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 |
|---|---|---|---|---|
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $4,901.93 – $18,102.00 | 8 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Imuglucerase injection HCPCS J1786 | $70.52 | $141.03 | $55.57 – $147.84 | 18 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $6,846.33 – $14,024.60 | 6 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,495.52 – $14,024.60 | 10 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,932.23 – $12,448.52 | 9 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $4,630.00 | $9,260.00 | $1,157.13 – $13,846.81 | 17 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $502.01 – $4,294.16 | 10 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $300.99 – $1,720.40 | 10 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $2,776.18 – $21,320.97 | 8 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $2,756.66 – $5,646.97 | 6 |
| Inactivated je vacc im CPT 90738 | not published | not published | $504.42 – $1,033.30 | 6 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Incis addl spine segment CPT 22216 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $2,951.63 – $6,181.00 | 8 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $1,463.96 – $6,181.00 | 8 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $2,951.63 – $6,181.00 | 8 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $2,951.63 – $17,439.00 | 8 |
| Incise inner ear CPT 69801 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Incise inner ear nerve CPT 69915 | not published | not published | $4,901.93 – $18,102.00 | 8 |
| Incise inner ear nerve CPT 69950 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $829.21 – $6,071.00 | 8 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $6,080.59 – $12,362.00 | 8 |
| Incise inner eye strands CPT 67030 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Incise nerve back of head CPT 64744 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incise skull for treatment CPT 61770 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Incise skull repair CPT 62121 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incise skull/sutures CPT 61556 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incise skull/sutures CPT 61557 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $3,096.34 – $12,362.00 | 8 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $451.84 – $6,291.00 | 8 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Incise & treat bladder CPT 51030 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Incision anal septum infant CPT 46070 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,780.00 | $3,560.00 | $84.00 – $3,242.82 | 17 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Incision/fixation of femur CPT 27165 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Incision of achilles tendon CPT 27605 | $2,230.00 | $4,460.00 | $1,757.24 – $12,362.00 | 18 |
| Incision of achilles tendon CPT 27606 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Incision of anal sphincter CPT 46080 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Incision of ankle bone CPT 28302 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Incision of bile duct CPT 47425 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incision of brain tissue CPT 61541 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incision of brain tissue CPT 61567 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incision of breast lesion CPT 19020 | $1,890.00 | $3,780.00 | $1,489.32 – $12,362.00 | 18 |
| Incision of brow nerve CPT 64732 | not published | not published | $2,951.63 – $6,181.00 | 8 |
| Incision of burn scab initi CPT 16035 | not published | not published | $603.89 – $6,291.00 | 8 |
| Incision of cheek nerve CPT 64734 | not published | not published | $2,951.63 – $6,181.00 | 8 |
| Incision of chin nerve CPT 64736 | not published | not published | $2,951.63 – $6,181.00 | 8 |
| Incision of eardrum CPT 69420 | not published | not published | $351.00 – $6,291.00 | 8 |
| Incision of eardrum CPT 69421 | not published | not published | $3,126.00 – $6,490.83 | 8 |
| Incision of esophagus CPT 43020 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Incision of eye CPT 65850 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Incision of eye CPT 66172 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Incision of eyelid CPT 67710 | not published | not published | $1,463.96 – $6,181.00 | 8 |
| Incision of facial nerve CPT 64742 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Incision of fibula CPT 27707 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Incision of finger tendon CPT 26455 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Incision of foot fascia CPT 28008 | $5,065.00 | $10,130.00 | $3,991.22 – $12,362.00 | 18 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incision of heel bone CPT 28300 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Incision of hip bone CPT 27146 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Incision of hip bones CPT 27151 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Incision of hip tendon CPT 27000 | $2,070.00 | $4,140.00 | $1,631.16 – $12,362.00 | 18 |
| Incision of hip tendon CPT 27001 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Incision of hip tendon CPT 27003 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Incision of hip tendons CPT 27006 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Incision of iris CPT 66500 | not published | not published | $3,181.00 – $6,291.00 | 8 |
| Incision of iris CPT 66505 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Incision of jaw joint CPT 21010 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Incision of jaw nerve CPT 64738 | not published | not published | $2,951.63 – $6,181.00 | 8 |
| Incision of knee joint CPT 27435 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Incision of liver duct CPT 47400 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Incision of lymph channels CPT 38308 | not published | not published | $5,787.99 – $12,362.00 | 8 |
| Incision of metatarsal CPT 28306 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Incision of metatarsal CPT 28307 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Incision of metatarsal CPT 28308 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Incision of metatarsals CPT 28309 | not published | not published | $10,797.81 – $25,111.00 | 8 |
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.