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 |
|---|---|---|---|---|
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $12.50 – $90.47 | 7 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $412.70 – $694.01 | 7 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $215.00 – $348.31 | 7 |
| Unlisted surgical path px CPT 88399 | not published | not published | $6.07 – $90.47 | 7 |
| Unlisted transfusion med px CPT 86999 | $25.00 | $100.00 | $15.49 – $50.21 | 7 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $93.26 – $151.08 | 7 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $6.07 – $15.49 | 2 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $672.23 – $1,089.01 | 7 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $412.70 – $694.01 | 7 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $4,150.00 – $10,495.17 | 7 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $4,150.00 – $10,495.17 | 7 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $500.00 | $2,000.00 | $735.47 – $1,191.46 | 7 |
| Upgrade pm system CPT 33214 | $5,750.00 | $23,000.00 | $6,448.00 – $18,144.90 | 7 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,350.00 | $5,400.00 | $373.86 – $605.65 | 7 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,050.00 | $4,200.00 | $373.86 – $605.65 | 7 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $950.00 | $3,800.00 | $255.69 – $414.22 | 7 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $430.00 – $1,574.55 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $576.00 – $1,574.55 | 7 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $576.00 – $1,574.55 | 7 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $813.00 – $10,495.17 | 7 |
| Urea nitrogen CPT 84520 | $20.00 | $80.00 | $3.95 – $6.40 | 7 |
| Urea nitrogen 24 hour urine CPT 84540 | $22.50 | $90.00 | $5.14 – $9.01 | 7 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.14 – $11.66 | 7 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.06 – $8.31 | 7 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Ureteral reflux study CPT 78740 | not published | not published | $311.76 – $694.01 | 7 |
| Ureter endoscopy CPT 50970 | not published | not published | $430.00 – $6,119.44 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $430.00 – $9,308.20 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $430.00 – $9,308.20 | 7 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $430.00 – $6,119.44 | 7 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $430.00 – $9,308.20 | 7 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $430.00 – $9,308.20 | 7 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $430.00 – $9,308.20 | 7 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $430.00 – $9,308.20 | 7 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $3,383.00 – $3,383.00 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $300.00 | $1,200.00 | $91.65 – $414.22 | 7 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,777.44 – $6,119.44 | 7 |
| Urethrocystography void s&i CPT 74455 | $300.00 | $1,200.00 | $101.88 – $414.22 | 7 |
| Uric acid blood CPT 84550 | $20.00 | $80.00 | $4.52 – $7.32 | 7 |
| Uric acid urine CPT 84560 | $22.50 | $90.00 | $5.08 – $8.23 | 7 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.98 – $7.61 | 7 |
| Urinalysis microscopic only CPT 81015 | $2.75 | $11.00 | $3.05 – $4.94 | 7 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $3.52 | 7 |
| Urinalysis (with microscopy) CPT 81001 | $30.00 | $120.00 | $3.17 – $5.14 | 7 |
| Urinalysis (without microscopy) CPT 81003 | $27.75 | $111.00 | $2.25 – $3.65 | 7 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $91.01 – $91.01 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $63.22 – $102.41 | 7 |
| Urine Culture Test CPT 87086 | $57.50 | $230.00 | $8.07 – $13.07 | 7 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $142.58 – $230.97 | 7 |
| Urine pregnancy test CPT 81025 | $17.50 | $70.00 | $6.83 – $13.95 | 7 |
| Urine screen for bacteria CPT 81007 | not published | not published | $2.77 – $48.57 | 7 |
| Urine shunt to intestine CPT 50815 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2.38 – $26.49 | 3 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $175.35 – $175.35 | 1 |
| Urography, antegrade CPT 74425 | $231.25 | $925.00 | $78.87 – $605.65 | 7 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $131.39 – $304.50 | 7 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $750.60 – $750.60 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $15.29 – $15.29 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $112.03 – $181.49 | 7 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $183.58 | $734.31 | $12.99 – $21.05 | 7 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $17,929.16 | $71,716.64 | $241.97 – $319.48 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $1,728.00 – $22,288.23 | 7 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $294.76 – $294.76 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $294.76 – $294.76 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $305.74 | $1,222.96 | $264.82 – $264.82 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $168.95 | $675.81 | $177.32 – $177.32 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $126.88 | $507.50 | $132.41 – $132.41 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | $125.11 | $500.43 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $95.52 | $382.10 | not published | 0 |
| Vaccine dtap-ipv/hib im CPT 90698 | $176.39 | $705.55 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $123.84 | $495.36 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $49.68 | $198.74 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $143.75 | $575.00 | $142.18 – $142.18 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $211.64 | $846.57 | not published | 0 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $121.44 | $485.75 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $151.79 – $151.79 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $103.81 | $415.22 | $142.16 – $142.16 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $185.29 | $741.14 | $339.96 – $339.96 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $91.61 | $366.43 | $62.16 – $62.16 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $212.47 | $849.87 | $148.27 – $148.27 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $89.97 | $359.90 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $86.69 | $346.77 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $75.89 | $303.56 | $42.17 – $42.17 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $94.63 | $378.53 | $156.27 – $156.27 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $154.41 | $617.62 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $102.98 | $411.91 | $45.15 – $45.15 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $21.09 – $21.09 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $174.72 | $698.87 | $56.13 – $56.13 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $90.55 | $362.19 | $148.27 – $148.27 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $105.98 | $423.94 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $237.39 | $949.58 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $226.48 | $905.92 | not published | 0 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $236.36 | $945.45 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $200.72 | $802.87 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $191.25 | $765.00 | not published | 0 |
| Vaccine mmrv live subcutaneous CPT 90710 | $194.78 | $779.11 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $181.93 | $727.74 | $269.61 – $269.61 | 1 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $296.35 | $1,185.38 | $521.14 – $521.14 | 1 |
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.