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 |
|---|---|---|---|---|
| Glassia injection HCPCS J0257 | not published | not published | $8.28 – $18.22 | 10 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $37.02 – $288.63 | 7 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $59.33 – $198.71 | 7 |
| Glaucoma surgery CPT 66150 | not published | not published | $6,080.59 – $12,362.00 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $6,080.59 – $12,362.00 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $167.52 – $411.65 | 7 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $283.90 – $640.37 | 13 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $210.08 – $438.28 | 13 |
| Glucagon plasma - sendout CPT 82943 | $67.50 | $135.00 | $14.29 – $108.00 | 18 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $255.50 | 14 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $279.16 | 14 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $85.17 | 14 |
| Glucose 1 hr post dose CPT 82950 | $40.00 | $80.00 | $4.75 – $64.00 | 18 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $32.84 | 11 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $20.00 | $40.00 | $3.28 – $32.00 | 18 |
| Glucose blood quantitative CPT 82947 | $40.00 | $80.00 | $3.93 – $48.00 | 18 |
| Glucose body fluid CPT 82945 | $32.50 | $65.00 | $3.93 – $52.00 | 18 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $89.78 – $851.67 | 7 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $125.00 | $250.00 | $12.87 – $200.00 | 18 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $40.00 | $80.00 | $3.92 – $64.00 | 18 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $34.20 | $68.40 | $0.63 – $40.06 | 18 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $22.52 – $60.30 | 9 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $91.94 | $183.88 | $15.99 – $149.68 | 18 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $115.00 | $230.00 | $18.58 – $184.00 | 18 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $818.54 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $95.00 | $190.00 | $18.52 – $152.00 | 18 |
| Gonioscopy CPT 92020 | not published | not published | $137.20 – $257.99 | 7 |
| Goniotomy CPT 65820 | not published | not published | $6,080.59 – $12,362.00 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $2,675.35 | $5,350.69 | $997.79 – $3,771.14 | 18 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $50.54 – $189.25 | 9 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $2,159.93 – $4,424.59 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $162.92 – $670.96 | 6 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $62.22 – $62.22 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,525.76 – $6,751.55 | 9 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $15,266.75 | $30,533.49 | $391.90 – $1,381.14 | 14 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $21,888.01 | $43,776.02 | $161.31 – $568.50 | 14 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $72.86 – $217.64 | 9 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $171.19 – $350.68 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $233.74 – $478.81 | 6 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $76.38 – $156.46 | 6 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $324.16 – $324.16 | 2 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $160.58 – $328.94 | 6 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $28,285.86 | $56,571.72 | $203.65 – $717.70 | 14 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,636.75 | $5,273.50 | $183.04 – $645.07 | 14 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $6.12 – $174.41 | 6 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.50 – $1.01 | 6 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,660.00 | $7,320.00 | $2,554.68 – $5,958.48 | 14 |
| Great toe-hand transfer CPT 26551 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Great toe with reduction 28495 CPT 28495 | $270.00 | $540.00 | $212.76 – $480.11 | 13 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $45.03 – $59.62 | 4 |
| Group health education CPT 99078 | not published | not published | $199.56 – $227.11 | 3 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $45.00 | $90.00 | $24.75 – $429.00 | 18 |
| Group train without patient HCPCS G0543 | $37.50 | $75.00 | $29.55 – $469.00 | 18 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $85.29 | 14 |
| Growth hormone panel CPT 80428 | $180.00 | $360.00 | $66.70 – $353.46 | 18 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $587.81 | 14 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $343.76 | 10 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $45.03 – $59.62 | 4 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $45.03 – $59.62 | 4 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,867.32 – $12,362.00 | 8 |
| G-tube reposition CPT 43761 | $1,395.00 | $2,790.00 | $367.61 – $6,291.00 | 18 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $363.06 – $4,099.98 | 10 |
| Guided cath fluid drainage 10030 CPT 10030 | $850.00 | $1,700.00 | $669.80 – $6,071.00 | 18 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $968.79 – $2,375.19 | 7 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,655.00 | $5,310.00 | $5.57 – $12.98 | 13 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,064.40 | $2,128.80 | $77.70 – $181.24 | 14 |
| Guid loc target vol rad tx CPT 77387 | $412.50 | $825.00 | $325.05 – $2,429.00 | 14 |
| Gum graft CPT 41870 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Gw stiffened micro access kit HCPCS C1894 | $4,068.75 | $8,137.50 | $23.53 – $54.89 | 14 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $5,787.99 – $12,362.00 | 8 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $9.50 | 8 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $925.24 – $6,291.00 | 8 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $603.89 – $6,291.00 | 8 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $603.89 – $6,291.00 | 8 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $75.57 – $184.52 | 7 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $3,673.36 – $9,008.73 | 7 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $4,669.73 – $11,450.17 | 7 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $5,620.77 – $13,782.79 | 7 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $10.77 – $22.07 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $61.69 | $123.38 | $1.91 – $100.43 | 14 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $376.57 – $922.64 | 7 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $48.18 – $118.29 | 7 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.77 – $33.13 | 7 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $167.90 – $222.32 | 4 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,746.10 | $13,492.20 | $4,708.78 – $10,982.65 | 14 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $3,359.78 – $8,237.51 | 7 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $3,302.90 – $8,100.28 | 7 |
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.