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 |
|---|---|---|---|---|
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $25.64 | $77.70 | $60.96 – $66.00 | 3 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $77.88 | $236.00 | $150.92 – $150.92 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $4,983.37 | $15,101.12 | $4,469.68 – $4,469.68 | 1 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $4,426.66 | $13,414.12 | $2,910.12 – $2,910.12 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $37.42 | $113.40 | $75.90 – $112.24 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $155.93 | $472.50 | $277.50 – $277.50 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $245.67 | $744.45 | $96.90 – $96.90 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $155.93 | $472.50 | $273.70 – $273.70 | 1 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,754.78 | $5,317.50 | $4,304.51 – $4,304.51 | 1 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $250.06 – $405.10 | 16 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $14.19 | $43.00 | $15.06 – $29.70 | 3 |
| Growth hormone antibody CPT 86277 | not published | not published | $11.81 – $65.38 | 26 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $49.62 – $314.65 | 23 |
| G-tube reposition CPT 43761 | not published | not published | $253.53 – $410.72 | 16 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,086.03 | $3,291.00 | $89.73 – $4,034.23 | 8 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $733.44 – $1,188.17 | 16 |
| Guid loc target vol rad tx CPT 77387 | $747.45 | $2,265.00 | $64.96 – $940.80 | 6 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $638.10 – $1,033.72 | 16 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $416.48 – $674.70 | 16 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $416.48 – $674.70 | 16 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $124.15 | $376.20 | $11.10 – $11.10 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $24.70 | $74.86 | $2.42 – $2.42 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $17.08 | 6 |
| Hand X-ray CPT 73130 | $270.60 | $820.00 | $32.35 – $269.62 | 24 |
| Haptoglobin quantitative CPT 83010 | $36.30 | $110.00 | $9.44 – $51.76 | 26 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $455.73 – $738.28 | 16 |
| Hast w/i&r phys/qhp CPT 94452 | $100.32 | $304.00 | $134.37 – $222.04 | 19 |
| Hast w/oxygen titrate CPT 94453 | $150.81 | $457.00 | $134.37 – $295.24 | 19 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $2,495.41 | 22 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $215.82 | $654.00 | $202.40 – $841.79 | 22 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $1,560.99 | 22 |
| Hbb full gene sequence CPT 81364 | $346.17 | $1,049.00 | $243.44 – $1,349.87 | 22 |
| Hbb gene com variants CPT 81361 | not published | not published | $131.11 – $727.37 | 22 |
| Hbb gene dup/del variants CPT 81363 | $215.82 | $654.00 | $151.80 – $841.79 | 22 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $281.44 – $1,560.99 | 22 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $125.40 – $185.44 | 3 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $341.55 | $1,035.00 | $178.55 – $2,831.77 | 24 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $64.02 | 26 |
| Hcg qualitative CPT 84703 | $99.66 | $302.00 | $5.64 – $31.33 | 26 |
| Hcg quantitative CPT 84702 | $185.79 | $563.00 | $11.29 – $62.66 | 26 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $42.90 – $63.44 | 3 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $42.90 – $63.44 | 3 |
| Hc hearing aid exam both ears CPT 92591 | $127.05 | $385.00 | $125.40 – $185.44 | 3 |
| Hc hearing aid exam one ear CPT 92590 | $111.21 | $337.00 | $125.40 – $185.44 | 3 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $638.10 – $1,033.72 | 16 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $638.10 – $1,033.72 | 16 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $511.50 | $1,550.00 | $133.84 – $1,115.33 | 24 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $377.12 – $3,581.51 | 21 |
