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 |
|---|---|---|---|---|
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $217.31 – $445.15 | 6 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $23.78 – $50.56 | 10 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $125.44 – $691.45 | 10 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $130.21 – $297.91 | 10 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $4.18 – $6.98 | 6 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $5.38 – $11.02 | 6 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $332.50 | $665.00 | $220.00 – $634.00 | 14 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $147.11 – $301.36 | 6 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,514.00 – $3,570.60 | 10 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $799.69 – $1,058.90 | 4 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $23.97 – $49.11 | 6 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $25.50 – $57.09 | 10 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $6.39 – $17.29 | 10 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $1.14 – $4.23 | 10 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $1.30 – $2.67 | 10 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $6.10 – $17.78 | 10 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.12 – $4.74 | 9 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.10 – $4.74 | 9 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.05 – $4.74 | 13 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $4.51 – $10.34 | 10 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $3.50 – $7.17 | 6 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $4,820,629.26 – $11,245,800.39 | 8 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $39.93 – $52.87 | 4 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.42 – $0.42 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | $392.50 | $785.00 | $309.29 – $6,291.00 | 14 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $76.08 – $100.74 | 4 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $6.01 – $8.18 | 6 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $446.18 – $6,291.00 | 8 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $9.69 – $22.51 | 10 |
| Inj dx for sinogram CPT 20501 | $380.00 | $760.00 | $299.44 – $6,291.00 | 14 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,630.00 | $3,260.00 | $854.98 – $6,071.00 | 18 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $332.50 | $665.00 | $220.00 – $634.00 | 14 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $75.46 – $168.86 | 10 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $698.27 – $1,570.82 | 10 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $28.72 – $61.96 | 10 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $1,267.56 – $2,596.58 | 6 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $345.00 | $690.00 | $271.86 – $6,291.00 | 18 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $274.28 – $561.86 | 6 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $4.88 – $14.19 | 5 |
| Injection, daratumumab 10 mg HCPCS J9145 | $182.18 | $364.36 | $101.26 – $296.59 | 18 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.96 – $0.96 | 2 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.54 – $18.93 | 9 |
| Injection during cath supravalvular aortography CPT 93567 | $570.00 | $1,140.00 | $449.16 – $6,291.00 | 14 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $27.31 – $73.75 | 10 |
| Injection epidural blood patch or clot CPT 62273 | $995.00 | $1,990.00 | $784.06 – $6,071.00 | 18 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.48 – $2.37 | 9 |
| Injection eye drug CPT 67028 | not published | not published | $501.35 – $6,291.00 | 8 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $1.84 – $23.67 | 5 |
| Injection for arthrography wrist (both sides) CPT 25246 | $332.50 | $665.00 | $220.00 – $634.00 | 14 |
| Injection for bladder x-ray CPT 51600 | $380.00 | $760.00 | $220.00 – $634.00 | 14 |
| Injection for hip x-ray CPT 27095 | $490.00 | $980.00 | $386.12 – $6,291.00 | 14 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $332.50 | $665.00 | $220.00 – $634.00 | 14 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Injection for ureter x-ray CPT 50690 | $390.00 | $780.00 | $307.32 – $6,291.00 | 14 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $75.30 – $75.30 | 2 |
| Injection, fulvestrant HCPCS J9395 | $371.11 | $742.21 | $10.12 – $467.35 | 18 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $117.30 – $564.70 | 13 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $839.96 – $839.96 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $29.42 | $58.83 | $17.91 – $47.89 | 18 |
| Injection into brain canal CPT 61026 | not published | not published | $1,046.75 – $6,071.00 | 8 |
| Injection into brain canal CPT 61055 | not published | not published | $446.18 – $6,291.00 | 8 |
| Injection into hemorrhoid(s) CPT 46500 | $1,710.00 | $3,420.00 | $84.00 – $2,783.88 | 18 |
| Injection into spinal artery CPT 62294 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Injection into vocal cord CPT 31513 | not published | not published | $586.93 – $6,291.00 | 8 |
| Injection intraop add-on CPT 48400 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Injection, isavuconazonium HCPCS J1833 | $3.06 | $6.11 | $1.46 – $4.97 | 18 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Injection jugular CPT 36299 | $780.00 | $1,560.00 | $614.64 – $6,291.00 | 14 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $2.76 – $5.75 | 6 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $8.31 – $19.40 | 10 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $107.57 – $142.44 | 4 |
| Injection of sinus tract CPT 20500 | $625.00 | $1,250.00 | $492.50 – $6,181.00 | 18 |
| Injection,onabotulinumtoxina HCPCS J0585 | $19.29 | $38.57 | $9.43 – $31.40 | 18 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $199.30 – $255.50 | 5 |
| Injection, peramivir HCPCS J2547 | not published | not published | $2.43 – $5.68 | 10 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $3.56 – $9.46 | 5 |
| Injection px peyronie ds CPT 54200 | not published | not published | $367.61 – $6,291.00 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $645.00 | $1,290.00 | $508.26 – $6,291.00 | 18 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $36.33 – $101.10 | 10 |
| Injection, ruconest HCPCS J0596 | not published | not published | $53.27 – $117.56 | 10 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $1,046.75 – $6,071.00 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,400.00 | $2,800.00 | $1,046.75 – $6,071.00 | 18 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $910.00 | $1,820.00 | $84.00 – $1,386.04 | 18 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,510.00 | $3,020.00 | $84.00 – $1,816.00 | 18 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $770.00 | $1,540.00 | $84.00 – $648.00 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,540.00 | $3,080.00 | $84.00 – $1,781.87 | 18 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,090.00 | $2,180.00 | $429.46 – $6,291.00 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,820.00 | $3,640.00 | $84.00 – $2,384.00 | 18 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,145.00 | $2,290.00 | $84.00 – $1,864.06 | 18 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,145.00 | $2,290.00 | $84.00 – $1,864.06 | 18 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $234.83 – $517.68 | 10 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $412.50 | $825.00 | $325.05 – $6,291.00 | 18 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $500.00 | $1,000.00 | $394.00 – $6,291.00 | 18 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $625.00 | $1,250.00 | $446.18 – $6,291.00 | 18 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $152.50 | $305.00 | $120.17 – $1,270.00 | 14 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $27.20 – $89.89 | 5 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $4.38 – $14.19 | 5 |
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.