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 |
|---|---|---|---|---|
| Diagnostic Mammogram (both breasts) CPT 77066 | $282.50 | $565.00 | $161.67 – $524.00 | 18 |
| Diagnostic Mammogram (one breast) CPT 77065 | $282.50 | $565.00 | $127.12 – $524.00 | 18 |
| Diagnostic radio unlisted proc CPT 76499 | $310.00 | $620.00 | $133.09 – $634.00 | 18 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $8,980.00 | $17,960.00 | $3,181.00 – $14,368.00 | 14 |
| Dialysis one evaluation CPT 90945 | $945.00 | $1,890.00 | $424.05 – $1,512.00 | 18 |
| Dialysis repeated eval CPT 90947 | not published | not published | $685.99 – $780.71 | 3 |
| Dialysis training complete CPT 90989 | not published | not published | $2,245.02 – $2,555.00 | 3 |
| Dialysis training incompl CPT 90993 | not published | not published | $486.42 – $553.58 | 3 |
| Diathermy eg microwave CPT 97024 | not published | not published | $10.98 – $33.13 | 8 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.12 – $3.05 | 9 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $8.99 – $18.42 | 6 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $31.74 – $108.82 | 9 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.11 – $0.95 | 10 |
| Diffusing capacity CPT 94729 | $272.50 | $545.00 | $140.00 – $516.79 | 14 |
| Digital analysis of eeg CPT 95957 | $850.00 | $1,700.00 | $669.80 – $1,599.76 | 14 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $8.31 – $31.44 | 9 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $2,556.84 – $16,147.75 | 13 |
| Digoxin total therapeutic drug level CPT 80162 | $95.00 | $190.00 | $13.28 – $152.00 | 18 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $77.73 – $159.23 | 6 |
| Dilate biliary duct/ampulla CPT 47542 | $1,300.00 | $2,600.00 | $1,024.40 – $6,291.00 | 14 |
| Dilate esophagus CPT 43453 | not published | not published | $2,867.32 – $6,181.00 | 8 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $1,417.13 – $6,181.00 | 8 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $4,860.00 | $9,720.00 | $3,181.00 – $7,776.00 | 14 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $4,860.00 | $9,720.00 | $3,181.00 – $7,776.00 | 14 |
| Dilate ic vasospasm init CPT 61640 | $5,650.00 | $11,300.00 | $3,181.00 – $9,040.00 | 14 |
| Dilate tear duct opening CPT 68801 | not published | not published | $603.15 – $6,291.00 | 8 |
| Dilate urethra stricture CPT 53600 | $380.00 | $760.00 | $84.00 – $618.64 | 18 |
| Dilate urethra stricture CPT 53601 | not published | not published | $194.83 – $6,291.00 | 8 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,126.00 – $6,902.93 | 8 |
| Dilate urethra stricture CPT 53621 | not published | not published | $367.61 – $6,291.00 | 8 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $236.49 – $6,291.00 | 8 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Dilation of cervical canal 57800 CPT 57800 | $3,105.00 | $6,210.00 | $2,446.74 – $12,362.00 | 18 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Dilation of salivary duct CPT 42660 | $790.00 | $1,580.00 | $622.52 – $6,291.00 | 18 |
| Dilation of urethra CPT 53661 | not published | not published | $194.83 – $6,291.00 | 8 |
| Dilation of urethra CPT 53665 | not published | not published | $3,096.34 – $12,362.00 | 8 |
| Dilation of vagina CPT 57400 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $1,008.89 – $6,071.00 | 8 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,850.00 | $5,700.00 | $2,245.80 – $12,362.00 | 18 |
| Dilat xst trc new access rcs CPT 50437 | $4,540.00 | $9,080.00 | $3,577.52 – $17,439.00 | 18 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $98.69 – $202.16 | 9 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $13.94 – $28.56 | 6 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $370.02 – $2,386.85 | 13 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.04 – $4.29 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $59.59 | $119.18 | $1.50 – $97.01 | 14 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $28.56 – $148.04 | 6 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $6.40 – $13.11 | 6 |
| Direct advanced life support CPT 99288 | not published | not published | $885.54 – $1,007.81 | 3 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $59.33 – $137.21 | 7 |
| Disability dlco CPT 94727 | $275.00 | $550.00 | $216.70 – $1,287.00 | 18 |
| Disaccharidases CPT 82657 | $357.50 | $715.00 | $19.70 – $101.19 | 18 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Disarticulation shoulder CPT 23920 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Discography cerv/thor spine CPT 72285 | $2,565.00 | $5,130.00 | $220.00 – $4,104.00 | 18 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $112.88 – $279.16 | 7 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $375.01 – $917.90 | 7 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $2,606.55 – $6,291.00 | 8 |
| Dissect brain w/scope CPT 62161 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $143.69 – $190.27 | 4 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $2,581.78 – $6,291.00 | 7 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $3,126.00 – $6,181.00 | 4 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $3,850.00 | $7,700.00 | $3,033.80 – $6,291.00 | 14 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $1,267.88 | 10 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $1,248.53 | 10 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $622.03 | 10 |
| Dna antibody native/double stranded CPT 86225 | $92.50 | $185.00 | $13.74 – $148.00 | 18 |
| Dna gardnerella CPT 87510 | $85.00 | $170.00 | $20.05 – $136.00 | 18 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $123.02 | 14 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $123.02 | 14 |
| Dna trichomonas CPT 87660 | $87.50 | $175.00 | $20.05 – $140.00 | 18 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $12.51 – $25.62 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $4.65 | $9.30 | $1.42 – $7.20 | 14 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $71.16 – $200.77 | 10 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $6.04 – $19.49 | 9 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $123.04 – $485.94 | 9 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $340.91 – $387.98 | 3 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $528.00 – $600.90 | 3 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $744.18 – $846.93 | 3 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $1,064.30 – $1,211.26 | 3 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $336.76 – $383.26 | 3 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $486.42 – $553.58 | 3 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $798.22 – $908.43 | 3 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $1,039.36 – $1,182.87 | 3 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $1,222.29 – $1,391.05 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $1.30 – $2.67 | 6 |
| Doppler echo complete CPT 93320 | $415.00 | $830.00 | $234.43 – $572.70 | 14 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,290.00 | $2,580.00 | $1,016.52 – $6,291.00 | 14 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $600.00 | $1,200.00 | $236.49 – $1,087.48 | 18 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $400.00 | $800.00 | $194.83 – $1,010.00 | 18 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.11 – $2.26 | 6 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $88.18 – $180.63 | 9 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $34,273.75 – $84,045.19 | 7 |
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.