| Hc nm kidney imaging with flow CPT 78701 | $575.19 | $1,743.00 | $205.91 – $1,715.94 | 24 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $561.66 | $1,702.00 | $181.64 – $1,513.67 | 24 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $1,346.40 | $4,080.00 | $405.49 – $4,633.56 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $1,566.18 | $4,746.00 | $274.30 – $2,285.82 | 22 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $1,722.60 | $5,220.00 | $453.72 – $3,781.02 | 22 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $1,895.19 | $5,743.00 | $695.65 – $5,797.05 | 22 |
| Hdr rdncl skn surf brachytx CPT 77767 | $208.56 | $632.00 | $217.30 – $1,810.87 | 19 |
| Hdr rdncl skn surf brachytx CPT 77768 | $252.45 | $765.00 | $274.14 – $2,717.87 | 19 |
| Head CT scan (with and without contrast) CPT 70470 | $1,627.56 | $4,932.00 | $131.28 – $1,149.24 | 23 |
| Head CT scan (with contrast) CPT 70460 | $1,479.72 | $4,484.00 | $109.59 – $949.16 | 23 |
| Head CT scan (without contrast) CPT 70450 | $1,345.08 | $4,076.00 | $76.49 – $768.60 | 23 |
| Heart first pass add-on CPT 78496 | $264.99 | $803.00 | $280.50 – $414.80 | 3 |
| Heart first pass multiple CPT 78483 | not published | not published | $172.08 – $1,433.98 | 24 |
| Heart image spect CPT 78494 | not published | not published | $175.39 – $1,461.56 | 24 |
| Heart infarct image CPT 78466 | $488.73 | $1,481.00 | $150.75 – $1,256.22 | 24 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $163.25 – $1,360.43 | 24 |
| Heinz bodies direct CPT 85441 | $15.51 | $47.00 | $3.15 – $17.71 | 26 |
| Helicobacter pylori antibody igm CPT 86677 | $109.56 | $332.00 | $12.64 – $69.47 | 26 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $6.14 – $34.05 | 23 |
| Hematocrit CPT 85014 | $10.23 | $31.00 | $1.78 – $9.53 | 26 |
| Hematopoietic nuclear tx CPT 79403 | $479.49 | $1,453.00 | $112.87 – $940.55 | 24 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $13,477.21 | $40,840.02 | $16.50 – $66.24 | 6 |
| Hemodialysis one evaluation CPT 90935 | $1,582.68 | $4,796.00 | $161.70 – $1,181.63 | 19 |
| Hemoglobin CPT 85018 | $12.87 | $39.00 | $1.78 – $9.53 | 26 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.01 – $16.35 | 23 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $6.00 – $32.69 | 23 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $8.06 – $44.95 | 23 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $15.51 | $47.00 | $6.15 – $34.05 | 26 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $10.01 – $55.85 | 26 |
| Hemoglobin plasma CPT 83051 | $39.60 | $120.00 | $5.48 – $29.97 | 23 |
| Hemoglobin urine CPT 83069 | not published | not published | $2.96 – $16.35 | 26 |
| Hemolysin acid CPT 85475 | not published | not published | $6.65 – $36.78 | 26 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $6.58 – $36.78 | 26 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $9.08 – $50.40 | 26 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $11.88 – $65.38 | 26 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $950.38 – $1,539.62 | 16 |
| Heparin assay CPT 85520 | $54.12 | $164.00 | $9.82 – $54.48 | 26 |
| Heparin bolus from bag HCPCS J1644 | $92.59 | $280.57 | $0.40 – $0.40 | 1 |
| Heparin neutralization CPT 85525 | not published | not published | $8.88 – $49.04 | 26 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $12.79 | $38.77 | $0.04 – $1.22 | 4 |
| Hepatitis a antibody igm CPT 86709 | $36.63 | $111.00 | $8.45 – $46.31 | 26 |
| Hepatitis b core antibody igm CPT 86705 | $31.02 | $94.00 | $8.83 – $49.04 | 26 |
| Hepatitis b core antibody total CPT 86704 | $23.10 | $70.00 | $9.04 – $50.40 | 26 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $143.22 – $470.92 | 22 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $15.05 – $41.02 | 19 |
| Hepatitis b surface antibody CPT 86706 | $33.33 | $101.00 | $8.06 – $44.95 | 26 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $92.22 – $658.80 | 7 |
| Hepatitis c antibody CPT 86803 | $38.28 | $116.00 | $10.70 – $59.93 | 26 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $23.42 – $129.40 | 26 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $178.44 | 21 |
| Hepatobiliary system imaging CPT 78226 | $315.81 | $957.00 | $291.23 – $2,426.89 | 24 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $438.68 – $2,432.75 | 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.