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 |
|---|---|---|---|---|
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $110.44 | $441.77 | $299.36 – $299.36 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $18.75 | $75.00 | $35.33 – $57.23 | 7 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $113.87 | 7 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $1,728.00 – $10,539.21 | 7 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $400.00 | $1,600.00 | $190.54 – $414.22 | 7 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $325.00 | $1,300.00 | $112.03 – $181.49 | 7 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $400.00 | $1,600.00 | $190.54 – $414.22 | 7 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $325.00 | $1,300.00 | $112.03 – $181.49 | 7 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $250.00 | $1,000.00 | $112.03 – $181.49 | 7 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $375.00 | $1,500.00 | $112.03 – $181.49 | 7 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $500.00 | $2,000.00 | $190.54 – $414.22 | 7 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $375.00 | $1,500.00 | $112.03 – $181.49 | 7 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $375.00 | $1,500.00 | $112.03 – $181.49 | 7 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $600.00 | $2,400.00 | $1,284.00 – $2,867.21 | 7 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $1,728.00 – $5,680.26 | 7 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $12.30 – $30.03 | 7 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $26.83 – $26.83 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $16.42 – $51.74 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $23.08 – $71.23 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $42.91 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $21.89 – $43.82 | 7 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $32.82 | 7 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $26.83 – $26.83 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $576.00 – $1,614.43 | 7 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $576.00 – $1,614.43 | 7 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $17.19 – $29.24 | 7 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $45.80 | 7 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $15.42 – $75.09 | 7 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $15.49 – $39.01 | 7 |
| Screening Mammogram CPT 77067 | $97.50 | $390.00 | $92.07 – $149.15 | 7 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $26.83 – $26.83 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.31 – $31.28 | 7 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $11.41 – $30.03 | 7 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $77.16 – $124.99 | 7 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $750.00 | $3,000.00 | $1,032.00 – $2,414.00 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $25.00 | $100.00 | $2.70 – $4.37 | 7 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $3,229.98 – $3,229.98 | 1 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $63.22 – $102.41 | 7 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $10.53 | 7 |
| Semen analysis presence/motility CPT 89321 | $35.00 | $140.00 | $12.05 – $19.52 | 7 |
| Semen analysis w/count CPT 89310 | $31.25 | $125.00 | $8.61 – $13.95 | 7 |
| Sensorimotor examination CPT 92060 | not published | not published | $63.22 – $102.41 | 7 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $40.03 – $64.84 | 7 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $813.00 – $4,127.37 | 7 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $100.40 – $311.04 | 7 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $576.00 – $12,596.95 | 7 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $576.00 – $5,680.26 | 7 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $576.00 – $12,596.95 | 7 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $2.78 – $2.78 | 1 |
| Serpina1 gene CPT 81332 | $38.25 | $153.00 | $43.65 – $70.71 | 7 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $29.32 – $161.55 | 2 |
| Set radiation therapy field CPT 77280 | $475.00 | $1,900.00 | $144.03 – $233.34 | 7 |
| Set radiation therapy field CPT 77285 | not published | not published | $361.98 – $650.02 | 7 |
| Set radiation therapy field CPT 77290 | $950.00 | $3,800.00 | $361.98 – $650.02 | 7 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $329.13 – $533.20 | 7 |
| Sever cranial nerve CPT 64771 | not published | not published | $576.00 – $3,389.97 | 7 |
| Sex chromatin identification CPT 88130 | not published | not published | $16.26 – $29.13 | 7 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $12.94 | 7 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,777.44 – $6,119.44 | 7 |
| Sex transformation m to f CPT 55970 | not published | not published | $5,360.72 – $8,684.36 | 7 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $313.06 | 7 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $813.00 – $2,077.40 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $215.00 – $348.31 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $215.00 – $348.31 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $435.63 – $705.72 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $435.63 – $705.72 | 7 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $215.00 – $348.31 | 7 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $215.00 – $348.31 | 7 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $215.00 – $348.31 | 7 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $435.63 – $705.72 | 7 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $112.50 | $450.00 | $435.63 – $705.72 | 7 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $215.00 – $348.31 | 7 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $215.00 – $348.31 | 7 |
| Shigella antibody CPT 86771 | not published | not published | $14.25 – $39.66 | 7 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $658.00 – $5,680.26 | 7 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,728.00 – $12,596.95 | 7 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $658.00 – $12,596.95 | 7 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $658.00 – $5,680.26 | 7 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $658.00 – $5,680.26 | 7 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $658.00 – $5,680.26 | 7 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $658.00 – $12,596.95 | 7 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $658.00 – $5,680.26 | 7 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $658.00 – $12,596.95 | 7 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $658.00 – $5,680.26 | 7 |
| Shoe post-op mens m HCPCS L3260 | $18.50 | $74.02 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | $430.00 – $5,680.26 | 7 |
| Shortening of thigh bone CPT 27465 | not published | not published | $5,474.00 – $12,596.95 | 7 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $5,474.00 – $7,125.00 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $658.00 – $12,596.95 | 7 |
| Shorten radius & ulna CPT 25392 | not published | not published | $658.00 – $12,596.95 | 7 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $926.00 – $12,596.95 | 7 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,350.00 | $5,400.00 | $373.86 – $605.65 | 7 |
| Shoulder MRI (with contrast) CPT 73222 | $1,050.00 | $4,200.00 | $563.65 – $1,360.90 | 7 |
| Shoulder MRI (without contrast) CPT 73221 | $950.00 | $3,800.00 | $255.69 – $414.22 | 7 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,728.00 – $12,596.95 | 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.