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 |
|---|---|---|---|---|
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $135.58 | $271.15 | $79.27 – $220.72 | 18 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18.38 | $36.75 | $4.34 – $29.32 | 18 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $4.34 – $18.93 | 13 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.74 – $61.50 | 14 |
| Dark field exam without collj CPT 87166 | not published | not published | $11.30 – $61.50 | 14 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $369.88 – $816.64 | 10 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $28.65 – $99.36 | 13 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $87.88 – $335.94 | 9 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $300.34 – $6,291.00 | 8 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Dch glucoscan CPT 82948 | not published | not published | $5.04 – $22.32 | 14 |
| Dch pulmonary stress test CPT 94621 | $695.00 | $1,390.00 | $470.68 – $1,287.00 | 18 |
| Dch validity tests CPT 81002 | $25.00 | $50.00 | $3.48 – $40.00 | 18 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $2,951.63 – $17,439.00 | 8 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $4,901.93 – $18,102.00 | 8 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| D&c of cervical stump CPT 57558 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Deamidated gliadin antibody iga CPT 86258 | $72.50 | $145.00 | $11.53 – $109.89 | 18 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $925.24 – $6,291.00 | 8 |
| Debridement (>20 cm) charge pt CPT 97598 | $230.00 | $460.00 | $160.54 – $404.43 | 14 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,030.00 | $4,060.00 | $84.00 – $3,304.84 | 18 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $580.00 | $1,160.00 | $84.00 – $944.24 | 14 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $665.00 | $1,330.00 | $84.00 – $1,082.62 | 18 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $89.78 – $6,291.00 | 8 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $89.78 – $6,291.00 | 8 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $1,063.48 – $6,071.00 | 8 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $3,070.00 – $6,071.00 | 8 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $332.50 | $665.00 | $84.00 – $541.31 | 14 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $300.34 – $6,291.00 | 8 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $1,063.48 – $6,071.00 | 8 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,160.00 | $2,320.00 | $84.00 – $1,888.48 | 18 |
| Decalcification CPT 88311 | $67.50 | $135.00 | $9.02 – $108.00 | 14 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $2.36 – $4.83 | 6 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $472.50 | $945.00 | $105.00 – $6,291.00 | 18 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $2,419.03 – $17,439.00 | 8 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,126.00 – $6,493.91 | 8 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,126.00 – $6,493.91 | 8 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Decompression fasct forearm CPT 24495 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Decompression of leg CPT 27892 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Decompression of leg CPT 27893 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Decompression of leg CPT 27894 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Decompression of lower leg CPT 27600 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Decompression of lower leg CPT 27601 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $2,419.03 – $17,439.00 | 8 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Decompressive craniotomy CPT 61322 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Decompress optic nerve CPT 67570 | not published | not published | $5,699.90 – $17,439.00 | 8 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Decompress small bowel CPT 44021 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $11.39 – $23.32 | 6 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $6.32 – $14.43 | 10 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $12,700.00 – $25,111.00 | 8 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,764.90 – $12,362.00 | 8 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Delivery of placenta 59414 CPT 59414 | $1,680.00 | $3,360.00 | $1,172.64 – $6,363.66 | 18 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $3,940.00 | $7,880.00 | $3,104.72 – $6,304.00 | 14 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $194.79 – $998.35 | 7 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $127.50 | $255.00 | $100.47 – $407.07 | 18 |
| Denervation of hip joint CPT 27035 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $130.68 – $267.70 | 6 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $73.59 | $147.18 | $42.39 – $109.85 | 18 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $150.00 | $300.00 | $118.20 – $257.99 | 13 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $5.25 – $18.93 | 7 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $33.27 – $132.94 | 9 |
| Dermabrasion other than face CPT 15782 | not published | not published | $3,070.00 – $6,071.00 | 8 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $1,063.48 – $6,071.00 | 8 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $603.89 – $6,291.00 | 8 |
| Dermabrasion total face CPT 15780 | not published | not published | $4,326.01 – $12,362.00 | 8 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $577.72 – $1,194.15 | 6 |
| Dermagraft HCPCS Q4106 | not published | not published | $84.05 – $231.84 | 9 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $2,764.90 – $3,661.11 | 4 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $71.69 – $146.86 | 6 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $2,764.90 – $12,362.00 | 8 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $72.98 – $309.16 | 6 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $1,457.97 – $2,986.64 | 6 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $3,895.00 | $7,790.00 | $3,069.26 – $6,291.00 | 14 |
| Description not available HCPCS S0013 | not published | not published | $28.14 – $28.14 | 2 |
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.