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 |
|---|---|---|---|---|
| Augmentation cheek bone CPT 21270 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Augmentation of facial bones CPT 21208 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $5,740.00 | $11,480.00 | $3,181.00 – $9,184.00 | 14 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $8,475.00 | $16,950.00 | $6,678.30 – $25,111.00 | 18 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $840.65 – $3,820.01 | 10 |
| Autologous blood op salvage CPT 86891 | $900.00 | $1,800.00 | $425.52 – $1,634.98 | 18 |
| Autologous blood process CPT 86890 | $595.00 | $1,190.00 | $143.50 – $952.00 | 18 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,764.90 – $3,661.11 | 4 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,764.90 – $3,661.11 | 4 |
| Automated diff wbc count CPT 85004 | $40.00 | $80.00 | $6.47 – $64.00 | 18 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $194.83 – $257.99 | 4 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $236.49 – $437.78 | 7 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $194.83 – $694.24 | 7 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $30.98 – $1,341.49 | 7 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $29.98 – $1,470.83 | 7 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $31.99 – $1,601.81 | 7 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $18.00 – $779.38 | 7 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $18.00 – $779.38 | 7 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $18.00 – $865.58 | 7 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $20.98 – $994.92 | 7 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $21.98 – $1,082.80 | 7 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $18.00 – $779.38 | 7 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $16.52 – $779.38 | 7 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $23.03 – $994.92 | 7 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $240.40 | $480.79 | $145.43 – $391.36 | 18 |
| Av fistula revision CPT 36833 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Av fusion direct any site CPT 36821 | not published | not published | $4,757.47 – $17,439.00 | 8 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Avul nail plate addl CPT 11732 | $172.50 | $345.00 | $135.93 – $6,291.00 | 14 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $295.00 | $590.00 | $232.46 – $6,291.00 | 18 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $78.41 – $103.82 | 4 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $772,960.89 – $1,653,282.76 | 8 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $328.74 – $804.35 | 7 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $8,818.69 – $25,111.00 | 8 |
| Azacitidine injection HCPCS J9025 | $2.84 | $5.68 | $0.64 – $26.96 | 14 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $2.08 – $6.19 | 9 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $326.21 – $808.67 | 13 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $63.34 | $126.67 | $3.60 – $103.11 | 14 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $21.42 – $165.61 | 9 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $3.51 – $7.20 | 6 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $254.94 – $1,025.40 | 13 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $75.80 – $435.28 | 9 |
| Baclofen eval charges CPT 97750 | $85.00 | $170.00 | $49.55 – $469.00 | 18 |
| Bacterial meningitis antigen CPT 86403 | $55.00 | $110.00 | $11.54 – $88.00 | 18 |
| Bacterial vaginosis pcr CPT 87801 | $312.50 | $625.00 | $70.20 – $500.00 | 18 |
| Bactericidal level serum CPT 87197 | $82.50 | $165.00 | $15.02 – $132.00 | 18 |
| #bac vag cand-c. albicans naa CPT 87481 | $105.00 | $210.00 | $35.09 – $190.24 | 18 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $13.44 – $33.13 | 7 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $85.00 | $170.00 | $47.59 – $469.00 | 18 |
| Balloon dilate urtrl strix CPT 50706 | $1,445.00 | $2,890.00 | $1,138.66 – $6,291.00 | 14 |
| Banding pulmonary artery CPT 33690 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $1,035.24 | $2,070.48 | $34.92 – $81.44 | 14 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $700.00 | $1,400.00 | $220.00 – $1,213.30 | 18 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $467.50 | $935.00 | $220.00 – $880.76 | 18 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $415.00 | $830.00 | $220.00 – $664.00 | 18 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $2.08 – $2.37 | 3 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $4.92 – $14.19 | 7 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $20.00 – $61.50 | 7 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $12.57 – $37.86 | 7 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $9.96 – $33.13 | 7 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $17.75 – $56.78 | 7 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Bartonella dna pcr-sendout CPT 87471 | $182.50 | $365.00 | $35.09 – $297.11 | 18 |
| Bartonella dna quant CPT 87472 | not published | not published | $42.84 – $236.57 | 14 |
| Basic vestibular evaluation CPT 92540 | $550.00 | $1,100.00 | $236.49 – $895.40 | 18 |
| Basiliximab HCPCS J0480 | not published | not published | $6,775.08 – $15,484.52 | 13 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $1,231.05 – $3,018.69 | 7 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $505.89 – $1,239.64 | 7 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $2,624.34 – $6,434.81 | 7 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $2,276.21 – $5,583.14 | 7 |
| Bausch health Ultrasound surg HCPCS V2788 | $507.50 | $1,015.00 | $225.87 – $796.00 | 14 |
| B cells total count CPT 86355 | $202.50 | $405.00 | $37.73 – $324.00 | 18 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $4.74 – $14.29 | 9 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $236.92 – $1,211.26 | 9 |
| Bcg vaccine percut CPT 90585 | not published | not published | $323.43 – $662.55 | 6 |
| Bckdhb gene CPT 81205 | $575.00 | $1,150.00 | $94.99 – $936.10 | 18 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $87.31 – $99.36 | 5 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $19.68 – $47.32 | 7 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | not published | not published | $139.81 – $185.13 | 4 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $9.11 | $18.22 | $5.64 – $14.83 | 18 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $135.39 | $270.78 | $81.21 – $209.15 | 18 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $15,591.88 – $38,235.05 | 7 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $4,763.21 – $11,682.00 | 7 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $553.07 – $1,357.94 | 7 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $134.20 – $331.20 | 7 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $1,080.67 – $2,649.63 | 7 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $1,022.96 – $2,507.68 | 7 |
| Below knee leather socket HCPCS L5638 | not published | not published | $1,129.27 – $2,767.92 | 7 |
| Below knee suction socket HCPCS L5647 | not published | not published | $1,384.39 – $3,392.47 | 7 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $224.24 – $548.84 | 7 |
| Below knee total contact HCPCS L5637 | not published | not published | $670.35 – $1,641.82 | 7 |
| Below knee wood socket HCPCS L5639 | not published | not published | $1,951.24 – $4,783.52 | 7 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $14.33 – $47.32 | 7 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $12.29 | $24.58 | $2.68 – $107.85 | 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.