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 |
|---|---|---|---|---|
| Revision of unstable kneecap CPT 27422 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Revision of upper arm CPT 24940 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Revision of ureter CPT 50700 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Revision of urethra CPT 53450 | not published | not published | $5,213.15 – $17,439.00 | 8 |
| Revision of urethra CPT 53460 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Revision of urethra CPT 57220 | not published | not published | $7,461.49 – $18,102.00 | 8 |
| Revision of urinary tract CPT 51820 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Revision tips CPT 37183 | $8,160.00 | $16,320.00 | $6,430.08 – $47,462.00 | 18 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $9,155.00 – $25,752.25 | 8 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $334.79 – $685.80 | 6 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $509.98 – $1,329.62 | 6 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $7,683.94 – $18,102.00 | 8 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $5,198.09 – $17,439.00 | 8 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $5,198.09 – $17,439.00 | 8 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $4,525.00 | $9,050.00 | $3,565.70 – $17,439.00 | 18 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $5,198.09 – $17,439.00 | 8 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $24,003.00 – $47,462.00 | 8 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $18,848.99 – $47,462.00 | 8 |
| Revsc opn/prq tib/pero stent CPT 37234 | $10,910.00 | $21,820.00 | $8,597.08 – $25,111.00 | 14 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $15.39 – $34.21 | 10 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $3,070.00 | $6,140.00 | $2,419.16 – $12,362.00 | 18 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $6.14 – $33.13 | 14 |
| Rheumatoid factor quantitative CPT 86431 | $37.50 | $75.00 | $5.67 – $60.00 | 18 |
| Rh ig IV CPT 90386 | not published | not published | $22.42 – $2,179.86 | 9 |
| Rh ig minidose im CPT 90385 | not published | not published | $66.84 – $250.77 | 9 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $17.50 | $35.00 | $7.85 – $31.46 | 14 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $42.70 – $160.88 | 9 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $44.62 – $113.97 | 13 |
| Rho d immune globulin inj HCPCS J2790 | $265.00 | $530.00 | $127.58 – $500.15 | 14 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $18.80 – $404.92 | 9 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $4,861.63 – $18,102.00 | 11 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $4,861.63 – $18,102.00 | 11 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $375.00 | $750.00 | $126.93 – $634.00 | 18 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $452.50 | $905.00 | $160.73 – $724.00 | 18 |
| Rib cartilage graft CPT 21230 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $152.66 – $373.78 | 7 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | $6,477.60 | $12,955.19 | $1,631.16 – $8,416.20 | 14 |
| Rib X-ray (3 views, both sides) CPT 71110 | $410.00 | $820.00 | $136.87 – $656.00 | 18 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | not published | 0 |
| Right heart cath congenital CPT 93530 | not published | not published | $5,857.84 – $6,666.65 | 3 |
| Right ventric recording CPT 93603 | $2,150.00 | $4,300.00 | $1,218.14 – $6,181.00 | 18 |
| Rilonacept injection HCPCS J2793 | not published | not published | $44.55 – $91.26 | 6 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $10.32 – $33.13 | 7 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $556.28 – $1,362.67 | 7 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $331.77 – $813.80 | 7 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $1,189.88 – $2,919.32 | 7 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $10.32 – $33.13 | 7 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $36.77 | $73.53 | $21.52 – $59.85 | 18 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $45.03 – $59.62 | 4 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $15.86 – $41.10 | 13 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $232.94 | $465.88 | $110.10 – $368.30 | 18 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $53.59 – $123.47 | 10 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $155.63 | $311.26 | $45.21 – $235.32 | 18 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $101.46 | $202.92 | $43.38 – $165.18 | 18 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $139.37 | $278.73 | $31.76 – $221.28 | 18 |
| R & l heart cath congenital CPT 93531 | not published | not published | $14,937.71 – $17,000.19 | 3 |
| R & l heart cath congenital CPT 93532 | not published | not published | $15,378.40 – $17,501.72 | 3 |
| R & l heart cath congenital CPT 93533 | not published | not published | $14,925.24 – $16,985.99 | 3 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $4,861.63 – $18,102.00 | 11 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $4,861.63 – $18,102.00 | 11 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $875.00 | $1,750.00 | $689.50 – $6,071.00 | 18 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $8,818.69 – $25,111.00 | 8 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,790.00 | $3,580.00 | $1,410.52 – $3,242.82 | 13 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $9,679.81 – $25,111.00 | 8 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rmvl icd by tv extr CPT 33244 | $4,110.00 | $8,220.00 | $3,238.68 – $17,439.00 | 18 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $33,315.00 | $66,630.00 | $26,252.22 – $111,480.00 | 18 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $31,125.00 | $62,250.00 | $24,526.50 – $111,480.00 | 18 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $31,125.00 | $62,250.00 | $24,526.50 – $111,480.00 | 18 |
| Rmvl icd pulse gen only CPT 33241 | $4,110.00 | $8,220.00 | $3,238.68 – $17,439.00 | 18 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $500.00 | $1,000.00 | $394.00 – $6,071.00 | 18 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rmvl perm pm pulse gen CPT 33233 | $3,035.00 | $6,070.00 | $2,391.58 – $17,439.00 | 18 |
| Rmvl perq right heart vad CPT 33997 | $1,830.00 | $3,660.00 | $1,442.04 – $6,291.00 | 14 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $5,198.09 – $17,439.00 | 8 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $5,198.09 – $17,439.00 | 8 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $5,198.09 – $17,439.00 | 8 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $11,235.00 | $22,470.00 | $8,853.18 – $47,462.00 | 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.