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 |
|---|---|---|---|---|
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $2,449.01 – $6,071.00 | 8 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $2,449.01 – $6,071.00 | 8 |
| Ext antenna phren nerve stim HCPCS L8696 | not published | not published | $379.36 – $502.33 | 4 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $194.83 – $257.99 | 4 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $194.83 – $257.99 | 4 |
| Extended culture of oocytes CPT 89272 | not published | not published | $628.20 – $3,448.00 | 11 |
| Extended steel shank HCPCS L2360 | not published | not published | $90.09 – $222.38 | 7 |
| Extended visual field xm CPT 92083 | not published | not published | $194.83 – $477.88 | 7 |
| Extension drainage tubing HCPCS A4331 | not published | not published | $6.44 – $14.19 | 7 |
| Extension per extension per HCPCS L2760 | not published | not published | $99.25 – $241.31 | 7 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,126.00 – $6,493.91 | 8 |
| Extensive hysterectomy CPT 58285 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive jaw surgery CPT 21045 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Extensive prostate surgery CPT 55810 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive prostate surgery CPT 55812 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive prostate surgery CPT 55815 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive prostate surgery CPT 55840 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive prostate surgery CPT 55842 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive prostate surgery CPT 55845 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive prostate surgery CPT 55862 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive prostate surgery CPT 55865 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive removal of liver CPT 47122 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive sternum surgery CPT 21632 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Extensive surgery of throat CPT 42842 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Extensive surgery of throat CPT 42844 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Extensive surgery of throat CPT 42845 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Extensive testis surgery CPT 54535 | not published | not published | $5,213.15 – $17,439.00 | 8 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Extensive vulva surgery CPT 56632 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| External cannula declotting CPT 36860 | not published | not published | $2,348.04 – $6,071.00 | 8 |
| External chromosome analysis 20-25 cells CPT 88264 | $635.00 | $1,270.00 | $144.61 – $1,016.00 | 18 |
| External ocular photography CPT 92285 | not published | not published | $59.33 – $255.50 | 7 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $75.00 | $150.00 | $22.99 – $150.30 | 18 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $17,601.50 | 10 |
| External recharg sys extern HCPCS L8695 | not published | not published | $29.19 – $70.97 | 7 |
| External recharg sys intern HCPCS L8689 | not published | not published | $3,019.45 – $7,404.77 | 7 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $630.00 | $1,260.00 | $143.75 – $1,008.00 | 18 |
| Extnd color vision xm CPT 92283 | not published | not published | $89.78 – $279.16 | 7 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $102.50 | $205.00 | $17.93 – $96.07 | 18 |
| Extraction of lens CPT 66930 | not published | not published | $6,080.59 – $12,362.00 | 8 |
| Extraction of lens CPT 66940 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $194.83 – $257.99 | 4 |
| Eye allergy tests CPT 95060 | not published | not published | $133.04 – $257.99 | 7 |
| Eye implant band 40 HCPCS C1784 | $1,461.46 | $2,922.92 | $663.50 – $2,338.34 | 14 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Eye Socket (Orbit) X-ray CPT 70200 | $322.50 | $645.00 | $149.04 – $634.00 | 18 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,385.00 | $2,770.00 | $269.08 – $2,216.00 | 18 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $955.00 | $1,910.00 | $269.08 – $1,528.00 | 18 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $855.00 | $1,710.00 | $160.73 – $1,368.00 | 18 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Eye suture during surgery CPT 67335 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $797.63 | 10 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $1,285.74 | 10 |
| F-18 fdg pet diag HCPCS A9552 | $1,960.13 | $3,920.25 | $658.55 – $3,136.20 | 13 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $3,182.20 – $11,199.43 | 10 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $389.21 – $1,008.58 | 6 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $444.89 – $911.35 | 6 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $2,726.24 | 10 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $529.50 – $1,949.36 | 7 |
| Face bone graft CPT 21210 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $2,125.00 | $4,250.00 | $539.81 – $3,400.00 | 18 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,350.00 | $2,700.00 | $365.36 – $2,160.00 | 18 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $230.00 | $460.00 | $102.64 – $634.00 | 18 |
| Facial Bones X-ray (complete) CPT 70150 | $342.50 | $685.00 | $149.04 – $634.00 | 18 |
| Facial nerve function test CPT 92516 | not published | not published | $470.68 – $623.25 | 4 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,181.00 – $6,490.83 | 8 |
| Factor ix CPT 85250 | $202.50 | $405.00 | $19.04 – $324.00 | 18 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $5.26 – $12.07 | 10 |
| Factor ix complex HCPCS J7194 | not published | not published | $2.47 – $5.58 | 13 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $7.75 – $17.10 | 10 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.94 – $4.70 | 13 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $6.64 – $15.24 | 10 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $2.67 – $5.48 | 6 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $2.72 – $6.22 | 13 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $3.75 – $7.67 | 6 |
| Factor viii CPT 85240 | $152.50 | $305.00 | $17.90 – $244.00 | 18 |
| Factor viii HCPCS J7190 | not published | not published | $1.64 – $3.73 | 13 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $3.51 – $7.77 | 10 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.71 – $4.12 | 10 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $3.12 – $6.86 | 10 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $2.23 – $5.24 | 13 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $2.20 – $4.66 | 10 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $4.68 – $10.88 | 10 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $15.63 – $34.31 | 10 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $26.53 – $59.59 | 10 |
| Fallopian tube recnl CPT 58345 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $45.03 – $59.62 | 4 |
| Family therapy without pt 50min 90846 CPT 90846 | $310.00 | $620.00 | $216.38 – $530.26 | 18 |
| Family therapy with patient 50 min 90847 CPT 90847 | $297.50 | $595.00 | $207.66 – $687.54 | 18 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | not published | not published | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $65.70 | $131.40 | $43.50 – $106.96 | 18 |
| Fancc gene CPT 81242 | $140.00 | $280.00 | $36.62 – $227.92 | 18 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $12,700.00 – $25,111.00 | 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.