healthcosts.net
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 |
|---|---|---|---|---|
| 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 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 |
| Allergy Skin Testing CPT 95004 | not published | not published | $33.27 – $2,036.25 | 7 |
| Ankle X-ray CPT 73610 | $295.00 | $590.00 | $101.97 – $634.00 | 18 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $577.89 – $657.68 | 3 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $631.93 – $719.18 | 3 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $665.20 – $757.04 | 3 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $777.45 – $884.79 | 3 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $8,818.69 – $25,111.00 | 8 |
| Blood Clotting (PT/INR) Test CPT 85610 | $37.50 | $75.00 | $4.29 – $44.00 | 18 |
| Blood Clotting (PTT) Test CPT 85730 | $47.50 | $95.00 | $6.01 – $76.00 | 18 |
| Blood Count (CBC) Test CPT 85025 | $42.50 | $85.00 | $7.77 – $79.72 | 18 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $37.50 | $75.00 | $6.47 – $44.00 | 18 |
| Blood Culture Test CPT 87040 | $80.00 | $160.00 | $10.32 – $128.00 | 18 |
| Bone Density Scan (DEXA) CPT 77080 | $395.00 | $790.00 | $133.89 – $643.06 | 18 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,125.00 | $4,250.00 | $539.81 – $3,400.00 | 18 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,450.00 | $2,900.00 | $539.81 – $2,370.82 | 18 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,350.00 | $2,700.00 | $365.36 – $2,160.00 | 18 |
| Brain MRI (with and without contrast) CPT 70553 | $2,125.00 | $4,250.00 | $539.81 – $3,400.00 | 18 |
| Brain MRI (with contrast) CPT 70552 | $1,450.00 | $2,900.00 | $539.81 – $2,370.82 | 18 |
| Brain MRI (without contrast) CPT 70551 | $1,350.00 | $2,700.00 | $365.36 – $2,160.00 | 18 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,760.00 | $3,520.00 | $1,386.88 – $6,181.00 | 18 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,580.00 | $5,160.00 | $539.81 – $4,128.00 | 18 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,720.00 | $3,440.00 | $269.08 – $2,752.00 | 18 |
| CT Angiogram of the Head CPT 70496 | $1,720.00 | $3,440.00 | $269.08 – $2,752.00 | 18 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,765.00 | $5,530.00 | $539.81 – $4,424.00 | 18 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,915.00 | $3,830.00 | $539.81 – $3,064.00 | 18 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,705.00 | $3,410.00 | $365.36 – $2,728.00 | 18 |
| Cardiac Stress Test CPT 93015 | not published | not published | $648.56 – $738.11 | 3 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $905.00 | $1,810.00 | $365.36 – $1,473.34 | 18 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Cataract Surgery CPT 66984 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,385.00 | $2,770.00 | $269.08 – $2,216.00 | 18 |
| Chest CT scan (with contrast) CPT 71260 | $955.00 | $1,910.00 | $269.08 – $1,528.00 | 18 |
| Chest CT scan (without contrast) CPT 71250 | $855.00 | $1,710.00 | $160.73 – $1,368.00 | 18 |
| Chest X-ray CPT 71046 | $267.50 | $535.00 | $105.62 – $634.00 | 18 |
| Chest X-ray (single view) CPT 71045 | $222.50 | $445.00 | $78.83 – $634.00 | 18 |
| Cholesterol (Lipid) Test CPT 80061 | $82.50 | $165.00 | $13.39 – $132.00 | 18 |
| Circumcision (newborn) CPT 54150 | not published | not published | $3,096.34 – $12,362.00 | 8 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $1,378.06 – $6,181.00 | 13 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,080.00 | $2,160.00 | $84.00 – $1,758.24 | 18 |
| Diabetes (HbA1c) Test CPT 83036 | $70.00 | $140.00 | $9.71 – $84.00 | 18 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $282.50 | $565.00 | $161.67 – $524.00 | 18 |
| Diagnostic Mammogram (one breast) CPT 77065 | $282.50 | $565.00 | $127.12 – $524.00 | 18 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $137.20 – $156.14 | 3 |
| ER Visit (level 1, minor) CPT 99281 | $195.00 | $390.00 | $49.25 – $796.00 | 18 |
| ER Visit (level 2) CPT 99282 | $395.00 | $790.00 | $239.36 – $1,214.00 | 18 |
| ER Visit (level 3) CPT 99283 | $785.00 | $1,570.00 | $418.52 – $2,071.00 | 18 |
