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 |
|---|---|---|---|---|
| Obstetric panel inc HIV tstg CPT 80081 | $190.00 | $380.00 | $74.86 – $340.78 | 18 |
| Obstetrics panel CPT 80055 | $187.50 | $375.00 | $47.81 – $355.00 | 18 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $22.99 – $255.50 | 11 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $435.00 | $870.00 | $160.73 – $786.40 | 18 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $325.00 | $650.00 | $186.92 – $537.00 | 14 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $230.00 | $460.00 | $33.49 – $469.00 | 18 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $222.50 | $445.00 | $29.55 – $469.00 | 18 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $225.00 | $450.00 | $31.52 – $469.00 | 18 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $114.21 | $228.42 | $86.57 – $203.65 | 18 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $1.49 – $9.46 | 9 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $788.93 | $1,577.85 | $307.69 – $822.18 | 18 |
| Ocular function screen CPT 99172 | not published | not published | $99.78 – $113.56 | 3 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $128.89 – $146.68 | 3 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $128.89 – $146.68 | 3 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $829.21 – $6,071.00 | 8 |
| Ocular reconst transplant CPT 65780 | not published | not published | $5,699.90 – $17,439.00 | 8 |
| Ocular reconst transplant CPT 65781 | not published | not published | $7,798.95 – $18,102.00 | 8 |
| Ocular reconst transplant CPT 65782 | not published | not published | $5,699.90 – $17,439.00 | 8 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $90.24 – $216.18 | 10 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $242.85 – $321.57 | 4 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $242.85 – $321.57 | 4 |
| Office consultation CPT 99241 | not published | not published | $249.45 – $283.89 | 3 |
| Off/op cnsltj new/est low 30 CPT 99243 | not published | not published | $640.25 – $728.65 | 3 |
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $935.43 – $1,064.59 | 3 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $1,151.61 – $1,310.62 | 3 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $465.63 – $529.93 | 3 |
| Offset knee joint each HCPCS L2390 | not published | not published | $178.81 – $440.02 | 7 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $255.59 – $624.55 | 7 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,195.75 | $2,391.49 | $542.87 – $1,913.19 | 14 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $1.62 – $3.79 | 9 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $4.23 – $9.87 | 10 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $114.50 | $228.99 | $58.82 – $183.19 | 18 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $17,601.50 | 10 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $11,407.94 | 10 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $17,601.50 | 10 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $17,601.50 | 10 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $17,601.50 | 10 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $32,689.55 | 10 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $14,160.96 | 10 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $2,312.54 | 10 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $2,633.97 | 10 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $806.56 | 10 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $13,047.85 | 10 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $3,453.93 | 10 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $2,363.14 | 10 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $17,041.96 | 10 |
| Onco (ovar) five proteins CPT 81503 | $1,000.00 | $2,000.00 | $99.78 – $4,075.96 | 18 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $99.78 – $1,184.54 | 13 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $293.16 | 13 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $293.16 | 14 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $9,226.35 | 10 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $17,601.50 | 10 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $17,601.50 | 10 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $16,360.40 | 10 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $35,339.90 | 10 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $0.92 – $0.92 | 2 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.02 – $0.03 | 6 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $15.16 | $30.32 | $0.15 – $13.51 | 14 |
| One way chest drain valve HCPCS A7040 | not published | not published | $81.93 – $198.71 | 7 |
| Oocyte identification CPT 89254 | not published | not published | $143.50 – $2,327.40 | 11 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $8,821.00 – $17,439.00 | 4 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $5,787.99 – $17,439.00 | 8 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $5,787.99 – $17,439.00 | 8 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $4,918.26 – $25,111.00 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $9,217.06 – $25,111.00 | 7 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ophthalmic biometry CPT 92136 | not published | not published | $194.83 – $511.01 | 7 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $877.20 – $877.20 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $59.33 – $108.82 | 7 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $136.87 – $932.10 | 10 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $160.73 – $544.13 | 10 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $150.00 | $300.00 | $99.66 – $584.18 | 18 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $99.78 – $113.56 | 3 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Opn ax/subcla art expos CPT 34715 | $265.00 | $530.00 | $208.82 – $6,291.00 | 14 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | not published | 0 |
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.