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 |
|---|---|---|---|---|
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $338.77 – $448.58 | 4 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $8,821.00 – $18,507.68 | 8 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Rsv assay w/optic CPT 87807 | $110.00 | $220.00 | $13.10 – $176.00 | 18 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $574.20 – $1,176.24 | 6 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $172.50 | $345.00 | $105.00 – $280.83 | 18 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $56.36 – $74.63 | 4 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $50.00 | $100.00 | $39.40 – $469.00 | 18 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $56.36 – $74.63 | 4 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $75.77 – $100.33 | 4 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $59.47 – $78.74 | 4 |
| Rubella antibody igg CPT 86762 | $70.00 | $140.00 | $14.39 – $112.00 | 18 |
| Rubeola ag if CPT 87283 | not published | not published | $58.20 – $276.79 | 14 |
| Rubeola antibody igg CPT 86765 | $80.00 | $160.00 | $12.88 – $116.00 | 18 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $1,497.05 | 10 |
| Russell viper venom diluted CPT 85613 | $77.50 | $155.00 | $9.58 – $124.00 | 18 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $4,168.23 | 10 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $380.23 – $932.10 | 7 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $81.22 | $162.43 | $52.57 – $132.22 | 18 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $362.50 | $725.00 | $121.67 – $634.00 | 18 |
| Safety plan interven HCPCS G0560 | not published | not published | $62.00 – $82.09 | 4 |
| Salivary gland function exam CPT 78232 | not published | not published | $607.37 – $884.79 | 8 |
| Salivary gland imaging CPT 78230 | not published | not published | $488.62 – $998.35 | 8 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $573.57 – $865.86 | 8 |
| Salmonella antibody CPT 86768 | $70.00 | $140.00 | $13.19 – $113.96 | 18 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $194.79 – $501.54 | 7 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $2.48 – $9.46 | 5 |
| Sargramostim injection HCPCS J2820 | not published | not published | $81.33 – $202.80 | 13 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $42.13 – $98.75 | 8 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $234.23 – $500.92 | 10 |
| Sarscov coronavirus ag ia CPT 87426 | $37.50 | $75.00 | $29.55 – $160.72 | 18 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $52.50 | $105.00 | $41.37 – $199.67 | 18 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Sbrt management CPT 77435 | not published | not published | $2,860.68 – $4,480.71 | 4 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $5,668.91 – $7,506.42 | 4 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $781.61 – $889.53 | 3 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $694.29 – $790.15 | 3 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $357.54 – $406.91 | 3 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $473.96 – $539.40 | 3 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $232.82 – $264.96 | 3 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $139.81 – $185.13 | 4 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $905.00 | $1,810.00 | $365.36 – $1,473.34 | 18 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $605.00 | $1,210.00 | $160.73 – $1,010.00 | 18 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $605.00 | $1,210.00 | $160.73 – $1,010.00 | 18 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $565.00 | $1,130.00 | $160.73 – $1,010.00 | 18 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $660.00 | $1,320.00 | $160.73 – $1,150.39 | 18 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $520.00 | $1,040.00 | $160.73 – $1,010.00 | 18 |
| Scan proc cranial extra CPT 61782 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Scan proc spinal CPT 61783 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $8,839.10 – $21,674.88 | 7 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,060.00 | $2,120.00 | $835.28 – $6,071.00 | 18 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $6,955.05 | $13,910.10 | $2,580.86 – $6,019.53 | 14 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.12 – $80.36 | 13 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $26.35 – $170.34 | 7 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $145.84 | 13 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $199.41 | 13 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $146.68 | 13 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $123.51 | 13 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $113.56 | 13 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $26.35 – $170.34 | 7 |
| 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 colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $89.89 | 13 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $127.98 | 10 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $211.31 | 10 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $110.12 | 10 |
| Screening Mammogram CPT 77067 | $237.50 | $475.00 | $133.37 – $524.00 | 18 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $26.35 – $170.34 | 7 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.31 – $99.36 | 13 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $15.12 – $80.36 | 13 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $32,835.00 | $65,670.00 | $7.41 – $26.10 | 14 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $570.00 | $1,140.00 | $160.73 – $912.00 | 18 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $107.57 – $454.22 | 7 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,415.00 | $8,830.00 | $3,181.00 – $7,064.00 | 14 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $25.00 | $50.00 | $2.70 – $40.00 | 18 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $4,564.46 – $9,350.23 | 6 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Select picture audiometry CPT 92583 | $125.00 | $250.00 | $89.78 – $617.00 | 18 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.60 – $4.74 | 7 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $85.00 | $170.00 | $47.63 – $469.00 | 18 |
| Self-meas bp pt educaj/train CPT 99473 | $37.50 | $75.00 | $26.18 – $111.00 | 18 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $50.00 | $100.00 | $39.40 – $429.00 | 14 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $49.89 – $56.78 | 3 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $42.58 | 13 |
| Semen analysis presence/motility CPT 89321 | $60.00 | $120.00 | $12.05 – $96.00 | 18 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $38.69 | 14 |
| Sensorimotor examination CPT 92060 | not published | not published | $89.78 – $354.87 | 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.