| ER Visit (level 4) CPT 99284 | $1,330.00 | $2,660.00 | $643.63 – $3,426.00 | 18 |
| ER Visit (level 5, high severity) CPT 99285 | $1,950.00 | $3,900.00 | $926.71 – $4,020.00 | 18 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,165.00 | $2,330.00 | $778.27 – $1,878.38 | 18 |
| Established Patient Office Visit (level 1) CPT 99211 | $90.00 | $180.00 | $62.82 – $144.00 | 14 |
| Established Patient Office Visit (level 2) CPT 99212 | $120.00 | $240.00 | $83.76 – $192.00 | 14 |
| Established Patient Office Visit (level 3) CPT 99213 | $147.50 | $295.00 | $102.96 – $236.00 | 14 |
| Established Patient Office Visit (level 4) CPT 99214 | $177.50 | $355.00 | $105.00 – $284.00 | 14 |
| Established Patient Office Visit (level 5) CPT 99215 | $207.50 | $415.00 | $105.00 – $332.00 | 14 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $1,378.06 – $6,071.00 | 8 |
| Foot X-ray CPT 73630 | $300.00 | $600.00 | $100.21 – $634.00 | 18 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $8,818.69 – $25,111.00 | 8 |
| Hand X-ray CPT 73130 | $305.00 | $610.00 | $100.21 – $634.00 | 18 |
| Head CT scan (with and without contrast) CPT 70470 | $1,385.00 | $2,770.00 | $269.08 – $2,216.00 | 18 |
| Head CT scan (with contrast) CPT 70460 | $955.00 | $1,910.00 | $269.08 – $1,528.00 | 18 |
| Head CT scan (without contrast) CPT 70450 | $855.00 | $1,710.00 | $160.73 – $1,368.00 | 18 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $5,334.21 – $17,439.00 | 8 |
| Hip X-ray CPT 73502 | $225.00 | $450.00 | $133.09 – $634.00 | 18 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $735.00 | $1,470.00 | $160.73 – $1,176.00 | 18 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee MRI (with and without contrast) CPT 73723 | $2,660.00 | $5,320.00 | $539.81 – $3,400.00 | 18 |
| Knee MRI (with contrast) CPT 73722 | $1,810.00 | $3,620.00 | $1,096.00 – $2,370.82 | 18 |
| Knee MRI (without contrast) CPT 73721 | $1,690.00 | $3,380.00 | $365.36 – $2,160.00 | 18 |
| Knee X-ray CPT 73564 | $420.00 | $840.00 | $126.93 – $634.00 | 18 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $845.00 | $1,690.00 | $365.36 – $1,500.90 | 18 |
| Liver Function Test CPT 80076 | $80.00 | $160.00 | $8.17 – $149.02 | 18 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,385.00 | $2,770.00 | $269.08 – $2,216.00 | 18 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $955.00 | $1,910.00 | $539.81 – $1,528.00 | 18 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $855.00 | $1,710.00 | $160.73 – $1,368.00 | 18 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,125.00 | $4,250.00 | $539.81 – $3,400.00 | 18 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,450.00 | $2,900.00 | $539.81 – $2,370.82 | 18 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,125.00 | $4,250.00 | $365.36 – $2,160.00 | 18 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $335.00 | $670.00 | $130.42 – $634.00 | 18 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $12,700.00 – $36,806.70 | 8 |
| Lung Function Test (Spirometry) CPT 94010 | $307.50 | $615.00 | $228.67 – $1,287.00 | 18 |
| Metabolic Blood Panel (Basic) CPT 80048 | $57.50 | $115.00 | $8.46 – $155.80 | 18 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $107.50 | $215.00 | $10.56 – $203.21 | 18 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,385.00 | $2,770.00 | $269.08 – $2,216.00 | 18 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $955.00 | $1,910.00 | $539.81 – $1,528.00 | 18 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $855.00 | $1,710.00 | $160.73 – $1,368.00 | 18 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,125.00 | $4,250.00 | $539.81 – $3,400.00 | 18 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,450.00 | $2,900.00 | $539.81 – $2,370.82 | 18 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,350.00 | $2,700.00 | $365.36 – $2,160.00 | 18 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,125.00 | $4,250.00 | $539.81 – $3,400.00 | 18 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,450.00 | $2,900.00 | $539.81 – $2,370.82 | 18 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,350.00 | $2,700.00 | $365.36 – $2,160.00 | 18 |
