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 |
|---|---|---|---|---|
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,200.00 | $2,400.00 | $945.60 – $6,071.00 | 18 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $2,477.79 – $6,181.00 | 8 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $7,081.68 – $18,102.00 | 8 |
| Bone marrow imaging body CPT 78104 | $1,175.00 | $2,350.00 | $607.37 – $3,966.00 | 18 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $466.56 – $804.24 | 5 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $607.37 – $1,376.87 | 8 |
| Bone marrow interpretation CPT 85097 | not published | not published | $131.14 – $1,634.98 | 14 |
| Bone mineral dual photon CPT 78351 | not published | not published | $83.15 – $292.61 | 4 |
| Bone mineral single photon CPT 78350 | not published | not published | $145.55 – $222.38 | 4 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Bone survey-lead poisoning CPT 77074 | $307.50 | $615.00 | $160.73 – $634.00 | 18 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $217.54 – $217.54 | 2 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $145.52 – $165.61 | 3 |
| Boot j walker l HCPCS L4386 | not published | not published | $277.01 – $681.33 | 7 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $293.18 – $719.18 | 7 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $277.01 – $366.80 | 4 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $452.31 – $1,107.17 | 7 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $452.31 – $598.92 | 4 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $75.70 | 14 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $90.00 | $180.00 | $17.03 – $98.85 | 18 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $159.23 | 13 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $11.73 | $23.45 | $2.85 – $206.71 | 14 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $23.67 | 14 |
| Botulism ig IV CPT 90288 | not published | not published | $97,410.00 – $97,410.00 | 2 |
| Bowel imaging CPT 78290 | $1,065.00 | $2,130.00 | $607.37 – $3,966.00 | 18 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bpg iliorenal CPT 35634 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bpg splenorenal CPT 35636 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $269.12 – $657.68 | 7 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $816.41 – $2,001.41 | 7 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $440.12 – $1,078.78 | 7 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $1,082.95 – $2,654.36 | 7 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,467.18 – $3,595.92 | 7 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $196.46 – $482.60 | 7 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $169.03 – $416.38 | 7 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $109.81 – $269.70 | 7 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $130.40 – $321.74 | 7 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $382.73 – $506.78 | 4 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $1,105.94 – $1,464.42 | 4 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $925.83 – $1,225.92 | 4 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $718.08 – $2,640.17 | 7 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $2,596.91 – $6,368.56 | 7 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $3,574.95 – $8,767.42 | 7 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $955.83 – $1,265.64 | 4 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,793.45 – $6,595.67 | 7 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,600.41 – $2,119.16 | 4 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $615.10 – $1,509.33 | 7 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $153.47 – $378.52 | 7 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $3,238.94 – $7,944.14 | 7 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $906.03 – $1,199.71 | 4 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $1,203.37 – $2,952.45 | 7 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $248.28 – $328.76 | 4 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $719.53 – $952.76 | 4 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,463.47 – $1,937.84 | 4 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $179.86 – $238.16 | 4 |
| Brace m arm board HCPCS L3809 | not published | not published | $397.58 – $526.44 | 4 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $100.00 | $200.00 | $68.22 – $469.00 | 18 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $2,263.32 – $8,327.40 | 7 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,737.59 – $4,263.07 | 7 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $245.00 | $490.00 | $111.23 – $526.44 | 18 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $173.91 – $695.52 | 7 |
| Brace wrist classic lft sm HCPCS L3908 | $110.00 | $220.00 | $47.67 – $168.00 | 18 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Brach/thor cath 1st CPT 36215 | $1,930.00 | $3,860.00 | $1,520.84 – $6,291.00 | 14 |
| Brach/thor cath 2nd CPT 36216 | $1,030.00 | $2,060.00 | $811.64 – $6,291.00 | 14 |
| Brach/thor cath 3rd CPT 36217 | $2,050.00 | $4,100.00 | $1,615.40 – $6,291.00 | 14 |
| Brach/thor cath addl CPT 36218 | $340.00 | $680.00 | $267.92 – $6,291.00 | 14 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $76.72 – $101.59 | 4 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $53.71 – $71.12 | 4 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $50.91 – $67.41 | 4 |
| Brachy source palladium HCPCS C2640 | not published | not published | $101.05 – $133.80 | 4 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $115.67 – $153.16 | 4 |
| Brachy source yttrium-90 HCPCS C2616 | $23,260.00 | $46,520.00 | $10,560.04 – $37,216.00 | 18 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $140.01 – $185.40 | 4 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $620.00 | $1,240.00 | $281.48 – $992.00 | 18 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $156.40 – $207.09 | 4 |
| Brachytx isodose complex CPT 77318 | $1,270.00 | $2,540.00 | $553.32 – $2,429.00 | 18 |
| Brachytx isodose intermed CPT 77317 | $1,020.00 | $2,040.00 | $553.32 – $2,429.00 | 18 |
| Brachytx isodose plan simple CPT 77316 | $810.00 | $1,620.00 | $553.32 – $2,429.00 | 18 |
| Brachytx, non-str, gold-198 HCPCS C1716 | not published | not published | $1,259.08 – $1,667.19 | 4 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | not published | not published | $236.12 – $312.65 | 4 |
| Brachytx, non-str, ha, p-103 HCPCS C2635 | not published | not published | $100.60 – $133.21 | 4 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | $45.00 | $90.00 | $20.43 – $1,083.84 | 18 |
| Braf gene CPT 81210 | $440.00 | $880.00 | $175.40 – $797.63 | 18 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Brain biopsy w/ct/mr guide CPT 61751 | $4,670.00 | $9,340.00 | $3,181.00 – $7,472.00 | 14 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Brain flow imaging only CPT 78610 | not published | not published | $415.31 – $1,102.43 | 8 |
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.