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 |
|---|---|---|---|---|
| Irrigation tray HCPCS A4320 | not published | not published | $10.08 – $23.67 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $89.78 – $6,291.00 | 8 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $219.79 | $439.58 | $120.15 – $322.94 | 18 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $983.24 – $1,301.94 | 4 |
| Ivc venogram s&i CPT 75825 | $2,975.00 | $5,950.00 | $220.00 – $6,299.55 | 18 |
| IV Fluids (each additional hour) CPT 96361 | $125.00 | $250.00 | $69.74 – $1,270.00 | 18 |
| IV Fluids (first hour) CPT 96360 | $375.00 | $750.00 | $295.50 – $1,270.00 | 18 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $303.96 – $303.96 | 2 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $172.50 | $345.00 | $116.41 – $1,270.00 | 14 |
| IV inj ra drug dx study CPT 78808 | $740.00 | $1,480.00 | $583.12 – $3,966.00 | 18 |
| IV Medicine Infusion (additional drug) CPT 96367 | $172.50 | $345.00 | $107.57 – $1,270.00 | 18 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $172.50 | $345.00 | $69.74 – $1,270.00 | 18 |
| IV Medicine Infusion (first hour) CPT 96365 | $430.00 | $860.00 | $318.46 – $1,270.00 | 18 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $603.15 – $6,291.00 | 8 |
| IV Push Injection (each additional drug) CPT 96375 | $152.50 | $305.00 | $69.74 – $1,270.00 | 18 |
| IV Push Injection (first drug) CPT 96374 | $202.50 | $405.00 | $159.57 – $1,270.00 | 18 |
| Ivp w/nephrotomography CPT 74415 | $805.00 | $1,610.00 | $220.00 – $1,288.00 | 18 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $745.00 | $1,490.00 | $220.00 – $1,192.00 | 18 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $201.07 – $450.08 | 13 |
| Jak2 targeted sequence analysis CPT 81279 | $417.50 | $835.00 | $185.20 – $842.28 | 18 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $232.50 | $465.00 | $133.09 – $634.00 | 18 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $295.00 | $590.00 | $123.44 – $634.00 | 18 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $2,867.32 – $6,181.00 | 8 |
| John cunningham antibody CPT 86711 | $65.00 | $130.00 | $16.89 – $105.82 | 18 |
| J-tube placement CPT 44015 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,925.27 – $4,722.02 | 7 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,892.38 – $4,641.59 | 7 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $2,801.11 – $6,870.09 | 7 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $2,013.28 – $4,934.93 | 7 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $2,230.78 – $5,469.59 | 7 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $2,203.23 – $5,403.34 | 7 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $1,700.23 – $4,168.43 | 7 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $3,549.08 – $8,701.18 | 7 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $2,897.19 – $7,106.67 | 7 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $302.67 – $742.85 | 7 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,954.38 – $4,792.98 | 7 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $7,158.93 – $17,553.78 | 7 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,524.40 – $3,737.86 | 7 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $2,335.54 – $5,725.09 | 7 |
| Keratomileusis CPT 65760 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Keratophakia CPT 65765 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Keratoprosthesis CPT 65770 | not published | not published | $12,700.00 – $28,599.29 | 8 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $1,064.25 – $2,180.10 | 6 |
| Ketamine and metabolite screen - quest CPT 80357 | $357.50 | $715.00 | $249.54 – $582.01 | 14 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $76.24 | 11 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $52.50 | $105.00 | $8.17 – $84.00 | 18 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $59.67 | $119.34 | $0.52 – $93.68 | 18 |
| Kidney endoscopy CPT 50551 | not published | not published | $3,126.00 – $10,174.59 | 8 |
| Kidney endoscopy CPT 50553 | $6,180.00 | $12,360.00 | $4,869.84 – $12,362.00 | 18 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,070.00 – $6,902.93 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $7,683.94 – $18,102.00 | 8 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $3,126.00 – $18,507.68 | 8 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,070.00 – $6,902.93 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $6,296.00 – $18,507.68 | 8 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $3,126.00 – $18,507.68 | 8 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $3,126.00 – $10,174.59 | 8 |
| Kidney function study CPT 78725 | not published | not published | $358.68 – $804.24 | 8 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $1,347.01 – $1,533.00 | 3 |
| Kidney imaging morphology CPT 78700 | $1,430.00 | $2,860.00 | $607.37 – $3,966.00 | 18 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $813.60 – $2,228.54 | 8 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,425.00 | $2,850.00 | $813.60 – $3,966.00 | 18 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $735.00 | $1,470.00 | $160.73 – $1,176.00 | 18 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $550.00 | $1,100.00 | $147.28 – $880.00 | 18 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $74.60 – $175.07 | 7 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $14.17 – $18.76 | 4 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $9,353.00 | $18,706.00 | $6,528.39 – $15,226.68 | 14 |
| Kit gene analys d816 variant CPT 81273 | $510.00 | $1,020.00 | $124.87 – $830.28 | 18 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $28.00 – $89.89 | 7 |
| Kit lead specify 5-6-5 HCPCS C1778 | $8,955.00 | $17,910.00 | $104.40 – $367.92 | 14 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,898.33 | $3,796.65 | $861.84 – $3,037.32 | 14 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $41.53 – $85.07 | 9 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $3,014.55 – $11,445.43 | 7 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,118.26 | $6,236.51 | $1,415.69 – $4,989.21 | 14 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $2,419.03 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $2,419.03 – $18,102.00 | 8 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $12,700.00 – $25,752.25 | 8 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $175.93 – $232.95 | 4 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $142.69 – $350.13 | 7 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $143.29 – $350.13 | 7 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $1,183.90 – $2,905.13 | 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.