Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $87.50 | $175.00 | $29.28 – $140.00 | 18 |
| 17-hydroxypregnenolone CPT 84143 | $87.50 | $175.00 | $22.81 – $140.00 | 18 |
| 17-ketosteroids CPT 83586 | $95.00 | $190.00 | $12.80 – $152.00 | 18 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $11.67 – $15.46 | 4 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $9.47 – $12.54 | 4 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $19.44 – $25.75 | 4 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $194.79 – $378.52 | 7 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $4,918.26 – $5,597.34 | 3 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $139.81 – $185.13 | 4 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $163.69 | 10 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $187.09 – $257.99 | 7 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $1,194.18 – $1,581.26 | 4 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $1,194.18 – $1,581.26 | 4 |
| 2nd order venous cath CPT 36012 | $1,380.00 | $2,760.00 | $1,087.44 – $6,291.00 | 14 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $297.00 – $297.00 | 2 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $236.49 – $313.15 | 4 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $236.49 – $313.15 | 4 |
| 3d ech img cgen car anomal CPT 93319 | $810.00 | $1,620.00 | $638.28 – $1,877.00 | 14 |
| 3-d radiotherapy plan CPT 77295 | $4,400.00 | $8,800.00 | $1,039.00 – $7,040.00 | 18 |
| 3d recon without postprocess indpndt CPT 76376 | $360.00 | $720.00 | $176.58 – $1,087.19 | 14 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $2,953.85 – $7,243.89 | 7 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $16.12 – $16.12 | 2 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $9.70 – $9.70 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $102.50 | $205.00 | $11.15 – $166.87 | 18 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $142.50 | $285.00 | $18.04 – $228.00 | 14 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $569.58 – $648.22 | 3 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $615.30 – $700.26 | 3 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $611.14 – $695.52 | 3 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $473.96 – $539.40 | 3 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $528.00 – $600.90 | 3 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $523.84 – $596.16 | 3 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $573.74 – $652.95 | 3 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $706.76 – $804.35 | 3 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $134.79 | $269.58 | $64.52 – $215.66 | 18 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $55.00 | $110.00 | $12.01 – $88.00 | 18 |
| Abciximab injection HCPCS J0130 | not published | not published | $948.55 – $2,858.14 | 6 |
| Abd aorta w/runoff s&i CPT 75630 | $3,850.00 | $7,700.00 | $220.00 – $6,299.55 | 18 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Abd/low ext cath 1st CPT 36245 | $2,110.00 | $4,220.00 | $1,662.68 – $6,291.00 | 14 |
| Abd/low ext cath 2nd CPT 36246 | $1,440.00 | $2,880.00 | $1,134.72 – $6,291.00 | 14 |
| Abd/low ext cath 3rd CPT 36247 | $2,545.00 | $5,090.00 | $2,005.46 – $6,291.00 | 14 |
| Abd/low ext cath addl CPT 36248 | $520.00 | $1,040.00 | $409.76 – $6,291.00 | 14 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,000.00 | $2,000.00 | $365.36 – $1,600.00 | 18 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $670.00 | $1,340.00 | $160.73 – $1,276.22 | 18 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,385.00 | $2,770.00 | $269.08 – $2,216.00 | 18 |
| Abdominal CT scan (with contrast) CPT 74160 | $955.00 | $1,910.00 | $269.08 – $1,528.00 | 18 |
| Abdominal CT scan (without contrast) CPT 74150 | $855.00 | $1,710.00 | $160.73 – $1,368.00 | 18 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,125.00 | $4,250.00 | $539.81 – $3,400.00 | 18 |
| Abdominal MRI (with contrast) CPT 74182 | $1,450.00 | $2,900.00 | $539.81 – $2,370.82 | 18 |
| Abdominal MRI (without contrast) CPT 74181 | $1,350.00 | $2,700.00 | $365.36 – $2,160.00 | 18 |
| Abdominal pad HCPCS L1270 | not published | not published | $144.80 – $354.87 | 7 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,375.00 | $2,750.00 | $1,083.50 – $6,181.00 | 18 |
| Abdominal Ultrasound (complete) CPT 76700 | $740.00 | $1,480.00 | $160.73 – $1,184.00 | 18 |
| Abdominal Ultrasound (limited) CPT 76705 | $555.00 | $1,110.00 | $160.73 – $888.00 | 18 |
| Abdominal X-ray (2 views) CPT 74019 | $247.50 | $495.00 | $117.52 – $634.00 | 18 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $297.50 | $595.00 | $145.55 – $634.00 | 18 |
| Abdominal X-ray (single view) CPT 74018 | $197.50 | $395.00 | $98.18 – $634.00 | 18 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $900.00 | $1,800.00 | $709.20 – $6,181.00 | 18 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $369.07 – $903.72 | 7 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $439.83 – $1,078.78 | 7 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $200.97 – $492.08 | 7 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $155.53 – $383.26 | 7 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $142.23 – $350.13 | 7 |
| Abl1 gene CPT 81170 | $805.00 | $1,610.00 | $300.00 – $1,363.12 | 18 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $1,775.00 | $3,550.00 | $1,238.95 – $2,840.00 | 14 |
| Ablate arrhythmia add on CPT 93655 | $5,565.00 | $11,130.00 | $3,181.00 – $8,904.00 | 14 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $4,450.00 | $8,900.00 | $3,506.60 – $25,111.00 | 18 |
| Ablate bone tumor(s) perq CPT 20982 | $5,480.00 | $10,960.00 | $4,318.24 – $25,752.25 | 18 |
| Ablate heart dysrhythm focus CPT 93650 | $8,035.00 | $16,070.00 | $3,804.07 – $25,111.00 | 18 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Ablate pulm tumor perq crybl CPT 32994 | $7,490.00 | $14,980.00 | $5,902.12 – $25,111.00 | 18 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $8,818.69 – $25,111.00 | 8 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $620.00 | $1,240.00 | $165.48 – $6,291.00 | 18 |
| Ablation cryo abd perit om CPT 49999 | $1,125.00 | $2,250.00 | $84.00 – $1,876.48 | 18 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $8,818.69 – $25,111.00 | 8 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $362.58 – $6,291.00 | 8 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $7,350.00 | $14,700.00 | $5,791.80 – $25,111.00 | 18 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $660.80 – $6,291.00 | 8 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $362.58 – $6,291.00 | 8 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,110.00 | $2,220.00 | $446.18 – $6,291.00 | 18 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $3,550.00 | $7,100.00 | $2,449.01 – $5,680.00 | 18 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $6,296.00 – $18,507.68 | 8 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $19,638.16 – $26,003.63 | 4 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $13.30 – $29.68 | 10 |
| Abortion CPT 59850 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $459.79 – $6,291.00 | 8 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $6,113.10 – $14,989.32 | 7 |
| Above knee cushion socket HCPCS L5648 | not published | not published | $1,276.90 – $3,132.23 | 7 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $1,962.24 – $4,811.91 | 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.