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 |
|---|---|---|---|---|
| Limb exercise test CPT 95875 | not published | not published | $163.10 – $312.32 | 19 |
| Limited autopsy CPT 88036 | not published | not published | $2.22 – $136.58 | 5 |
| Limited autopsy CPT 88037 | not published | not published | $1.98 – $121.65 | 5 |
| Limited visual field xm CPT 92081 | not published | not published | $61.92 – $163.48 | 19 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $379.68 | $1,150.55 | $5.96 – $95.16 | 4 |
| Lipase CPT 83690 | $32.67 | $99.00 | $5.17 – $28.60 | 26 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $25.40 – $140.30 | 26 |
| Lipoprotein blood quant CPT 83704 | $64.68 | $196.00 | $25.64 – $141.66 | 26 |
| Lipoprotein direct measurement hdl CPT 83718 | $23.76 | $72.00 | $6.14 – $34.05 | 26 |
| Lipoprotein direct measurement ldl CPT 83721 | $20.46 | $62.00 | $7.88 – $43.59 | 26 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $25.64 – $141.66 | 25 |
| Lip surgery procedure CPT 40799 | not published | not published | $242.07 – $392.15 | 16 |
| Listeria monocytogenes CPT 86723 | not published | not published | $9.89 – $54.48 | 23 |
| Lithium therapeutic drug level CPT 80178 | $25.74 | $78.00 | $4.96 – $27.24 | 26 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $7,429.00 – $7,429.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $2,093.59 | 21 |
| Liver elastography 91200 CPT 91200 | not published | not published | $163.10 – $264.22 | 16 |
| Liver Function Test CPT 80076 | $67.98 | $206.00 | $7.59 – $34.05 | 26 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $513.26 – $513.26 | 1 |
| Liver imaging CPT 78201 | $769.89 | $2,333.00 | $174.65 – $1,455.44 | 24 |
| Liver imaging (3d) CPT 78205 | not published | not published | $308.88 – $795.44 | 4 |
| Liver imag w/vasclr flow CPT 78202 | $549.45 | $1,665.00 | $190.47 – $1,587.22 | 24 |
| Liver/spleen imag static only CPT 78215 | $468.60 | $1,420.00 | $177.59 – $1,479.95 | 24 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $402.60 | $1,220.00 | $114.70 – $955.79 | 24 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $143.55 – $212.28 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $114.95 | $348.32 | $2.70 – $2.70 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $59.40 – $525.87 | 19 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $773.85 | $2,345.00 | $159.23 – $1,400.56 | 23 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $759.99 | $2,303.00 | $129.07 – $1,146.80 | 23 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $500.28 | $1,516.00 | $94.88 – $956.48 | 23 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,430.88 | $4,336.00 | $244.91 – $2,867.00 | 23 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,299.54 | $3,938.00 | $215.85 – $2,139.88 | 23 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,181.40 | $3,580.00 | $140.84 – $1,866.60 | 23 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $142.23 | $431.00 | $32.72 – $272.68 | 24 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $207.13 – $335.55 | 16 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $16.49 – $91.26 | 26 |
| Lumbar diskogram s&i CPT 72295 | $2,455.53 | $7,441.00 | $80.16 – $3,947.38 | 8 |
| Lung function test (mbc/mvv) CPT 94200 | $79.53 | $241.00 | $61.92 – $100.31 | 19 |
| Lung Function Test (Spirometry) CPT 94010 | $284.79 | $863.00 | $90.75 – $264.22 | 19 |
| Lung perfusion imaging CPT 78580 | $495.66 | $1,502.00 | $202.97 – $1,691.42 | 24 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $25.53 – $41.36 | 16 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $15.04 – $83.09 | 26 |
| Lymphatics/lymph node imaging CPT 78195 | $1,451.34 | $4,398.00 | $298.94 – $2,491.16 | 24 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $27.42 – $161.04 | 26 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $36.77 – $204.32 | 26 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $100.65 – $788.67 | 26 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $35.69 – $197.51 | 26 |
| Lymph vessel x-ray arm/leg CPT 75801 | $367.62 | $1,114.00 | $237.27 – $1,977.25 | 24 |
| Lymph vessel x-ray arms/legs CPT 75803 | $549.12 | $1,664.00 | $225.52 – $3,163.82 | 8 |
| Lymph vessel x-ray trunk CPT 75805 | $549.12 | $1,664.00 | $249.03 – $6,438.74 | 8 |
