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 |
|---|---|---|---|---|
| Contrast baths charges CPT 97034 | not published | not published | $20.46 – $85.17 | 8 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,490.00 | $6,980.00 | $220.00 – $6,299.55 | 18 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $714.22 – $6,299.55 | 10 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,160.00 | $6,320.00 | $220.00 – $10,819.22 | 18 |
| Contrast x-ray gallbladder CPT 74290 | $417.50 | $835.00 | $170.03 – $668.00 | 18 |
| Contrast x-ray of ankle CPT 73615 | $885.00 | $1,770.00 | $220.00 – $1,440.78 | 18 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $198.52 – $1,116.63 | 10 |
| Contrast x-ray of brain CPT 70015 | $900.00 | $1,800.00 | $220.00 – $1,581.26 | 18 |
| Contrast x-ray of elbow CPT 73085 | $750.00 | $1,500.00 | $220.00 – $1,200.00 | 18 |
| Contrast x-ray of hip CPT 73525 | $1,100.00 | $2,200.00 | $220.00 – $1,416.00 | 18 |
| Contrast x-ray of knee joint CPT 73580 | $885.00 | $1,770.00 | $220.00 – $1,416.00 | 18 |
| Contrast x-ray of wrist CPT 73115 | $885.00 | $1,770.00 | $220.00 – $1,416.00 | 18 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $25,435.77 – $62,375.03 | 7 |
| Controller infinity pt dbs HCPCS C1787 | $4,216.39 | $8,432.78 | $2,943.04 – $6,864.28 | 14 |
| Control nosebleed pack+caut 30905 CPT 30905 | $300.00 | $600.00 | $118.20 – $257.99 | 13 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $3,126.00 – $6,490.83 | 8 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $351.00 – $6,291.00 | 8 |
| Control of nosebleed ant comp 30903 CPT 30903 | $300.00 | $600.00 | $118.20 – $257.99 | 13 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $300.00 | $600.00 | $118.20 – $257.99 | 13 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $322.50 | $645.00 | $254.13 – $1,019.24 | 13 |
| Control throat bleeding CPT 42961 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Control throat bleeding CPT 42962 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Contrst x-ray uppr gi tract CPT 74249 | not published | not published | $1,031.05 – $1,173.41 | 3 |
| Conversion ext bil drg cath CPT 47535 | $3,930.00 | $7,860.00 | $3,096.84 – $17,439.00 | 18 |
| Convert nephrostomy catheter CPT 50434 | $915.00 | $1,830.00 | $721.02 – $6,071.00 | 18 |
| Conv gtube to jtube CPT 44373 | not published | not published | $2,867.32 – $6,181.00 | 8 |
| Coombs direct CPT 86880 | $77.50 | $155.00 | $5.39 – $118.89 | 18 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $5.72 – $342.97 | 11 |
| Coombs indirect titer reference CPT 86886 | $170.00 | $340.00 | $5.18 – $342.97 | 18 |
| Copper cu 64 dotatate diag HCPCS A9592 | $1,270.00 | $2,540.00 | $862.90 – $2,067.56 | 18 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $2,053.79 – $4,400.76 | 9 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $4,772.40 | 10 |
| Core ndl bx lng/med perq CPT 32408 | $2,080.00 | $4,160.00 | $1,635.10 – $6,181.00 | 18 |
| Corf related serv 15 mins ea HCPCS G0409 | not published | not published | $49.89 – $56.78 | 3 |
| Corf skilled nursing service HCPCS G0128 | not published | not published | $49.89 – $56.78 | 3 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $11,405.03 – $27,967.75 | 7 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $89.78 – $118.89 | 4 |
| Corneal smear CPT 65430 | not published | not published | $603.15 – $6,291.00 | 8 |
| Corneal transplant CPT 65710 | not published | not published | $7,798.95 – $18,102.00 | 8 |
| Corneal transplant CPT 65730 | not published | not published | $6,080.59 – $18,102.00 | 8 |
| Corneal transplant CPT 65750 | not published | not published | $7,798.95 – $18,102.00 | 8 |
| Corneal transplant CPT 65755 | not published | not published | $6,080.59 – $18,102.00 | 8 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $6,080.59 – $18,102.00 | 8 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $9,552.00 | $19,104.00 | $3,062.73 – $10,793.76 | 14 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $9,380.00 | $18,760.00 | $4,861.63 – $18,102.00 | 18 |
