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 |
|---|---|---|---|---|
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Free skin flap microvasc CPT 15757 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Frenectomy 41115 CPT 41115 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Frenotomy 40806 CPT 40806 | not published | not published | $769.74 – $6,291.00 | 8 |
| Frenulotomy of penis CPT 54164 | not published | not published | $3,096.34 – $12,362.00 | 8 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $197.50 | $395.00 | $103.08 – $321.53 | 18 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $155.00 | $310.00 | $108.19 – $252.34 | 18 |
| Fresh frozen plasma thawing ea un CPT 86927 | $85.00 | $170.00 | $49.74 – $342.97 | 18 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $70.95 – $93.95 | 4 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $33.43 – $477.88 | 14 |
| Frozen blood prep CPT 86930 | not published | not published | $259.01 – $501.50 | 14 |
| Frozen blood thaw CPT 86931 | not published | not published | $259.01 – $376.49 | 14 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $56.78 | 14 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $90.35 – $119.64 | 4 |
| Fructosamine glycated protein CPT 82985 | $80.00 | $160.00 | $16.76 – $128.00 | 18 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $82.23 – $203.45 | 7 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $548.81 – $1,343.74 | 7 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $232.82 – $6,759.05 | 13 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $335.94 | 13 |
| Ftl cgen abnor four anal CPT 81511 | $220.00 | $440.00 | $153.50 – $697.93 | 18 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $252.98 | 13 |
| Ftl cgen abnor two proteins CPT 81508 | $105.00 | $210.00 | $54.30 – $247.03 | 18 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $545.08 – $1,339.01 | 7 |
| Full field erg w/i&r CPT 92273 | not published | not published | $470.68 – $804.35 | 7 |
| Full mouth x-ray of teeth CPT 70320 | $345.00 | $690.00 | $156.02 – $634.00 | 18 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $95.54 – $236.57 | 7 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $442.50 | $885.00 | $160.73 – $708.00 | 18 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $1,950.00 | $3,900.00 | $1,536.60 – $3,661.11 | 13 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,950.00 | $3,900.00 | $1,536.60 – $3,661.11 | 13 |
| Functional brain mapping CPT 96020 | not published | not published | $1,006.10 – $1,145.02 | 3 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $194.83 – $430.56 | 7 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $3,126.37 – $7,664.98 | 7 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | not published | 0 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $32.92 | $65.83 | $0.73 – $20.50 | 14 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse/graft added joint CPT 26863 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fuse upper gi structures CPT 47721 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $12,700.00 – $25,752.25 | 8 |
| Fusion of big toe joint CPT 28750 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Fusion of big toe joint CPT 28755 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fusion of finger joint CPT 26860 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,126.00 – $6,493.91 | 8 |
| Fusion of finger tendons CPT 26474 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Fusion of foot bones CPT 28730 | not published | not published | $12,700.00 – $25,752.25 | 8 |
| Fusion of foot bones CPT 28735 | not published | not published | $12,700.00 – $25,752.25 | 8 |
| Fusion of foot bones CPT 28740 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Fusion of hand joint CPT 26843 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Fusion of knee CPT 27580 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Fusion of knuckle CPT 26850 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Fusion of skull arteries CPT 61711 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $3,096.34 – $12,362.00 | 8 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Fusion of thumb CPT 26841 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $12,700.00 – $25,752.25 | 8 |
| Fusion of toes CPT 28280 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $1,248.53 | 10 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $622.03 | 10 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $1,248.53 | 10 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $842.28 | 10 |
| G0180 home health certification HCPCS G0180 | not published | not published | $303.49 – $345.39 | 3 |
| G6pc gene CPT 81250 | $140.00 | $280.00 | $58.49 – $266.37 | 18 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $2,726.24 | 10 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $794.66 | 10 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $1,705.39 | 10 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $37.36 – $275.44 | 6 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $74.08 – $113.34 | 6 |
| Gabapentin non-blood CPT 80355 | $247.50 | $495.00 | $172.76 – $402.93 | 14 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $0.62 | $1.24 | $0.49 – $1.05 | 13 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $2.48 – $14.19 | 9 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.20 – $1.42 | 9 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $24.30 – $49.79 | 6 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $100.00 | $200.00 | $21.07 – $160.00 | 18 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $118.29 | 14 |
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.