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 |
|---|---|---|---|---|
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $88.87 – $217.64 | 7 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $55.55 – $137.21 | 7 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $51.08 – $123.02 | 7 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $73.27 – $179.81 | 7 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $227.61 – $558.31 | 7 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $707.31 – $1,736.46 | 7 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $141.66 – $1,092.98 | 13 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $325.00 | $650.00 | $141.88 – $749.99 | 18 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $985.00 | $1,970.00 | $447.19 – $2,087.83 | 18 |
| Oscillation chest wall mechanical per session CPT 94669 | $187.50 | $375.00 | $140.00 – $407.07 | 18 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $55.55 – $137.21 | 7 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $39.96 – $99.36 | 7 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $148.90 – $364.33 | 7 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $113.30 – $279.16 | 7 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $15.62 – $37.86 | 7 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $93.34 – $227.11 | 7 |
| Osmolality blood CPT 83930 | $52.50 | $105.00 | $6.61 – $84.00 | 18 |
| Osmolality urine CPT 83935 | $57.50 | $115.00 | $6.82 – $92.00 | 18 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $12,700.00 – $25,752.25 | 8 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $38.24 – $312.27 | 7 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $38.24 – $369.06 | 7 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $38.24 – $425.83 | 7 |
| Osteoplasty humerus CPT 24420 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $4.80 – $14.19 | 7 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $89.51 – $283.89 | 7 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $5.52 – $18.93 | 7 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $7.25 – $23.67 | 7 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $9.64 – $28.39 | 7 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $3.49 – $9.46 | 7 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $18.31 – $56.78 | 7 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $17.26 – $56.78 | 7 |
| Other bone graft microvasc CPT 20962 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $123.02 | 14 |
| Oth resp proc, group HCPCS G0239 | $67.50 | $135.00 | $53.19 – $276.00 | 18 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $37.02 – $80.43 | 7 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $90.00 | $180.00 | $70.92 – $469.00 | 18 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $174.60 – $198.71 | 3 |
| Otoplasty 69300 CPT 69300 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Ot re-evaluation patient/family CPT 97168 | $130.00 | $260.00 | $23.64 – $469.00 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $90.00 | $180.00 | $30.81 – $469.00 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $90.00 | $180.00 | $32.24 – $469.00 | 18 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Out of office emerg med serv CPT 99060 | not published | not published | $133.04 – $151.41 | 3 |
| Outrigger HCPCS L1080 | not published | not published | $91.41 – $222.38 | 7 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $306.02 – $752.30 | 7 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $7,461.49 – $17,439.00 | 8 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $180.71 – $771.23 | 9 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $61.50 | 14 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $1.55 – $3.18 | 6 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $0.84 | $1.68 | $0.12 – $53.93 | 14 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $3.84 – $14.19 | 9 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $1.88 – $4.74 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $29.97 | $59.94 | $2.86 – $48.79 | 14 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $257.05 – $526.57 | 6 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $259.72 – $1,376.03 | 10 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $622.03 | 10 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $3.78 – $9.46 | 7 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.69 | $3.38 | $0.15 – $2.54 | 14 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $35.01 | $70.01 | $17.58 – $53.93 | 18 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $282.88 – $3,074.46 | 10 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $1,369.07 | 10 |
| Palifermin injection HCPCS J2425 | not published | not published | $52.08 – $114.89 | 10 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $664.14 – $1,360.48 | 6 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $2,378.48 – $4,872.27 | 6 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $35.08 | $70.15 | $21.87 – $57.06 | 18 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $560.47 – $4,078.28 | 13 |
| Palonosetron hcl HCPCS J2469 | $6.64 | $13.28 | $1.18 – $98.85 | 14 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $19.26 – $39.44 | 6 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Pancreatectomy CPT 48146 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Pancreatectomy CPT 48152 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Pancreatectomy CPT 48154 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $422.49 | $844.98 | $250.20 – $686.18 | 18 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $61.92 | $123.83 | $9.28 – $97.95 | 14 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $75.80 – $155.28 | 6 |
| Parathormone (pth) intact CPT 83970 | $217.50 | $435.00 | $41.28 – $348.00 | 18 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,555.00 | $3,110.00 | $813.60 – $3,966.00 | 18 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Parathyroid planar imaging CPT 78070 | $1,035.00 | $2,070.00 | $607.37 – $3,966.00 | 18 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,295.00 | $2,590.00 | $607.37 – $3,966.00 | 18 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $7,461.49 – $18,102.00 | 8 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $35.76 – $85.17 | 7 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Paricalcitol HCPCS J2501 | not published | not published | $1.52 – $23.67 | 9 |
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.