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 |
|---|---|---|---|---|
| _afb id by dna probe rflx ast CPT 87149 | $105.00 | $210.00 | $20.05 – $168.00 | 18 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.31 – $33.13 | 14 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $330.00 | $660.00 | $115.36 – $533.17 | 18 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $622.03 | 10 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $1,248.53 | 10 |
| Aflibercept injection HCPCS J0178 | not published | not published | $1,145.55 – $2,823.65 | 10 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $19.22 – $39.38 | 6 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $788.57 – $1,935.17 | 7 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,961.04 – $4,807.17 | 7 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $850.77 – $2,086.59 | 7 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,558.95 – $3,823.03 | 7 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $489.94 – $1,201.80 | 7 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $705.40 – $1,731.72 | 7 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $717.69 – $1,760.10 | 7 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $1,343.58 – $3,293.11 | 7 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $498.45 – $1,220.73 | 7 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $983.09 – $2,413.05 | 7 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $2,008.47 – $4,925.47 | 7 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $1,377.05 – $3,378.28 | 7 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $1,103.97 – $1,461.81 | 4 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $1,346.51 – $1,782.97 | 4 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $881.40 – $2,162.28 | 7 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $2,575.42 – $3,410.21 | 4 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $818.96 – $2,006.14 | 7 |
| After cataract laser surgery CPT 66821 | not published | not published | $829.21 – $6,071.00 | 8 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $333.88 – $753.50 | 13 |
| Ag detect nos ia single CPT 87450 | not published | not published | $45.74 – $52.06 | 3 |
| Air conduction bilat CPT 92552 | $112.50 | $225.00 | $88.65 – $617.00 | 18 |
| Air injection into abdomen 49400 CPT 49400 | $550.00 | $1,100.00 | $433.40 – $6,291.00 | 14 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $236.49 – $350.13 | 7 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $4,265.07 – $10,461.29 | 7 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $2,804.01 – $6,874.83 | 7 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $979.40 – $2,403.59 | 7 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $2,489.26 – $6,103.60 | 7 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $764.67 – $1,873.65 | 7 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $162.81 – $397.45 | 7 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $342.84 – $842.21 | 7 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $208.86 – $511.01 | 7 |
| Ak open end sach HCPCS L5321 | not published | not published | $6,253.66 – $15,334.72 | 7 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $231.25 – $567.77 | 7 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $315.72 – $775.97 | 7 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $283.81 – $695.52 | 7 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $2,571.71 – $6,307.06 | 7 |
| Albumin body fluid quantitative each specimen CPT 82042 | $40.00 | $80.00 | $7.78 – $64.00 | 18 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $126.86 | $253.71 | $87.58 – $301.08 | 14 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $30.78 – $160.88 | 13 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $140.43 | $280.86 | $76.96 – $323.54 | 18 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $17.52 – $66.90 | 6 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $156.14 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $47.50 | $95.00 | $5.78 – $76.00 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | $40.00 | $80.00 | $4.95 – $64.00 | 18 |
| Albuterol comp con HCPCS J7610 | not published | not published | $2.46 – $2.46 | 2 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $1.02 – $1.02 | 2 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.31 – $0.64 | 6 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.28 – $2.37 | 9 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.08 – $0.17 | 6 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $297.50 | $595.00 | $17.27 – $484.33 | 18 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $37.02 – $49.02 | 4 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $45.03 – $203.45 | 7 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $242.85 – $321.57 | 4 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $6,505.95 – $13,327.34 | 10 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $695.52 | 14 |
| Alefacept HCPCS J0215 | not published | not published | $42.83 – $137.45 | 9 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $302.24 – $7,939.08 | 13 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $14.91 – $37.86 | 7 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $33.32 – $80.43 | 7 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $10.69 – $28.39 | 7 |
| Alglucerase injection HCPCS J0205 | not published | not published | $51.08 – $250.77 | 9 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $245.62 – $589.07 | 9 |
| Alkaline phosphatase CPT 84075 | $50.00 | $100.00 | $5.18 – $80.00 | 18 |
| Allergen alpha lactalbumin ige CPT 86008 | $50.00 | $100.00 | $17.93 – $94.37 | 18 |
| Allergen egg white ige CPT 86003 | $27.50 | $55.00 | $5.22 – $44.00 | 18 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $12.50 | $25.00 | $7.97 – $43.23 | 18 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $69.74 – $92.35 | 7 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $62.36 – $92.35 | 7 |
| Allergy Skin Testing CPT 95004 | not published | not published | $33.27 – $2,036.25 | 7 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $37.42 – $2,036.25 | 7 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $12,700.00 – $25,752.25 | 8 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $34.10 – $34.10 | 2 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $130.35 – $267.02 | 6 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $172.71 – $353.78 | 6 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $50.94 – $104.34 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $255.21 – $522.78 | 6 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $171.92 – $461.27 | 6 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $2,146.50 | $4,293.00 | $974.51 – $3,434.40 | 14 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $214.38 – $439.16 | 6 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $403.41 – $826.38 | 6 |
| Alloskin HCPCS Q4115 | not published | not published | $25.64 – $52.53 | 6 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $70.52 – $190.48 | 6 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $59.33 – $108.82 | 7 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $37.02 – $108.82 | 7 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $7.52 – $16.33 | 13 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $293.16 | 14 |
| Alpha-fetoprotein amniotic CPT 82106 | $140.00 | $280.00 | $17.00 – $224.00 | 18 |
| Alpha-fetoprotein tumor marker CPT 82105 | $90.00 | $180.00 | $16.77 – $132.00 | 18 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.73 – $20.96 | 9 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $51.44 – $146.68 | 5 |
| Als 1 HCPCS A0426 | not published | not published | $2,452.90 – $2,791.57 | 3 |
| Als1-emergency HCPCS A0427 | not published | not published | $2,494.46 – $2,838.88 | 3 |
| Als 2 HCPCS A0433 | not published | not published | $3,118.09 – $3,548.61 | 3 |
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.