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 |
|---|---|---|---|---|
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $238.33 – $488.21 | 6 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $36.00 – $73.75 | 6 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $298.67 – $611.81 | 6 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $120,116.70 – $246,057.24 | 9 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $759.30 – $759.30 | 2 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $126.18 – $258.47 | 6 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $133.52 – $273.51 | 6 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $455.40 – $932.88 | 9 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $9.93 – $20.35 | 6 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $7.58 – $25.89 | 9 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $73.47 | $146.94 | $45.42 – $119.61 | 18 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $5.82 – $8.33 | 5 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $7.90 | $15.80 | $0.53 – $12.86 | 14 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $36.78 – $36.78 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $2.94 – $99.36 | 9 |
| Metabolic Blood Panel (Basic) CPT 80048 | $57.50 | $115.00 | $8.46 – $155.80 | 18 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $107.50 | $215.00 | $10.56 – $203.21 | 18 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $13.73 – $62.50 | 13 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $2,736.85 – $6,709.23 | 7 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $609.22 – $1,495.15 | 7 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $62.36 – $70.97 | 3 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $2.46 – $5.04 | 9 |
| Methadone injection HCPCS J1230 | not published | not published | $34.14 – $69.93 | 6 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.62 – $2.37 | 5 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $13.37 – $151.41 | 9 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.40 – $2.37 | 9 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $4.26 – $8.72 | 6 |
| Methotrexate therapeutic drug level CPT 80204 | $82.50 | $165.00 | $38.57 – $175.60 | 18 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $167.38 – $167.38 | 2 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $82.50 – $169.00 | 9 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $53.50 | $106.99 | $11.40 – $87.09 | 18 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $29.11 – $70.27 | 9 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.95 – $3.99 | 6 |
| Methylphenidate CPT 80360 | $100.00 | $200.00 | $69.80 – $162.80 | 14 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.40 – $0.81 | 6 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.17 – $0.47 | 10 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $3.59 | $7.18 | $0.38 – $5.84 | 18 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $60.79 | $121.58 | $1.53 – $98.77 | 14 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.05 – $0.47 | 9 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $413.70 | 14 |
| Mgmt promoter methylation analysis CPT 81287 | $455.00 | $910.00 | $124.64 – $740.74 | 18 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.58 – $1.42 | 6 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $28.39 | 14 |
| Microbe susceptible mlc CPT 87187 | $80.00 | $160.00 | $40.17 – $183.04 | 18 |
| Microdissection laser CPT 88380 | not published | not published | $80.12 – $761.78 | 9 |
| Microdissection manual CPT 88381 | not published | not published | $156.99 – $979.42 | 9 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $102.68 | 10 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $7,966.95 – $19,536.25 | 7 |
| Microsatellite instability CPT 81301 | $785.00 | $1,570.00 | $348.56 – $1,583.36 | 18 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $236.49 – $1,547.19 | 7 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $5,668.91 – $18,102.00 | 8 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $197.50 | $395.00 | $111.57 – $634.00 | 18 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $45.24 | $90.47 | $0.23 – $55.06 | 14 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.35 – $0.71 | 6 |
| Middle cerebral artery echo CPT 76821 | $367.50 | $735.00 | $160.73 – $602.16 | 18 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $73.10 – $425.83 | 5 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $2.29 – $4.70 | 6 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $1,165.48 – $2,857.81 | 7 |
| Minocycline hydrochloride HCPCS J2265 | $7.95 | $15.90 | $3.87 – $12.94 | 18 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.94 – $9.46 | 5 |
| Miroderm HCPCS Q4175 | not published | not published | $103.72 – $212.47 | 6 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $121.65 | $243.29 | $95.86 – $226.02 | 18 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $2.04 – $9.46 | 5 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $15,105.92 | 10 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $40.99 – $183.06 | 13 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $460.26 – $1,036.51 | 10 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $42.92 – $487.34 | 13 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Mlh1 gene CPT 81288 | $455.00 | $910.00 | $192.32 – $873.53 | 18 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $919.66 | 10 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $3,069.99 | 10 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $1,504.49 | 10 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $34.69 – $45.93 | 4 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $8.55 – $11.32 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $9,155.00 – $25,752.25 | 8 |
| Mnl appl strs jt radiography CPT 77071 | $212.50 | $425.00 | $133.09 – $634.00 | 18 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Mnt subs tx for change dx HCPCS G0270 | $55.00 | $110.00 | $43.34 – $429.00 | 18 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $1,138.18 – $2,791.57 | 7 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Modification of contact lens CPT 92325 | not published | not published | $153.83 – $257.99 | 7 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $635.00 | $1,270.00 | $12.05 – $1,033.78 | 18 |
| Molded inner boot HCPCS L2280 | not published | not published | $986.26 – $2,417.79 | 7 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $4,775.85 – $11,710.41 | 7 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $7,493.01 – $18,372.32 | 7 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $2,803.08 – $6,874.83 | 7 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $8,226.97 – $20,175.01 | 7 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $2.92 – $16.33 | 6 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $16.45 – $38.36 | 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.