| New Patient Office Visit (level 2) CPT 99202 | $115.00 | $230.00 | $80.27 – $184.00 | 14 |
| New Patient Office Visit (level 3) CPT 99203 | $147.50 | $295.00 | $102.96 – $236.00 | 14 |
| New Patient Office Visit (level 4) CPT 99204 | $177.50 | $355.00 | $105.00 – $284.00 | 14 |
| New Patient Office Visit (level 5) CPT 99205 | $207.50 | $415.00 | $105.00 – $332.00 | 14 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,995.00 | $5,990.00 | $1,973.24 – $4,792.00 | 18 |
| PSA (Prostate) Test CPT 84153 | $107.50 | $215.00 | $18.39 – $172.00 | 18 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,385.00 | $2,770.00 | $269.08 – $2,216.00 | 18 |
| Pelvic CT scan (with contrast) CPT 72193 | $955.00 | $1,910.00 | $269.08 – $1,528.00 | 18 |
| Pelvic CT scan (without contrast) CPT 72192 | $855.00 | $1,710.00 | $160.73 – $1,368.00 | 18 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,125.00 | $4,250.00 | $539.81 – $3,400.00 | 18 |
| Pelvic MRI (with contrast) CPT 72196 | $1,450.00 | $2,900.00 | $539.81 – $2,370.82 | 18 |
| Pelvic MRI (without contrast) CPT 72195 | $1,350.00 | $2,700.00 | $365.36 – $2,160.00 | 18 |
| Pelvic Ultrasound (complete) CPT 76856 | $575.00 | $1,150.00 | $160.73 – $920.00 | 18 |
| Pelvic Ultrasound (limited) CPT 76857 | $437.50 | $875.00 | $119.01 – $700.00 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $515.00 | $1,030.00 | $160.73 – $930.20 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $447.50 | $895.00 | $160.73 – $840.33 | 18 |
| Rapid Strep Test CPT 87880 | $47.50 | $95.00 | $16.53 – $76.00 | 18 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $1,378.06 – $6,071.00 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $1,378.06 – $6,071.00 | 8 |
| Screening Mammogram CPT 77067 | $237.50 | $475.00 | $133.37 – $524.00 | 18 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,125.00 | $4,250.00 | $539.81 – $3,400.00 | 18 |
| Shoulder MRI (with contrast) CPT 73222 | $1,450.00 | $2,900.00 | $1,096.00 – $2,370.82 | 18 |
| Shoulder MRI (without contrast) CPT 73221 | $1,690.00 | $3,380.00 | $365.36 – $2,160.00 | 18 |
| Shoulder X-ray CPT 73030 | $290.00 | $580.00 | $107.66 – $634.00 | 18 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,385.00 | $2,770.00 | $269.08 – $2,216.00 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $955.00 | $1,910.00 | $269.08 – $1,528.00 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $855.00 | $1,710.00 | $160.73 – $1,368.00 | 18 |
| Skin Biopsy CPT 11102 | $192.50 | $385.00 | $151.69 – $6,291.00 | 18 |
| Sleep Study (Polysomnography) CPT 95810 | $3,235.00 | $6,470.00 | $1,283.00 – $4,841.00 | 18 |
| Thyroid (TSH) Test CPT 84443 | $110.00 | $220.00 | $16.80 – $91.03 | 18 |
| Thyroid Ultrasound CPT 76536 | $570.00 | $1,140.00 | $160.73 – $912.00 | 18 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Total Hip Replacement CPT 27130 | not published | not published | $19,448.31 – $47,462.00 | 8 |
| Total Knee Replacement CPT 27447 | not published | not published | $19,448.31 – $47,462.00 | 8 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $8,818.69 – $25,111.00 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,125.00 | $4,250.00 | $539.81 – $3,400.00 | 18 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,450.00 | $2,900.00 | $539.81 – $2,370.82 | 18 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,125.00 | $4,250.00 | $365.36 – $2,160.00 | 18 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $1,417.13 – $6,181.00 | 8 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $1,417.13 – $6,181.00 | 8 |
| Urinalysis (with microscopy) CPT 81001 | $35.00 | $70.00 | $3.17 – $56.00 | 18 |
| Urinalysis (without microscopy) CPT 81003 | $32.50 | $65.00 | $2.25 – $20.00 | 18 |
| Urine Culture Test CPT 87086 | $57.50 | $115.00 | $8.07 – $92.00 | 18 |
| Vasectomy CPT 55250 | $3,810.00 | $7,620.00 | $84.00 – $6,202.68 | 18 |
| Vitamin D Test CPT 82306 | $222.50 | $445.00 | $29.60 – $420.38 | 18 |
| Wrist X-ray CPT 73110 | $305.00 | $610.00 | $105.47 – $634.00 | 18 |
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.