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 |
|---|---|---|---|---|
| Wound closure by adhesive HCPCS G0168 | not published | not published | $473.96 – $6,291.00 | 7 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $745.16 – $1,936.74 | 6 |
| Wound pouch each HCPCS A6154 | not published | not published | $28.23 – $70.97 | 7 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $710.00 | $1,420.00 | $178.77 – $1,136.00 | 18 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $191.24 – $799.64 | 7 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $307.50 | $615.00 | $178.77 – $492.00 | 18 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $370.00 | $740.00 | $191.24 – $799.64 | 18 |
| Wrist arthroscopy CPT 29840 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $3,534.07 – $8,668.05 | 7 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $2,968.15 – $7,277.02 | 7 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $2,419.03 – $17,439.00 | 8 |
| Wrist X-ray CPT 73110 | $305.00 | $610.00 | $105.47 – $634.00 | 18 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $245.00 | $490.00 | $93.23 – $634.00 | 18 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $4,351.19 – $10,669.49 | 7 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $6,080.59 – $18,102.00 | 8 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $7,798.95 – $18,102.00 | 8 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $6,080.59 – $18,102.00 | 8 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $25.74 – $52.73 | 6 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $7,798.95 – $18,102.00 | 8 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $374.04 – $766.21 | 6 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,950.00 | $3,900.00 | $1,536.60 – $3,661.11 | 13 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $4,153.35 | 10 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $4,153.35 | 10 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $22.99 – $52.09 | 10 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $3,235.00 | $6,470.00 | $2,549.18 – $6,291.00 | 14 |
| X-ray abdomen >=3 views CPT 74021 | $267.50 | $535.00 | $136.87 – $634.00 | 18 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $885.00 | $1,770.00 | $220.00 – $1,416.00 | 18 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $57.75 | 14 |
| X-ray bone length studies CPT 77073 | $237.50 | $475.00 | $140.29 – $634.00 | 18 |
| X-ray bone survey infant CPT 77076 | $460.00 | $920.00 | $160.73 – $736.00 | 18 |
| X-ray consultation CPT 76140 | not published | not published | $91.46 – $228.43 | 4 |
| Xray endovasc thor ao repr CPT 75956 | $6,075.00 | $12,150.00 | $220.00 – $9,890.10 | 14 |
| Xray endovasc thor ao repr CPT 75957 | $5,845.00 | $11,690.00 | $220.00 – $9,352.00 | 14 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $600.00 | $1,200.00 | $160.73 – $960.00 | 18 |
| X-ray exam entire spi 6/> vw CPT 72084 | $760.00 | $1,520.00 | $160.73 – $1,216.00 | 18 |
| X-ray exam of arm infant CPT 73092 | $360.00 | $720.00 | $93.23 – $634.00 | 18 |
| X-ray exam of femur 1 CPT 73551 | $240.00 | $480.00 | $96.69 – $634.00 | 18 |
| X-ray exam of jaw joint CPT 70328 | $185.00 | $370.00 | $93.23 – $634.00 | 18 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $257.40 – $553.58 | 10 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $119.90 – $212.92 | 10 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $143.78 – $1,097.39 | 10 |
| X-ray exam of penis CPT 74445 | not published | not published | $160.73 – $676.59 | 10 |
| X-ray exam of perineum CPT 74775 | not published | not published | $242.24 – $567.77 | 10 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $132.19 – $236.57 | 10 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $163.49 – $483.79 | 10 |
| X-ray exam of teeth CPT 70300 | $170.00 | $340.00 | $37.16 – $634.00 | 18 |
| X-ray exam of teeth CPT 70310 | $300.00 | $600.00 | $94.95 – $634.00 | 18 |
| X-ray exam si joints CPT 72200 | $287.50 | $575.00 | $96.72 – $634.00 | 18 |
| X-ray exam thorac spine4/>vw CPT 72074 | $442.50 | $885.00 | $148.77 – $708.00 | 18 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $235.00 | $470.00 | $84.48 – $634.00 | 18 |
| X-ray fallopian tube CPT 74742 | not published | not published | $278.34 – $572.51 | 4 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $38.65 – $176.23 | 10 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $160.73 – $246.03 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $595.00 | $1,190.00 | $160.73 – $952.00 | 18 |
| X-ray joint survey 1 view CPT 77077 | $257.50 | $515.00 | $138.35 – $634.00 | 18 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $370.00 | $740.00 | $93.23 – $634.00 | 18 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $370.00 | $740.00 | $135.38 – $634.00 | 18 |
| X-ray male genital tract CPT 74440 | not published | not published | $253.38 – $539.40 | 10 |
| X-ray mandible ltd <4 views CPT 70100 | $235.00 | $470.00 | $98.48 – $634.00 | 18 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $253.61 – $288.63 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | $230.00 | $460.00 | $94.95 – $634.00 | 18 |
| X-ray of mammary ducts CPT 77054 | $800.00 | $1,600.00 | $217.22 – $1,302.40 | 18 |
| X-ray optic foramina CPT 70190 | not published | not published | $119.90 – $227.11 | 10 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $1,010.25 – $1,149.74 | 3 |
| Xray place prox ext thor ao CPT 75958 | $5,510.00 | $11,020.00 | $220.00 – $8,816.00 | 14 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $855.00 | $1,710.00 | $220.00 – $1,368.00 | 18 |
| X-ray ribs 2 views left CPT 71100 | $250.00 | $500.00 | $109.43 – $634.00 | 18 |
| X-ray sella turcica CPT 70240 | $162.50 | $325.00 | $84.48 – $634.00 | 18 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $910.00 | $1,820.00 | $159.19 – $1,456.00 | 18 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $435.00 | $870.00 | $160.73 – $813.37 | 18 |
| X-ray small intestine follow-through study CPT 74248 | $285.00 | $570.00 | $220.00 – $634.00 | 14 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $285.00 | $570.00 | $133.09 – $634.00 | 18 |
| X-ray surgical specimen CPT 76098 | $390.00 | $780.00 | $72.19 – $1,097.39 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $232.50 | $465.00 | $133.09 – $634.00 | 18 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $640.25 – $728.65 | 3 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $964.52 – $1,097.70 | 3 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $241.14 – $356.30 | 7 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $810.70 – $922.64 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $5,645.26 – $11,564.23 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $58.04 | 14 |
| Xyntha inj HCPCS J7185 | not published | not published | $2.23 – $4.80 | 10 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $71.50 | 14 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $53,730.00 | $107,460.00 | $42,339.24 – $221,310.84 | 18 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $289.92 – $856.90 | 6 |
| Ziconotide injection HCPCS J2278 | not published | not published | $14.69 – $37.86 | 13 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $2.49 – $5.10 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $3.10 – $75.70 | 5 |
| Zika virus dna/rna amp probe CPT 87662 | $185.00 | $370.00 | $51.31 – $301.18 | 18 |
| Zika virus igm antibody CPT 86794 | $90.00 | $180.00 | $16.85 – $146.52 | 18 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $2.54 – $4.74 | 7 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $13.33 – $33.13 | 9 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $11.57 – $23.96 | 10 |
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.