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 |
|---|---|---|---|---|
| Lso full corset HCPCS L0976 | not published | not published | $261.20 – $345.87 | 4 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $282.97 – $1,040.92 | 7 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $2,304.24 – $8,474.08 | 7 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $1,105.94 – $1,464.42 | 4 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $150.79 – $199.66 | 4 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,745.71 – $6,420.62 | 7 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $2,368.65 – $8,710.65 | 7 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $500.98 – $1,840.54 | 7 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $267.00 – $353.55 | 4 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,828.09 – $6,723.43 | 7 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $2,263.32 – $8,327.40 | 7 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $123.02 | 14 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $2.76 – $9.46 | 7 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $136.79 – $335.94 | 7 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $158.89 – $387.98 | 7 |
| Lumbar diskogram s&i CPT 72295 | $3,420.00 | $6,840.00 | $220.00 – $5,472.00 | 18 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $154.89 – $378.52 | 7 |
| Lumbar sling HCPCS L1090 | not published | not published | $175.80 – $430.56 | 7 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $12,700.00 – $36,806.70 | 8 |
| Lumizyme injection HCPCS J0221 | not published | not published | $299.59 – $681.64 | 10 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $525.00 | $1,050.00 | $403.27 – $1,287.00 | 18 |
| Lung function test (mbc/mvv) CPT 94200 | $225.00 | $450.00 | $89.78 – $1,287.00 | 18 |
| Lung Function Test (Spirometry) CPT 94010 | $307.50 | $615.00 | $228.67 – $1,287.00 | 18 |
| Lung perfusion imaging CPT 78580 | $855.00 | $1,710.00 | $607.37 – $3,966.00 | 18 |
| Lung transplant double CPT 32853 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Lung transplant single CPT 32851 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $449.01 | $898.02 | $298.88 – $730.99 | 18 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $93.82 | $187.64 | $60.84 – $137.50 | 18 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $453.40 – $998.93 | 10 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $367.11 – $811.03 | 10 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $893.94 – $2,190.67 | 7 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $37.02 – $6,291.00 | 8 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $494.32 – $1,211.26 | 7 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $108.82 | 14 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Lymphatics/lymph node imaging CPT 78195 | $1,330.00 | $2,660.00 | $813.60 – $3,966.00 | 18 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $312.27 | 14 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $269.70 | 14 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $861.62 | 14 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $264.96 | 14 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $854.50 – $1,589.78 | 10 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $854.50 – $3,109.13 | 10 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $854.50 – $6,299.55 | 10 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $854.50 – $6,299.55 | 10 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $769.74 – $6,291.00 | 8 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $3,096.34 – $12,362.00 | 8 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $16.63 – $52.49 | 9 |
| Macro exam dissect molec study ea CPT 88387 | $50.00 | $100.00 | $7.22 – $81.40 | 14 |
| Macroscopic exam arthropod CPT 87168 | $77.50 | $155.00 | $4.27 – $124.00 | 18 |
| Macroscopic exam parasite CPT 87169 | $67.50 | $135.00 | $4.31 – $108.00 | 18 |
| Magnesium CPT 83735 | $50.00 | $100.00 | $6.70 – $48.00 | 18 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $16.95 | $33.89 | $0.83 – $27.59 | 14 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $365.36 – $1,783.04 | 8 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $23.86 – $48.87 | 4 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $71.50 | 14 |
| Male sling procedure CPT 53440 | not published | not published | $19,638.16 – $47,462.00 | 8 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $2,419.03 – $6,291.00 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Manipulation of hip joint CPT 27275 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Manipulation of spine CPT 22505 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $362.58 – $6,291.00 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $4.77 – $9.77 | 6 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.95 – $13.42 | 6 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $128.93 – $317.01 | 7 |
| Manual diff wbc count b-coat CPT 85009 | $20.00 | $40.00 | $5.07 – $32.00 | 18 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $1,238.92 – $1,409.98 | 3 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Map tachycard site(s) CPT 93609 | $3,225.00 | $6,450.00 | $2,494.46 – $6,291.00 | 14 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $73.15 – $162.71 | 10 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,451.30 | $2,902.60 | $61.61 – $217.11 | 14 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $16,500.87 – $21,849.43 | 4 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Mastectomy form HCPCS L8020 | not published | not published | $395.76 – $969.96 | 7 |
| Mastectomy partial CPT 19301 | not published | not published | $5,787.99 – $12,362.00 | 8 |
| Mast mod rad CPT 19307 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Mastoidectomy CPT 69501 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Mastoids complete CPT 70130 | $337.50 | $675.00 | $160.73 – $634.00 | 18 |
| Mastoid surgery revision CPT 69603 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Mastopexy CPT 19316 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Mast radical CPT 19305 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Mast rad urban type CPT 19306 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Mast simple complete CPT 19303 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $153.86 – $315.19 | 6 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $3,740.00 – $8,675.34 | 6 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $31.32 – $64.15 | 6 |
| M.avium-intra dna amp prob CPT 87561 | $175.00 | $350.00 | $35.09 – $280.00 | 18 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $123.51 | 14 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $236.57 | 14 |
| Maxillofacial fixation CPT 21100 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $80.00 | $160.00 | $14.46 – $128.00 | 18 |
| Mayo aathr protein s free CPT 85306 | $130.00 | $260.00 | $15.32 – $208.00 | 18 |
| Mayo activated protein c resistance assay CPT 85307 | $97.50 | $195.00 | $15.32 – $156.00 | 18 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $307.50 | $615.00 | $38.57 – $500.61 | 18 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $155.00 | $310.00 | $108.19 – $252.34 | 14 |
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.