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 |
|---|---|---|---|---|
| Shoulder prosthesis removal CPT 23335 | not published | not published | $3,383.00 – $12,596.95 | 7 |
| Shoulder X-ray CPT 73030 | $137.50 | $550.00 | $30.60 – $151.08 | 7 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $112.50 | $450.00 | $112.03 – $181.49 | 7 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Sialidase enzyme assay CPT 87905 | $32.00 | $128.00 | $12.22 – $19.80 | 7 |
| Sialography s&i CPT 70390 | not published | not published | $117.47 – $414.22 | 7 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $2,414.00 – $5,755.71 | 7 |
| Sickling rbc CPT 85660 | $22.50 | $90.00 | $5.51 – $8.93 | 7 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $430.00 – $1,614.43 | 7 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $430.00 – $1,614.43 | 7 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $430.00 – $2,077.40 | 7 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $430.00 – $1,614.43 | 7 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $813.00 – $2,077.40 | 7 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $430.00 – $2,077.40 | 7 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $813.00 – $10,539.21 | 7 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $813.00 – $4,818.61 | 7 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $430.00 – $2,077.40 | 7 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $430.00 – $1,614.43 | 7 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $430.00 – $2,077.40 | 7 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $430.00 – $1,614.43 | 7 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $63.22 – $102.41 | 7 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $430.00 – $2,077.40 | 7 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $77.60 – $77.60 | 1 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $12,370.97 – $20,040.97 | 7 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $267.74 – $433.74 | 7 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $229.66 | $918.63 | $182.97 – $287.89 | 2 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $112.03 – $181.49 | 7 |
| Single transfer toe-hand CPT 26553 | not published | not published | $4,750.00 – $12,596.95 | 7 |
| Sinus CT scan (with and without contrast) CPT 70488 | not published | not published | $187.96 – $304.50 | 7 |
| Sinus CT scan (with contrast) CPT 70487 | $700.00 | $2,800.00 | $187.96 – $304.50 | 7 |
| Sinus CT scan (without contrast) CPT 70486 | $625.00 | $2,500.00 | $112.03 – $181.49 | 7 |
| Sinus/juglr venogram s&i CPT 75860 | $1,875.00 | $7,500.00 | $137.52 – $5,481.46 | 7 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $576.00 – $5,755.71 | 7 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $813.00 – $10,276.96 | 7 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $576.00 – $10,276.96 | 7 |
| Sipuleucel-t - su HCPCS Q2043 | $183.77 | $735.09 | $55,272.32 – $89,541.16 | 7 |
| Sirolimus, oral HCPCS J7520 | $8.71 | $34.84 | $2.70 – $4.61 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $84.57 – $137.01 | 7 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $28.78 – $161.55 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $28.78 – $28.78 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $813.00 – $6,151.98 | 7 |
| Skin Biopsy CPT 11102 | $105.00 | $420.00 | $435.63 – $705.72 | 7 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $658.00 – $3,581.90 | 7 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,032.00 – $4,150.00 | 2 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $658.00 – $6,151.98 | 7 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $658.00 – $3,581.90 | 7 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,032.00 – $4,150.00 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $3.98 – $50.21 | 7 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Skyla, 13.5 mg HCPCS J7301 | $286.36 | $1,145.43 | $1,285.32 – $1,285.32 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $283.19 | 7 |
| Sleep study attended CPT 95807 | not published | not published | $399.88 – $647.81 | 7 |
| Sleep Study (Polysomnography) CPT 95810 | $1,700.00 | $6,800.00 | $920.24 – $1,490.79 | 7 |
| Sleep study unattended CPT 95806 | $450.00 | $1,800.00 | $231.39 – $374.85 | 7 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $12.16 | $48.66 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $576.00 – $6,119.44 | 7 |
| Slitting of prepuce CPT 54001 | not published | not published | $576.00 – $3,628.95 | 7 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $63.22 – $102.41 | 7 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $27.28 | 7 |
| Small bowel endoscopy CPT 44360 | not published | not published | $576.00 – $3,331.27 | 7 |
| Small bowel endoscopy CPT 44364 | not published | not published | $576.00 – $3,331.27 | 7 |
| Small bowel endoscopy CPT 44366 | not published | not published | $576.00 – $3,331.27 | 7 |
| Small bowel endoscopy CPT 44369 | not published | not published | $576.00 – $3,331.27 | 7 |
| Small bowel endoscopy CPT 44376 | not published | not published | $576.00 – $3,331.27 | 7 |
| Small bowel endoscopy CPT 44378 | not published | not published | $576.00 – $3,331.27 | 7 |
| Small bowel endoscopy CPT 44382 | not published | not published | $430.00 – $1,574.55 | 7 |
| Small bowel endoscopy CPT 44384 | not published | not published | $813.00 – $3,331.27 | 7 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $576.00 – $3,331.27 | 7 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $576.00 – $3,331.27 | 7 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $576.00 – $3,331.27 | 7 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $576.00 – $3,331.27 | 7 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $430.00 – $1,574.55 | 7 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $813.00 – $3,331.27 | 7 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $1,728.00 – $10,539.21 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $22.50 | $90.00 | $5.39 – $8.73 | 7 |
| Smear gram stain CPT 87205 | $20.00 | $80.00 | $4.27 – $6.92 | 7 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $5.14 – $9.38 | 7 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $22.50 | $90.00 | $5.99 – $9.70 | 7 |
| Smear wet mount CPT 87210 | $22.50 | $90.00 | $4.61 – $9.43 | 7 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $488.19 | 7 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $300.02 | 7 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $39.82 – $76.14 | 7 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $82.73 | 7 |
| Sodium 24 hour urine CPT 84300 | $22.50 | $90.00 | $5.06 – $8.20 | 7 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $4.07 – $5.43 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $2.03 – $2.72 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $1.01 – $1.36 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $3.85 | $15.42 | $0.70 – $0.70 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $21.30 | $85.19 | $3.46 – $4.32 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $210.68 | $842.72 | $114.11 – $152.48 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $20.00 | $80.00 | $4.81 – $7.79 | 7 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $20.84 | $83.37 | not published | 0 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $93.26 – $151.08 | 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.