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 |
|---|---|---|---|---|
| Unlisted px extraocular musc CPT 67399 | not published | not published | $451.84 – $6,291.00 | 8 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $362.58 – $6,291.00 | 8 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $362.58 – $6,291.00 | 8 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $362.58 – $6,291.00 | 8 |
| Unlisted px inner ear CPT 69949 | not published | not published | $351.00 – $6,291.00 | 8 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $451.84 – $6,291.00 | 8 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $362.58 – $6,291.00 | 8 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $367.61 – $6,291.00 | 8 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $200.68 – $265.73 | 4 |
| Unlisted px middle ear CPT 69799 | not published | not published | $351.00 – $6,291.00 | 8 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $351.00 – $6,291.00 | 8 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $351.00 – $6,291.00 | 8 |
| Unlisted px pelvis/hip joint CPT 27299 | $900.00 | $1,800.00 | $362.58 – $6,291.00 | 18 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Unlisted px salivry glnd/dux CPT 42699 | $1,100.00 | $2,200.00 | $351.00 – $6,291.00 | 18 |
| Unlisted px small intestine CPT 44799 | not published | not published | $1,417.13 – $6,181.00 | 8 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $351.00 – $6,291.00 | 8 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $200.68 – $265.73 | 4 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $351.00 – $6,291.00 | 8 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $351.00 – $6,291.00 | 8 |
| Unlisted reprod med lab proc CPT 89398 | $65.00 | $130.00 | $49.47 – $146.66 | 18 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $607.37 – $804.24 | 4 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $300.34 – $397.69 | 4 |
| Unlisted special svc px/rprt CPT 99199 | not published | not published | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.47 – $146.66 | 10 |
| Unlisted transfusion med px CPT 86999 | $147.50 | $295.00 | $22.99 – $236.06 | 18 |
| Unlisted ultrasound procedure CPT 76999 | $217.50 | $435.00 | $133.09 – $537.00 | 18 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $65.29 – $65.29 | 2 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $934.51 – $6,071.00 | 8 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $607.37 – $804.24 | 4 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $8,818.69 – $18,102.00 | 8 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $8,818.69 – $18,102.00 | 8 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,025.00 | $2,050.00 | $715.45 – $1,668.70 | 18 |
| Upgrade pm system CPT 33214 | $16,790.00 | $33,580.00 | $13,230.52 – $91,059.00 | 18 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $250.00 | $500.00 | $107.66 – $634.00 | 18 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $955.00 | $1,910.00 | $269.08 – $1,528.00 | 18 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $855.00 | $1,710.00 | $160.73 – $1,368.00 | 18 |
| 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 Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $280.00 | $560.00 | $105.62 – $634.00 | 18 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $435.00 | $870.00 | $130.91 – $696.00 | 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 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $624.57 – $1,533.00 | 7 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $440.00 | $880.00 | $220.00 – $745.95 | 18 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $387.50 | $775.00 | $220.00 – $651.59 | 18 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $1,417.13 – $6,181.00 | 8 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $8,818.69 – $17,439.00 | 8 |
| Urea nitrogen CPT 84520 | $37.50 | $75.00 | $3.95 – $44.00 | 18 |
| Urea nitrogen 24 hour urine CPT 84540 | $37.50 | $75.00 | $5.56 – $60.00 | 18 |
| Urea nitrogen clearance CPT 84545 | $65.00 | $130.00 | $7.20 – $104.00 | 18 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $23.81 | 14 |
| Ureteral embolization/occl CPT 50705 | $2,660.00 | $5,320.00 | $2,096.08 – $6,291.00 | 14 |
| Ureteral reflux study CPT 78740 | $1,165.00 | $2,330.00 | $531.29 – $3,966.00 | 18 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,070.00 – $6,902.93 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $3,126.00 – $10,174.59 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,070.00 – $6,902.93 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $3,126.00 – $10,174.59 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $510.00 | $1,020.00 | $220.00 – $816.00 | 18 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $5,213.15 – $17,439.00 | 8 |
| Urethrocystography void s&i CPT 74455 | $695.00 | $1,390.00 | $220.00 – $1,112.00 | 18 |
| Uric acid blood CPT 84550 | $45.00 | $90.00 | $4.52 – $72.00 | 18 |
| Uric acid urine CPT 84560 | $62.50 | $125.00 | $5.08 – $76.00 | 18 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $20.83 | 14 |
| Urinalysis microscopic only CPT 81015 | $37.50 | $75.00 | $3.05 – $60.00 | 18 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $14.19 | 14 |
| 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 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $178.78 – $496.81 | 4 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $6.44 – $14.19 | 7 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $12.18 – $28.39 | 7 |
| Urinary reflex study CPT 51792 | not published | not published | $89.78 – $6,291.00 | 8 |
| Urinary suspensory HCPCS A5105 | not published | not published | $82.61 – $203.45 | 7 |
| Urine Culture Test CPT 87086 | $57.50 | $115.00 | $8.07 – $92.00 | 18 |
| Urine flow measurement 51736 CPT 51736 | $267.50 | $535.00 | $194.83 – $6,291.00 | 18 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $13.21 – $42.58 | 7 |
| Urine pregnancy test CPT 81025 | $57.50 | $115.00 | $8.61 – $92.00 | 18 |
| Urine screen for bacteria CPT 81007 | not published | not published | $12.47 – $136.91 | 14 |
| Urine shunt to intestine CPT 50815 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $40.18 | 13 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $100.52 – $328.98 | 9 |
| Urography, antegrade CPT 74425 | $965.00 | $1,930.00 | $220.00 – $1,544.00 | 18 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $269.08 – $742.85 | 10 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $915.46 – $2,758.45 | 5 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $18.32 – $18.32 | 2 |
| Use 1st target lesion CPT 76982 | not published | not published | $160.73 – $293.12 | 6 |
| User adjustable heel height HCPCS L5990 | not published | not published | $3,175.60 – $7,788.00 | 7 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $19.27 – $43.53 | 10 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $228.64 – $534.58 | 10 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $6,296.00 – $25,752.25 | 8 |
| Vaccine Administration (one shot) CPT 90471 | $50.00 | $100.00 | $34.90 – $142.44 | 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.