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 |
|---|---|---|---|---|
| Design custom breast implant CPT 19396 | not published | not published | $5,787.99 – $17,439.00 | 8 |
| Design mlc device for imrt CPT 77338 | $1,345.00 | $2,690.00 | $553.32 – $2,429.00 | 18 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $5.65 – $18.79 | 10 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.98 – $151.41 | 14 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $3,320.00 | $6,640.00 | $2,616.16 – $6,291.00 | 14 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $3,345.00 | $6,690.00 | $2,635.86 – $6,291.00 | 14 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $2,450.00 | $4,900.00 | $1,930.60 – $6,291.00 | 14 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $300.34 – $6,291.00 | 8 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $300.34 – $6,291.00 | 8 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $300.34 – $6,291.00 | 8 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $300.34 – $6,291.00 | 8 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $300.34 – $6,291.00 | 8 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $300.34 – $6,291.00 | 8 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $300.34 – $6,291.00 | 8 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $300.34 – $6,291.00 | 8 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $300.34 – $6,291.00 | 8 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $300.34 – $6,291.00 | 8 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,720.00 | $5,440.00 | $84.00 – $3,908.36 | 18 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,360.00 | $2,720.00 | $84.00 – $1,782.66 | 14 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,725.00 | $3,450.00 | $1,359.30 – $6,071.00 | 18 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $300.34 – $6,291.00 | 8 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Destroy vulva lesion simple 56501 CPT 56501 | $2,530.00 | $5,060.00 | $84.00 – $4,118.84 | 18 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $300.34 – $6,291.00 | 8 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $925.24 – $6,291.00 | 8 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $603.89 – $6,291.00 | 8 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Destruction anal lesion(s) CPT 46910 | $2,530.00 | $5,060.00 | $84.00 – $4,118.84 | 18 |
| Destruction anal lesion(s) CPT 46924 | $3,305.00 | $6,610.00 | $2,604.34 – $12,362.00 | 18 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $520.00 | $1,040.00 | $84.00 – $846.56 | 18 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $300.34 – $6,291.00 | 8 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $1,135.00 | $2,270.00 | $894.38 – $6,071.00 | 18 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,420.00 | $2,840.00 | $84.00 – $1,872.20 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,840.00 | $5,680.00 | $84.00 – $3,908.36 | 18 |
| Destruction ciliary body CPT 66700 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Destruction ciliary body CPT 66720 | not published | not published | $3,526.29 – $12,362.00 | 8 |
| Destruction ciliary body CPT 66740 | not published | not published | $3,526.29 – $12,362.00 | 8 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $272.50 | $545.00 | $84.00 – $443.63 | 18 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $4,145.15 – $12,362.00 | 8 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $3,526.29 – $12,362.00 | 8 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $603.89 – $6,291.00 | 8 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $603.89 – $6,291.00 | 8 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $603.89 – $6,291.00 | 8 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $603.89 – $6,291.00 | 8 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $287.50 | $575.00 | $84.00 – $799.64 | 18 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $2,530.00 | $5,060.00 | $84.00 – $4,118.84 | 18 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $603.89 – $6,291.00 | 8 |
| Destruction rectal tumor 45190 CPT 45190 | $3,870.00 | $7,740.00 | $3,049.56 – $12,362.00 | 18 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $2,280.00 | $4,560.00 | $84.00 – $3,711.84 | 18 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $136.91 | 14 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $222.38 | 14 |
| Determination venous press CPT 93770 | not published | not published | $58.20 – $66.24 | 3 |
| Determine refractive state CPT 92015 | $30.00 | $60.00 | $20.94 – $197.72 | 14 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $103.94 – $118.29 | 3 |
| Devel tst phys/qhp 1st hr CPT 96112 | $290.00 | $580.00 | $202.42 – $817.85 | 18 |
| Device ablt adv novasure HCPCS C1886 | $5,839.33 | $11,678.65 | $2,714.31 – $6,330.80 | 14 |
| Device intraute mirena HCPCS J7298 | $2,948.09 | $5,896.17 | $2,290.45 – $4,799.48 | 14 |
| Device tiss remov myosure reach HCPCS C1782 | $2,844.60 | $5,689.19 | $1,121.19 – $2,615.04 | 14 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $411.58 – $468.41 | 3 |
| Devise bowel pouch CPT 44316 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $139.81 – $185.13 | 4 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $145.00 | $290.00 | $101.21 – $373.81 | 14 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $200.00 | $400.00 | $101.15 – $634.00 | 18 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $153.40 – $598.26 | 10 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $2.34 – $9.16 | 6 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.08 – $2.37 | 9 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $15.43 | $30.86 | $0.18 – $10.53 | 14 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $297.65 – $694.79 | 10 |
| Dexamethasone panel CPT 80420 | not published | not published | $161.88 – $735.13 | 14 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.93 – $2.60 | 8 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $46.52 – $2,294.77 | 13 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $77.30 – $158.35 | 9 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $29.04 – $104.08 | 5 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.42 – $4.74 | 5 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.91 – $3.92 | 6 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $9.82 – $20.11 | 6 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $53.81 | $107.62 | $2.77 – $87.60 | 14 |
| Dextrose 5 % IV bolus HCPCS J7070 | $68.32 | $136.63 | $5.54 – $111.22 | 14 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $107.50 | $215.00 | $22.23 – $172.00 | 18 |
| Diabetes (HbA1c) Test CPT 83036 | $70.00 | $140.00 | $9.71 – $84.00 | 18 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $45.03 – $59.62 | 4 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $386.38 – $946.29 | 7 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $65.63 – $141.95 | 7 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $65.63 – $141.95 | 7 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $65.63 – $141.95 | 7 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $22.83 – $89.89 | 7 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $128.83 – $317.01 | 7 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $65.63 – $141.95 | 7 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $2,606.55 – $6,181.00 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $8,818.69 – $18,102.00 | 8 |
| Diagnostic anoscopy CPT 46601 | $137.50 | $275.00 | $84.00 – $798.66 | 18 |
| Diagnostic anoscopy & biopsy CPT 46607 | $1,110.00 | $2,220.00 | $84.00 – $2,359.87 | 18 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $145.00 | $290.00 | $105.00 – $6,291.00 | 18 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $502.90 – $502.90 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $391.34 – $391.34 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $215.00 | $430.00 | $169.42 – $388.56 | 13 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $215.00 | $430.00 | $169.42 – $388.56 | 13 |
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.