| Coronary angio/lv gram/lt heart CPT 93458 | $8,105.00 | $16,210.00 | $4,861.63 – $18,102.00 | 18 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $8,250.00 | $16,500.00 | $4,861.63 – $18,102.00 | 18 |
| Coronary artery correction CPT 33502 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Coronary artery graft CPT 33503 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Coronary artery graft CPT 33504 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Coronary art/grft angio s&i CPT 93455 | $7,410.00 | $14,820.00 | $4,861.63 – $18,102.00 | 18 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $6,755.00 | $13,510.00 | $4,861.63 – $18,102.00 | 18 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | not published | not published | $501.35 – $6,291.00 | 11 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $4.98 – $217.22 | 7 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Correct finger deformity CPT 26567 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $5,787.99 – $17,439.00 | 8 |
| Correction claw finger other CPT 26499 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $3,526.29 – $12,362.00 | 8 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Correction of astigmatism CPT 65772 | not published | not published | $1,463.96 – $6,181.00 | 8 |
| Correction of astigmatism CPT 65775 | not published | not published | $3,526.29 – $12,362.00 | 8 |
| Correction of bladder defect CPT 51940 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $451.84 – $6,291.00 | 8 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $194.83 – $6,291.00 | 8 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $1,463.96 – $6,181.00 | 8 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Correct rectal prolapse CPT 45541 | not published | not published | $4,145.15 – $17,439.00 | 8 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $925.24 – $6,291.00 | 8 |
| Correct skin color ea 20.0cm CPT 11922 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Corticorelin ovine triflutal HCPCS J0795 | not published | not published | $7.14 – $28.39 | 9 |
| Cortisol acth stimulation test - sendout CPT 80400 | $185.00 | $370.00 | $32.62 – $296.00 | 18 |
| Cortisol total am CPT 82533 | $117.50 | $235.00 | $16.30 – $176.00 | 18 |
| Costotransversectomy CPT 21610 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | not published | not published | $35.85 – $73.45 | 6 |
| Co-treatment - group 15 mins, st CPT 92508 | $110.00 | $220.00 | $35.25 – $469.00 | 18 |
| Counseling smoke cess interm >10mins CPT 99407 | not published | not published | $45.03 – $156.14 | 7 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | not published | not published | $139.81 – $185.13 | 4 |
| Cov-19 amp prb hgh thruput HCPCS U0003 | not published | not published | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $3,152.18 | $6,304.35 | $143.01 – $504.00 | 14 |
| Cover eye w/membrane CPT 65778 | not published | not published | $1,463.96 – $6,181.00 | 8 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $5,699.90 – $17,439.00 | 8 |
| Covers for upright each HCPCS L1120 | not published | not published | $66.44 – $160.88 | 7 |
| Cover wrist HCPCS L3984 | not published | not published | $550.19 – $1,348.48 | 7 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $45.00 | $90.00 | $35.46 – $132.00 | 18 |
| Covid-19 convalescent plasma HCPCS C9507 | $0.50 | $1.00 | $0.35 – $817.19 | 18 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | not published | not published | $680.93 – $901.65 | 4 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | not published | not published | $680.93 – $901.65 | 4 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $51.31 – $233.63 | 10 |
| #covid19rsv-rsv CPT 87634 | not published | not published | $70.20 – $318.46 | 10 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $80.00 | $160.00 | $13.03 – $80.00 | 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.