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 |
|---|---|---|---|---|
| Injection treatment of eye CPT 66020 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Injection treatment of eye CPT 66030 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Injection treatment of nerve CPT 64681 | $1,255.00 | $2,510.00 | $988.94 – $6,071.00 | 18 |
| Injection treatment of nose CPT 30200 | not published | not published | $769.74 – $6,291.00 | 8 |
| Inject sacroiliac joint CPT 27096 | $1,500.00 | $3,000.00 | $784.06 – $6,291.00 | 14 |
| Inject/treat eye socket CPT 67500 | not published | not published | $451.84 – $6,291.00 | 8 |
| Inject/treat eye socket CPT 67505 | not published | not published | $451.84 – $6,291.00 | 8 |
| Inject/treat eye socket CPT 67515 | not published | not published | $451.84 – $6,291.00 | 8 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $45.46 – $60.20 | 4 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $60.15 – $79.65 | 4 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $58.74 | $117.47 | $46.28 – $111.98 | 18 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $30.62 – $88.45 | 10 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $553.38 – $1,239.34 | 10 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $83.28 – $177.69 | 10 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $895.00 | $1,790.00 | $84.00 – $1,457.06 | 18 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $895.00 | $1,790.00 | $84.00 – $1,781.87 | 18 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $3.07 – $6.29 | 6 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $2.00 – $4.09 | 6 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $24.86 – $32.92 | 4 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $4.14 – $8.48 | 6 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $316.80 – $648.96 | 6 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | $310.20 | $620.39 | $244.43 – $617.39 | 18 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $24.85 – $50.90 | 10 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $3,381,400.00 – $4,477,440.00 | 4 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $14.37 – $30.79 | 10 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $49.99 – $117.69 | 10 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $124.10 – $184.52 | 5 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $27.48 – $69.80 | 10 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $203.62 – $473.20 | 10 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.06 – $0.14 | 6 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.75 – $3.72 | 10 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $10.77 – $24.71 | 10 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $4.16 – $6.22 | 6 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $370.22 – $492.68 | 5 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $361.20 – $443.70 | 5 |
| Inj for ext venography CPT 36005 | $540.00 | $1,080.00 | $425.52 – $6,291.00 | 14 |
| Inj for mammo ductogram CPT 19030 | $347.50 | $695.00 | $273.83 – $6,291.00 | 14 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.64 – $9.46 | 13 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $879.21 – $2,322.57 | 10 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.07 – $6.64 | 6 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $4.82 – $106.00 | 10 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $34.98 – $492.08 | 13 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $6.45 – $13.22 | 6 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $99.00 – $269.70 | 9 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $375.36 – $577.23 | 5 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $12.84 – $681.15 | 9 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $169.93 – $379.51 | 10 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $4,017.33 – $9,148.34 | 10 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $2.69 – $3.60 | 6 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $3.23 – $6.62 | 6 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $274.00 – $561.28 | 6 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $7.19 – $19.03 | 10 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $108.55 – $283.00 | 10 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $22.92 – $46.95 | 6 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $5,343,636.67 – $12,539,800.00 | 8 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $5.64 – $11.56 | 6 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $190.91 | $381.82 | $91.31 – $310.80 | 18 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $110.46 – $146.27 | 4 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $103.34 – $211.69 | 10 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $555.00 | $1,110.00 | $437.34 – $6,291.00 | 14 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $745.00 | $1,490.00 | $587.06 – $6,291.00 | 14 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $2.20 – $4.87 | 10 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $7.52 – $17.00 | 10 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $27.82 – $61.45 | 6 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $115.11 – $261.11 | 10 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $12.93 – $17.12 | 4 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $3.79 – $8.52 | 10 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $124.03 – $254.07 | 6 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.19 – $0.71 | 10 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $765.45 | $1,530.90 | $603.17 – $1,635.38 | 18 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $66.46 – $136.15 | 6 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $2.96 – $6.49 | 6 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $300.34 – $6,291.00 | 8 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $300.34 – $6,291.00 | 8 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $18.78 – $42.35 | 10 |
| Inj ivig privigen 500 mg HCPCS J1459 | $134.15 | $268.30 | $73.13 – $214.64 | 18 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $2.77 – $5.81 | 10 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $3.84 – $8.25 | 10 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $2.29 – $4.97 | 10 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $3.26 – $7.20 | 6 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $169.70 – $347.63 | 6 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $35.45 – $160.88 | 13 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $3.89 | $7.78 | $1.92 – $6.02 | 18 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $1.19 – $2.43 | 6 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $31.93 – $74.09 | 10 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $33.27 – $103.23 | 9 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.03 – $0.42 | 6 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $4.39 – $18.08 | 10 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $7.45 – $19.57 | 10 |
| Inj, lidocaine w epinephrine HCPCS J2004 | not published | not published | $0.02 – $0.02 | 2 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $23.66 – $184.52 | 9 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $4,728,964.75 – $11,106,680.00 | 8 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $477.20 – $1,076.50 | 10 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $33.92 – $79.06 | 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.