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 |
|---|---|---|---|---|
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $281.47 | $562.94 | $136.52 – $450.35 | 18 |
| Alt/sgpt CPT 84460 | $52.50 | $105.00 | $5.30 – $84.00 | 18 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $6.77 – $15.89 | 10 |
| Aluminum - quest CPT 82108 | $140.00 | $280.00 | $25.48 – $224.00 | 18 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,126.00 – $6,490.83 | 8 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $595.00 | $1,190.00 | $138.74 – $952.00 | 18 |
| Amantadine (symmetrel)-sendout CPT 80375 | $332.50 | $665.00 | $43.63 – $101.75 | 14 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $411.58 – $468.41 | 3 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $194.83 – $257.99 | 4 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $116.41 – $132.49 | 3 |
| Amifostine HCPCS J0207 | not published | not published | $1,343.28 – $2,751.69 | 9 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $1.30 – $2.67 | 6 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $26.79 | 14 |
| Amino acid screen, urine CPT 82128 | $25.00 | $50.00 | $13.87 – $75.12 | 18 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $75.70 | 14 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $94.63 | 14 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $2.63 – $5.88 | 10 |
| Aminolevulinic acid delta CPT 82135 | $117.50 | $235.00 | $16.45 – $188.00 | 18 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $571.12 – $1,335.91 | 10 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $12.96 – $44.55 | 6 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $9.74 | $19.48 | $3.99 – $15.86 | 14 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $1.02 – $2.81 | 6 |
| Amitriptyline (elavil) -sendout CPT 80335 | $347.50 | $695.00 | $34.90 – $89.87 | 14 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $4.48 – $14.19 | 5 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $51.95 | $103.90 | $32.20 – $84.57 | 18 |
| Ammonia CPT 82140 | $90.00 | $180.00 | $14.57 – $144.00 | 18 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $896.28 – $1,836.02 | 6 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $500.00 | $1,000.00 | $214.00 – $1,742.74 | 18 |
| Amniocentesis therapeutic CPT 59001 | $590.00 | $1,180.00 | $459.79 – $6,291.00 | 18 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $1,714.02 – $3,511.14 | 6 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $3,935.25 – $8,061.30 | 6 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $43.16 | 14 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $3,060.75 – $6,269.90 | 6 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $33.27 – $386.13 | 9 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $3,630.00 | $7,260.00 | $2,860.44 – $6,493.91 | 13 |
| Amphetamine confirm urine -sendout CPT 80324 | $265.00 | $530.00 | $74.84 – $424.00 | 14 |
| Amphetamines 5 or more CPT 80326 | $240.00 | $480.00 | $74.84 – $384.00 | 14 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $28.00 – $246.40 | 9 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $70.67 – $158.52 | 9 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $14.93 – $61.50 | 13 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $32.79 – $146.68 | 13 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $1.45 – $2.97 | 6 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $29.03 | $58.05 | $3.20 – $47.25 | 14 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $381.34 – $504.94 | 4 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputate hand at wrist CPT 25922 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Amputate hand at wrist CPT 25920 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputate leg at thigh CPT 27591 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Amputate leg at thigh CPT 27592 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation of forearm CPT 25900 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation of forearm CPT 25905 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation of forearm CPT 25915 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation of hand CPT 25927 | not published | not published | $8,821.00 – $17,439.00 | 4 |
| Amputation of leg at hip CPT 27290 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Amputation of leg at hip CPT 27295 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Amputation of lower leg CPT 27882 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation of lower leg CPT 27881 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $8,821.00 – $17,439.00 | 4 |
| Amputation of upper arm CPT 24900 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation of upper arm CPT 24920 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Amylase CPT 82150 | $52.50 | $105.00 | $6.48 – $84.00 | 18 |
| Anabolic steroid 1 or 2 CPT 80327 | not published | not published | $124.73 – $141.95 | 3 |
| Anabolic steroid 3 or more CPT 80328 | not published | not published | $124.73 – $141.95 | 3 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $84.57 – $197.12 | 10 |
| Ana ds-dna CPT 86226 | not published | not published | $12.11 – $66.24 | 14 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $550.00 | $1,100.00 | $65.80 – $880.00 | 14 |
| Anal pressure record CPT 91122 | $795.00 | $1,590.00 | $470.68 – $6,291.00 | 18 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $236.49 – $6,291.00 | 8 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $367.61 – $6,291.00 | 8 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $138.74 – $1,088.24 | 7 |
| Analysis gene f2 20210g>a variant CPT 81240 | $285.00 | $570.00 | $65.69 – $463.98 | 18 |
| Analysis gene f5 leiden variant CPT 81241 | $340.00 | $680.00 | $73.37 – $553.52 | 18 |
| Analysis nerve CPT 88356 | $477.50 | $955.00 | $49.47 – $903.24 | 18 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $56.36 – $816.19 | 7 |
| Analysis tumor CPT 88358 | not published | not published | $113.44 – $398.78 | 14 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $475.00 | $950.00 | $138.74 – $760.00 | 18 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $112.50 | $225.00 | $35.09 – $183.15 | 18 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $3,181.00 – $6,291.00 | 4 |
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.