Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network)
2900 N Lake Shore Dr, Chicago, IL · Ascension · · NPI 1679659585
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 |
|---|---|---|---|---|
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $58.58 | $177.50 | $0.22 – $0.22 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $33.72 | $102.19 | $2.36 – $2.36 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $71.94 | $218.00 | $16.67 – $92.62 | 26 |
| Diabetes (HbA1c) Test CPT 83036 | $38.94 | $118.00 | $7.28 – $40.86 | 26 |
| Diab manage trn ind/group HCPCS G0109 | $58.08 | $176.00 | $15.39 – $46.36 | 4 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $415.97 – $673.87 | 16 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $134.37 – $217.68 | 16 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $61.38 | $186.00 | $116.89 – $1,035.73 | 5 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $40.59 | $123.00 | $91.42 – $805.95 | 5 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $202.38 – $327.86 | 16 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $202.38 – $327.86 | 16 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $289.41 | $877.00 | $110.02 – $1,035.73 | 23 |
| Diagnostic Mammogram (one breast) CPT 77065 | $213.51 | $647.00 | $85.79 – $805.95 | 23 |
| Diagnostic radio unlisted proc CPT 76499 | $277.53 | $841.00 | $80.90 – $789.08 | 21 |
| Dialysis one evaluation CPT 90945 | $1,067.22 | $3,234.00 | $168.30 – $719.09 | 19 |
| Diathermy eg microwave CPT 97024 | $57.75 | $175.00 | $7.20 – $17.08 | 19 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $150.99 | $457.55 | $17.10 – $17.10 | 1 |
| Dicyclomine injection HCPCS J0500 | $190.44 | $577.08 | $29.80 – $56.12 | 4 |
| Diffusing capacity CPT 94729 | $107.58 | $326.00 | $189.75 – $280.60 | 3 |
| Digital analysis of eeg CPT 95957 | $424.05 | $1,285.00 | $587.40 – $868.64 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $25.79 | $78.14 | $3.30 – $17.64 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $49.83 | $151.00 | $9.96 – $55.85 | 26 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $285.80 | $866.07 | $82.08 – $82.08 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $977.33 – $1,583.27 | 16 |
| Dilate tear duct opening CPT 68801 | not published | not published | $415.97 – $673.87 | 16 |
| Dilate urethra stricture CPT 53600 | not published | not published | $253.53 – $410.72 | 16 |
| Dilate urethra stricture CPT 53601 | not published | not published | $134.37 – $217.68 | 16 |
| Dilate urethra stricture CPT 53621 | not published | not published | $253.53 – $410.72 | 16 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $163.10 – $264.22 | 16 |
| Dilation of salivary duct CPT 42660 | not published | not published | $530.85 – $859.98 | 16 |
| Dilation of urethra CPT 53661 | not published | not published | $134.37 – $217.68 | 16 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $695.78 – $1,127.16 | 16 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $20.69 | $62.70 | $1.46 – $1.46 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $148.04 – $148.04 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $40.91 – $70.76 | 19 |
| Disability dlco CPT 94727 | $376.53 | $1,141.00 | $95.70 – $264.22 | 19 |
| Disaccharidases CPT 82657 | $255.09 | $773.00 | $16.63 – $92.62 | 26 |
| Discography cerv/thor spine CPT 72285 | $1,043.79 | $3,163.00 | $85.31 – $3,947.38 | 8 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $1,024.65 – $6,773.00 | 4 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $643.77 – $643.77 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.02 – $10.49 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $231.00 – $1,160.53 | 23 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $569.37 | 22 |
| Dna antibody native/double stranded CPT 86225 | $39.27 | $119.00 | $10.31 – $57.21 | 26 |
| Dna gardnerella CPT 87510 | $31.02 | $94.00 | $15.04 – $83.09 | 26 |
| Dna probe chlamydia CPT 87490 | not published | not published | $17.06 – $93.99 | 26 |
| Dna probe gc CPT 87590 | not published | not published | $20.16 – $111.69 | 26 |
| Dna trichomonas CPT 87660 | $31.02 | $94.00 | $15.04 – $83.09 | 26 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $265.32 | $804.00 | $14.78 – $14.78 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $992.81 | $3,008.50 | $1.42 – $1.42 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $93.97 | $284.75 | $1.54 – $1.54 | 1 |
| Doppler echo complete CPT 93320 | $612.81 | $1,857.00 | $202.95 – $300.12 | 3 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $724.35 – $1,071.16 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $561.66 | $1,702.00 | $121.34 – $590.48 | 21 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $129.69 | $393.00 | $78.68 – $380.64 | 21 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $15,486.24 | $46,927.99 | $283.71 – $480.12 | 3 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $596.32 | $1,807.04 | $6.64 – $6.64 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,417.38 | $7,325.40 | $140.23 – $1,100.10 | 6 |
| Dpyd gene common variants CPT 81232 | $186.45 | $565.00 | $131.11 – $727.37 | 22 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $733.44 – $1,188.17 | 16 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $733.44 – $1,188.17 | 16 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $733.44 – $1,188.17 | 16 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $242.07 – $392.15 | 16 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $733.44 – $1,188.17 | 16 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $242.07 – $392.15 | 16 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $530.85 – $859.98 | 16 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $530.85 – $859.98 | 16 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $242.07 – $392.15 | 16 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $530.85 – $859.98 | 16 |
| Drainage of salivary gland CPT 42320 | not published | not published | $530.85 – $859.98 | 16 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $695.78 – $1,127.16 | 16 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $134.37 – $217.68 | 16 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $721.90 – $1,169.48 | 16 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $163.20 | $494.55 | $132.00 – $195.20 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $207.13 – $335.55 | 16 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $207.13 – $335.55 | 16 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $207.13 – $335.55 | 16 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $416.48 – $674.70 | 16 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $638.10 – $1,033.72 | 16 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $100.14 | $303.45 | $39.60 – $89.68 | 4 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $311.61 – $504.81 | 16 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $733.44 – $1,188.17 | 16 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $530.85 – $859.98 | 16 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,749.50 – $2,749.50 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $530.85 – $859.98 | 16 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $31.33 | $94.94 | $3.70 – $17.08 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $35.62 | $107.95 | $19.76 – $19.76 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $892.58 | $2,704.80 | $1,511.24 – $1,511.24 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $7.97 | $24.15 | $8.25 – $24.14 | 4 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $22.52 | $68.25 | $20.44 – $20.44 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $280.85 | $851.06 | $411.40 – $411.40 | 1 |
| Drug assay caffeine CPT 80155 | $39.27 | $119.00 | $28.93 – $160.73 | 23 |
| Drug assay posaconazole CPT 80187 | not published | not published | $20.33 – $113.06 | 22 |
| Drug assay rufinamide CPT 80210 | not published | not published | $20.33 – $113.06 | 21 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $28.93 – $160.73 | 22 |
| Drug assay voriconazole CPT 80285 | not published | not published | $20.33 – $113.06 | 22 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $77.64 | 21 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $9.45 – $51.76 | 25 |
| Drug screen quant tiagabine CPT 80199 | $39.27 | $119.00 | $20.33 – $113.06 | 23 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $12.86 – $70.83 | 25 |
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.