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 |
|---|---|---|---|---|
| Ghs nerve blk intercostal, single level CPT 64420 | $670.00 | $1,340.00 | $527.96 – $6,071.00 | 18 |
| Ghs nerve block axillary nerve CPT 64417 | $1,440.00 | $2,880.00 | $1,134.72 – $6,071.00 | 18 |
| Ghs nerve block brachial plexus CPT 64415 | $1,305.00 | $2,610.00 | $1,028.34 – $6,071.00 | 18 |
| Ghs nerve block celiac plexus CPT 64530 | $1,255.00 | $2,510.00 | $988.94 – $6,071.00 | 18 |
| Ghs nerve block interscaline CPT 64510 | $800.00 | $1,600.00 | $630.40 – $6,071.00 | 18 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $790.00 | $1,580.00 | $622.52 – $6,071.00 | 18 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,455.00 | $2,910.00 | $1,046.75 – $6,071.00 | 18 |
| Ghs nerve block suprascapular CPT 64418 | $1,220.00 | $2,440.00 | $84.00 – $1,386.04 | 18 |
| Ghs ng placement w fluoro guidance CPT 43752 | $420.00 | $840.00 | $330.96 – $6,291.00 | 18 |
| Ghs o2 saturation CPT 82810 | $50.00 | $100.00 | $9.77 – $81.40 | 18 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $236.49 – $458.95 | 7 |
| Ghs o2 uptake rest & indirect CPT 94690 | $200.00 | $400.00 | $89.78 – $1,287.00 | 18 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $69.74 – $92.35 | 4 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,335.00 | $2,670.00 | $934.51 – $6,071.00 | 18 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,095.00 | $2,190.00 | $862.86 – $6,071.00 | 18 |
| Ghs optokenetic CPT 92544 | not published | not published | $236.49 – $350.13 | 7 |
| Ghs oscillating trac CPT 92545 | not published | not published | $286.86 – $623.25 | 7 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $37.50 | $75.00 | $26.18 – $166.27 | 18 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $37.50 | $75.00 | $26.18 – $111.00 | 18 |
| Ghs ot dds rom CPT 95851 | not published | not published | $35.37 – $104.08 | 7 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $32.92 – $43.59 | 4 |
| Ghs ot prosthetic training/15 min CPT 97761 | $85.00 | $170.00 | $60.07 – $469.00 | 18 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $85.00 | $170.00 | $66.98 – $469.00 | 18 |
| Ghs ot work hardening-additional hours CPT 97546 | $222.50 | $445.00 | $175.33 – $469.00 | 14 |
| Ghs pacing - transcutaneous CPT 92953 | $960.00 | $1,920.00 | $670.08 – $1,562.88 | 18 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $770.00 | $1,540.00 | $84.00 – $816.00 | 14 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $655.00 | $1,310.00 | $84.00 – $740.74 | 14 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $26.35 – $170.34 | 10 |
| Ghs peritonsillar abscess i andd CPT 42700 | $275.00 | $550.00 | $216.70 – $464.78 | 13 |
| Ghs phenylketonurid CPT 84030 | $40.00 | $80.00 | $5.50 – $64.00 | 18 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $2,348.04 – $6,071.00 | 8 |
| Ghs plngl fx pm cl CPT 26725 | $270.00 | $540.00 | $212.76 – $480.11 | 13 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $28.39 | 14 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,235.00 | $6,470.00 | $1,537.79 – $5,271.12 | 18 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $194.83 – $430.56 | 7 |
| Ghs ppd (tb intradermal) CPT 86580 | $25.00 | $50.00 | $19.70 – $49.02 | 18 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.66 – $52.37 | 14 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $28.39 | 14 |
| Ghs protoporphyrins fract CPT 84202 | $77.50 | $155.00 | $14.35 – $124.00 | 18 |
| Ghs pr without cont pulse ox CPT 94625 | $137.50 | $275.00 | $89.78 – $220.00 | 18 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $67.50 | $135.00 | $12.25 – $108.00 | 18 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $445.00 | $890.00 | $238.00 – $712.00 | 14 |
| Ghs quinidine CPT 80194 | $85.00 | $170.00 | $14.60 – $136.00 | 18 |
| Ghs refill of implantable pump CPT 95990 | $427.50 | $855.00 | $298.40 – $684.00 | 18 |
| Ghs removal intranasal foreign body CPT 30300 | $267.50 | $535.00 | $84.00 – $435.49 | 17 |
| Ghs removal pharyngeal foreign body CPT 42809 | $347.50 | $695.00 | $273.83 – $798.66 | 13 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $72.92 | 14 |
