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $5,474.00 – $12,596.95 | 7 |
| Radical resection of elbow CPT 24149 | not published | not published | $4,175.00 – $12,596.95 | 7 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $5,474.00 – $12,596.95 | 7 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,284.00 – $5,042.65 | 7 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,728.00 – $5,042.65 | 7 |
| Radiology port images(s) CPT 77417 | $137.50 | $550.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $1,725.00 | $6,900.00 | $1,273.90 – $2,402.88 | 7 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $643.75 | $2,575.00 | $463.20 – $942.61 | 7 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $581.86 – $942.61 | 7 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,387.37 – $2,247.54 | 7 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $643.75 | $2,575.00 | $471.56 – $942.61 | 7 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $258.30 – $694.01 | 7 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $658.00 – $12,596.95 | 7 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $658.00 – $5,042.65 | 7 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,728.00 – $5,042.65 | 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.