| Lymph vessel x-ray trunk CPT 75807 | $1,681.35 | $5,095.00 | $239.11 – $6,438.74 | 8 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $530.85 – $859.98 | 16 |
| Macro exam dissect molec study ea CPT 88387 | $47.19 | $143.00 | $8.03 – $44.49 | 6 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.20 – $17.71 | 26 |
| Macroscopic exam parasite CPT 87169 | $13.86 | $42.00 | $3.23 – $17.71 | 26 |
| Magnesium CPT 83735 | $61.71 | $187.00 | $5.03 – $27.24 | 26 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $111.10 | $336.68 | $0.98 – $0.98 | 1 |
| Magnetic image bone marrow CPT 77084 | $884.07 | $2,679.00 | $230.13 – $1,942.24 | 23 |
| Malaria antibody CPT 86750 | not published | not published | $9.89 – $54.48 | 26 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | not published | not published | $134.37 – $217.68 | 16 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $76.56 | $232.00 | $59.40 – $217.68 | 19 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $250.06 – $405.10 | 16 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $9.14 | $27.70 | $5.08 – $5.08 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.80 – $20.43 | 26 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $250.14 | $758.00 | $491.70 – $727.12 | 3 |
| Map tachycard site(s) CPT 93609 | not published | not published | $990.00 – $6,308.00 | 5 |
| Mastoids complete CPT 70130 | $79.86 | $242.00 | $51.11 – $425.92 | 24 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $26.32 – $145.75 | 26 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $20.47 – $113.06 | 26 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $32.13 – $178.44 | 26 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $41.25 | $125.00 | $10.85 – $59.93 | 26 |
| Mayo aathr protein s free CPT 85306 | $291.06 | $882.00 | $11.49 – $64.02 | 26 |
| Mayo activated protein c resistance assay CPT 85307 | $109.89 | $333.00 | $11.49 – $64.02 | 26 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $46.20 | $140.00 | $28.93 – $160.73 | 22 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $85.14 | $258.00 | $0.02 – $10.49 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $85.14 | $258.00 | $0.02 – $48.80 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $36.63 | $111.00 | $11.09 – $61.30 | 26 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $85.14 | $258.00 | $0.02 – $63.44 | 5 |
| Mayo alpha 1 antitrypsin CPT 82103 | $36.63 | $111.00 | $10.08 – $55.85 | 26 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $46.20 | $140.00 | $11.31 – $62.66 | 26 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.02 – $43.92 | 5 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $85.14 | $258.00 | $0.02 – $8.43 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $309.87 | $939.00 | $91.22 – $505.35 | 23 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $187.77 | $569.00 | $68.75 – $381.39 | 23 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $189.75 | $575.00 | $102.75 – $569.37 | 22 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $742.50 | $2,250.00 | $771.58 – $4,826.01 | 9 |
| Mayo androstenedione CPT 82157 | $134.31 | $407.00 | $21.96 – $121.23 | 26 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $26.73 | $81.00 | $10.95 – $61.30 | 26 |
| Mayo antithrombin iii antigen CPT 85301 | $53.79 | $163.00 | $8.11 – $44.95 | 26 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $21.78 | $66.00 | $11.29 – $62.66 | 26 |
| Mayo avwpr vw factor activity CPT 85397 | $68.64 | $208.00 | $23.15 – $128.04 | 23 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $145.75 | 21 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $85.14 | $258.00 | $0.02 – $31.72 | 5 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $16.50 | $50.00 | $7.64 – $42.23 | 26 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $442.53 | $1,341.00 | $108.63 – $602.06 | 23 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $160.97 – $892.19 | 23 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $22.44 | $68.00 | $9.68 – $53.12 | 26 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $85.14 | $258.00 | $0.02 – $10.49 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $22.44 | $68.00 | $9.89 – $54.48 | 26 |
| Mayo brcmg brucella antibody igm CPT 86622 | $57.75 | $175.00 | $6.70 – $36.78 | 26 |
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.