| Ghs reticulocyte count CPT 85044 | $30.00 | $60.00 | $4.31 – $48.84 | 18 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $66.24 | 14 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $23.67 | 14 |
| Ghs semen analysis fert CPT 89320 | $115.00 | $230.00 | $12.31 – $184.00 | 18 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $56.78 | 14 |
| Ghs sensitivity (per antimicro) CPT 87184 | $45.00 | $90.00 | $7.48 – $72.00 | 18 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $535.00 | $1,070.00 | $421.58 – $860.28 | 13 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $535.00 | $1,070.00 | $421.58 – $860.28 | 13 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $575.00 | $1,150.00 | $453.10 – $924.60 | 13 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $575.00 | $1,150.00 | $453.10 – $924.60 | 13 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $472.50 | $945.00 | $300.34 – $759.78 | 13 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $495.00 | $990.00 | $300.34 – $795.96 | 13 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $495.00 | $990.00 | $300.34 – $795.96 | 13 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $620.00 | $1,240.00 | $300.34 – $996.96 | 13 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $620.00 | $1,240.00 | $300.34 – $996.96 | 13 |
| Ghs sleep study unattended CPT 95800 | $495.00 | $990.00 | $236.49 – $828.00 | 18 |
| Ghs somatosensory testing lower extremit CPT 95926 | $795.00 | $1,590.00 | $470.68 – $1,679.00 | 18 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,255.00 | $2,510.00 | $802.01 – $2,043.14 | 18 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $70.94 – $203.45 | 7 |
| Ghs sphenopalatine ganglion block CPT 64505 | $452.50 | $905.00 | $356.57 – $6,291.00 | 18 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $194.83 – $416.38 | 7 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $150.44 – $534.66 | 7 |
| Ghs st - eval for alt comm CPT 92567 | $87.50 | $175.00 | $59.33 – $617.00 | 18 |
| Ghs strapping shoulder - 29240 CPT 29240 | $142.50 | $285.00 | $112.29 – $469.00 | 18 |
| Ghs st - re-eval for alt comm CPT 92597 | $240.00 | $480.00 | $39.40 – $687.54 | 18 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $69.74 – $104.08 | 7 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $318.46 – $941.56 | 7 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $765.00 | $1,530.00 | $602.82 – $1,230.12 | 13 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $840.00 | $1,680.00 | $603.89 – $1,350.72 | 13 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,735.00 | $3,470.00 | $1,367.18 – $2,964.70 | 13 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $42.58 | 14 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $270.00 | $540.00 | $212.76 – $480.11 | 13 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $362.58 – $6,291.00 | 8 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $132.49 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $90.00 | $180.00 | $14.71 – $144.00 | 18 |
| Ghs vaginal delivery only CPT 59409 | $1,370.00 | $2,740.00 | $1,079.56 – $6,363.66 | 13 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $885.00 | $1,770.00 | $697.38 – $1,440.78 | 18 |
| Ghs windowing of cast CPT 29730 | not published | not published | $238.50 – $6,291.00 | 11 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $66.24 | 14 |
| Giardia lamblia antibody CPT 86674 | $85.00 | $170.00 | $14.72 – $138.38 | 18 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $270.47 – $657.68 | 10 |
| Gi inhouse confirmation CPT 87045 | $82.50 | $165.00 | $9.44 – $132.00 | 18 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $4,901.93 – $18,102.00 | 8 |
| Gi protein loss CPT 78282 | not published | not published | $281.87 – $804.24 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $1,417.13 – $6,181.00 | 8 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,378.06 – $1,824.74 | 4 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $1,417.13 – $6,181.00 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,417.13 – $6,181.00 | 8 |
| Gjb2 gene full sequence CPT 81252 | $990.00 | $1,980.00 | $101.12 – $691.90 | 18 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $279.77 | 10 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $159.23 | 10 |
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.