Advocate Trinity Hospital
2320 East 93rd Street, Chicago, IL · Advocate Health · · NPI 1558479212
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 |
|---|---|---|---|---|
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $32.84 | 11 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $20.00 | $40.00 | $3.28 – $32.00 | 18 |
| Glucose blood quantitative CPT 82947 | $40.00 | $80.00 | $3.93 – $48.00 | 18 |
| Glucose body fluid CPT 82945 | $32.50 | $65.00 | $3.93 – $52.00 | 18 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $89.78 – $846.16 | 7 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $125.00 | $250.00 | $12.87 – $200.00 | 18 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $40.00 | $80.00 | $3.92 – $64.00 | 18 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $24.28 | $48.55 | $0.63 – $26.73 | 18 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $22.52 – $60.30 | 9 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $15.99 – $38.43 | 10 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $115.00 | $230.00 | $18.58 – $184.00 | 18 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $813.25 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $95.00 | $190.00 | $18.52 – $152.00 | 18 |
| Gonioscopy CPT 92020 | not published | not published | $136.30 – $257.99 | 7 |
| Goniotomy CPT 65820 | not published | not published | $6,080.59 – $12,362.00 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $991.27 – $2,229.21 | 13 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $50.54 – $188.03 | 9 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $2,159.93 – $4,424.59 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $162.92 – $670.96 | 6 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $62.22 – $62.22 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,525.76 – $6,751.55 | 9 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $7,766.00 | $15,532.00 | $307.99 – $706.00 | 14 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $72.86 – $216.24 | 9 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $171.19 – $350.68 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $233.74 – $478.81 | 6 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $76.38 – $156.46 | 6 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $324.16 – $324.16 | 2 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $160.58 – $328.94 | 6 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $11,953.47 | $23,906.93 | $319.08 – $731.42 | 14 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,100.35 | $4,200.70 | $1,225.81 – $2,809.88 | 14 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $6.12 – $174.41 | 6 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.50 – $1.01 | 6 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,660.00 | $7,320.00 | $2,554.68 – $5,856.00 | 14 |
| Great toe-hand transfer CPT 26551 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Great toe with reduction 28495 CPT 28495 | $270.00 | $540.00 | $212.76 – $480.11 | 13 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $45.03 – $59.62 | 4 |
| Group health education CPT 99078 | not published | not published | $198.26 – $225.65 | 3 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $24.75 – $84.62 | 7 |
| Group train without patient HCPCS G0543 | $37.50 | $75.00 | $29.55 – $469.00 | 18 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $85.29 | 14 |
| Growth hormone panel CPT 80428 | $180.00 | $360.00 | $66.70 – $353.46 | 18 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $587.81 | 14 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $343.76 | 10 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $45.03 – $59.62 | 4 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $45.03 – $59.62 | 4 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,867.32 – $12,362.00 | 8 |
| G-tube reposition CPT 43761 | not published | not published | $367.61 – $6,291.00 | 8 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,585.00 | $3,170.00 | $220.00 – $4,099.98 | 18 |
| Guided cath fluid drainage 10030 CPT 10030 | $430.00 | $860.00 | $338.84 – $6,071.00 | 18 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $968.79 – $2,359.84 | 7 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,191.38 | $2,382.75 | $3.83 – $8.78 | 13 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $183.99 | $367.97 | $88.69 – $203.30 | 14 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $685.62 – $780.34 | 3 |
| Gum graft CPT 41870 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Gw stiffened micro access kit HCPCS C1894 | $1,397.88 | $2,795.76 | $15.53 – $35.59 | 14 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $5,787.99 – $12,362.00 | 8 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $9.50 | 8 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $925.24 – $6,291.00 | 8 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $603.89 – $6,291.00 | 8 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $603.89 – $6,291.00 | 8 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $75.57 – $183.32 | 7 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $3,673.36 – $8,950.52 | 7 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $4,669.73 – $11,376.19 | 7 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $5,620.77 – $13,693.74 | 7 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $10.77 – $22.07 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $60.83 | $121.66 | $1.91 – $97.33 | 14 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $376.57 – $916.68 | 7 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $48.18 – $117.53 | 7 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.77 – $32.91 | 7 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $167.90 – $222.32 | 4 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $3,359.78 – $8,184.28 | 7 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $3,302.90 – $8,047.95 | 7 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $1,419.13 – $3,459.86 | 7 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $3,394.68 – $8,268.89 | 7 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $85.00 | $170.00 | $40.45 – $469.00 | 18 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $3,126.00 – $14,297.79 | 8 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Hand X-ray CPT 73130 | $385.00 | $770.00 | $100.21 – $634.00 | 18 |
| Hand X-ray (2 views, both hands) CPT 73120 | $305.00 | $610.00 | $91.46 – $634.00 | 18 |
| Haptoglobin quantitative CPT 83010 | $75.00 | $150.00 | $12.58 – $120.00 | 18 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $383.02 – $935.47 | 7 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $218.66 – $531.21 | 7 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $209.00 – $507.71 | 7 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Harvest auto stem cells CPT 38206 | not published | not published | $2,477.79 – $6,181.00 | 8 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $3,526.29 – $12,362.00 | 8 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $3,181.00 – $6,291.00 | 4 |
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.