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 |
|---|---|---|---|---|
| CT bone density axial CPT 77078 | not published | not published | $133.09 – $1,107.17 | 8 |
| CT colonography dx CPT 74261 | not published | not published | $160.73 – $212.83 | 4 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $269.08 – $356.30 | 4 |
| CT colonography screening CPT 74263 | not published | not published | $365.36 – $483.79 | 4 |
| CT guidance for needle placement CPT 77012 | $1,095.00 | $2,190.00 | $653.00 – $1,752.00 | 14 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $580.00 | $1,160.00 | $220.00 – $1,087.19 | 14 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $362.58 – $6,291.00 | 8 |
| CT guid parench tis ablat CPT 77013 | $945.00 | $1,890.00 | $653.00 – $1,512.00 | 14 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $365.00 | $730.00 | $19.31 – $941.00 | 18 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $539.81 – $714.78 | 4 |
| CT hrt w/3d image CPT 75572 | $240.00 | $480.00 | $189.12 – $941.00 | 18 |
| CT limited or localized follow-up study CPT 76380 | $605.00 | $1,210.00 | $133.09 – $1,016.06 | 18 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $3,477.97 – $8,530.84 | 7 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $3,823.20 – $9,373.05 | 7 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $146.19 – $359.59 | 7 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $3,542.61 – $8,686.98 | 7 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,730.00 | $3,460.00 | $269.08 – $2,216.00 | 18 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $275.00 | $550.00 | $216.70 – $464.78 | 13 |
| CT scan for localization CPT 77011 | not published | not published | $1,186.24 – $4,343.50 | 4 |
| CT scan for therapy guide CPT 77014 | $960.00 | $1,920.00 | $653.00 – $1,536.00 | 14 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,765.00 | $5,530.00 | $539.81 – $4,424.00 | 18 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,915.00 | $3,830.00 | $539.81 – $3,064.00 | 18 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,705.00 | $3,410.00 | $365.36 – $2,728.00 | 18 |
| CT t-spine w /wo contrast CPT 72130 | $1,385.00 | $2,770.00 | $269.08 – $2,216.00 | 18 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,730.00 | $3,460.00 | $269.08 – $2,216.00 | 18 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,708.40 – $4,187.36 | 7 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $143.50 – $8,620.00 | 11 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $143.50 – $6,244.80 | 11 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Culture aerobic additional method definitive id each CPT 87077 | $40.00 | $80.00 | $8.08 – $60.00 | 18 |
| Culture afb any source CPT 87116 | $107.50 | $215.00 | $10.80 – $172.00 | 18 |
| Culture anaerobic additional method definitive id each CPT 87076 | $45.00 | $90.00 | $8.08 – $64.00 | 18 |
| Culture anaerobic except blood CPT 87075 | $120.00 | $240.00 | $9.47 – $192.00 | 18 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $9.66 – $52.06 | 14 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $19.49 – $23.67 | 7 |
| Culture bact stool aero addl path ea CPT 87046 | $52.50 | $105.00 | $9.44 – $84.00 | 18 |
| Culture body fluid CPT 87070 | $90.00 | $180.00 | $8.62 – $144.00 | 18 |
| Culture fungi definitive id mold CPT 87107 | $70.00 | $140.00 | $10.32 – $108.00 | 18 |
| Culture fungi definitive id yeast CPT 87106 | $62.50 | $125.00 | $10.32 – $100.00 | 18 |
| Culture fungi other (except blood) CPT 87102 | $67.50 | $135.00 | $8.41 – $108.00 | 18 |
| Culture fungi skin/hair/nail CPT 87101 | $92.50 | $185.00 | $7.71 – $148.00 | 18 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $72.50 | $145.00 | $14.61 – $104.00 | 18 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.39 – $85.17 | 14 |
| Culture of specimen by kit CPT 87084 | not published | not published | $24.95 – $123.51 | 14 |
| Culture quantitative aerobic other source CPT 87071 | $97.50 | $195.00 | $9.89 – $156.00 | 18 |
| Culture screening strep group a CPT 87081 | $142.50 | $285.00 | $6.63 – $116.00 | 18 |
| Culture type pulse field gel CPT 87152 | $120.00 | $240.00 | $7.74 – $192.00 | 18 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $35.71 | 11 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $70.97 | 14 |
| Culture typing immunologic CPT 87147 | $45.00 | $90.00 | $5.18 – $56.00 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $257.50 | $515.00 | $202.91 – $991.09 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $187.50 | $375.00 | $35.09 – $305.25 | 18 |
| Culture urine each isolate CPT 87088 | $47.50 | $95.00 | $8.09 – $76.00 | 18 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $108.82 | 14 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,463.96 – $6,181.00 | 8 |
| Curette/treat cornea CPT 65436 | not published | not published | $3,526.29 – $12,362.00 | 8 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $2,302.57 – $5,644.64 | 7 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $2,302.57 – $5,644.64 | 7 |
| Custom glove for term device HCPCS L6895 | not published | not published | $1,169.00 – $2,867.27 | 7 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $2,007.12 – $4,920.73 | 7 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $1,094.76 – $2,682.75 | 7 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $2,630.20 – $6,449.00 | 7 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,957.67 – $4,802.45 | 7 |
| Cutter lead HCPCS C1773 | $930.73 | $1,861.45 | $611.33 – $1,425.85 | 14 |
| Cv line/pic reposition CPT 36597 | $1,380.00 | $2,760.00 | $1,087.44 – $6,071.00 | 18 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $99.78 – $113.56 | 3 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $153.83 – $175.07 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $112.50 | $225.00 | $14.32 – $183.15 | 18 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $1.83 – $3.75 | 6 |
| Cyclic citrullinated peptide antibody CPT 86200 | $72.50 | $145.00 | $12.95 – $116.00 | 18 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $20.80 – $23.67 | 3 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $7.20 | $14.39 | $0.90 – $3.75 | 18 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.58 – $4.74 | 9 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $89.19 – $212.06 | 9 |
| Cyclosporine 2 hour CPT 80158 | $115.00 | $230.00 | $18.05 – $184.00 | 18 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $1.32 – $2.70 | 6 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $3.61 – $7.40 | 6 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $450.78 – $923.42 | 6 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $87.10 – $263.88 | 6 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $28,903.42 | $57,806.83 | $12,148.81 – $42,815.18 | 14 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $1,638.04 – $1,864.21 | 5 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $1,324.43 | 10 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $794.66 | 10 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $2,049.14 | 10 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $794.66 | 10 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $794.66 | 10 |
| Cystatin c CPT 82610 | $82.50 | $165.00 | $18.52 – $132.00 | 18 |
| Cystic fibrosis cftr CPT 81223 | $1,060.00 | $2,120.00 | $499.00 – $2,267.90 | 18 |
| Cystine urine quantitative CPT 82131 | $112.50 | $225.00 | $22.98 – $164.00 | 18 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $675.00 | $1,350.00 | $119.01 – $1,080.00 | 18 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $12,700.00 – $25,111.00 | 8 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $13,977.15 – $18,507.68 | 4 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $6,296.00 – $18,507.68 | 8 |
| Cystometrogram w/up 51727 CPT 51727 | $765.00 | $1,530.00 | $602.82 – $6,071.00 | 18 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $8,821.00 – $17,439.00 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $6,296.00 – $18,507.68 | 8 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $5,213.15 – $12,362.00 | 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.