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 |
|---|---|---|---|---|
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $269.58 | $816.90 | $475.34 – $475.34 | 1 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $750.52 | $2,274.30 | $1,264.89 – $1,264.89 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $212.02 – $343.47 | 16 |
| Osmolality blood CPT 83930 | $18.48 | $56.00 | $4.96 – $27.24 | 26 |
| Osmolality urine CPT 83935 | $15.51 | $47.00 | $5.12 – $28.60 | 26 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $26.37 – $161.04 | 19 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $26.37 – $190.32 | 19 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $26.37 – $219.60 | 19 |
| Ot evaluation high complexity patient/family CPT 97167 | $148.50 | $450.00 | $99.54 – $226.92 | 19 |
| Ot evaluation low complexity patient/family CPT 97165 | $123.42 | $374.00 | $99.54 – $226.92 | 19 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $135.30 | $410.00 | $99.54 – $226.92 | 19 |
| Other bone graft microvasc CPT 20962 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Other immunoelectrophoresis CPT 86325 | $29.37 | $89.00 | $23.13 – $96.71 | 26 |
| Oth resp proc, group HCPCS G0239 | $47.85 | $145.00 | $28.05 – $41.48 | 3 |
| Oth resp proc, indiv HCPCS G0238 | $37.95 | $115.00 | $28.05 – $41.48 | 3 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $42.90 | $130.00 | $51.36 – $102.48 | 19 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $88.44 | $268.00 | $46.82 – $97.60 | 19 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $93.39 | $283.00 | $26.52 – $78.08 | 19 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $69.30 – $102.48 | 3 |
| Ot re-evaluation patient/family CPT 97168 | $70.29 | $213.00 | $68.76 – $129.32 | 19 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $81.18 | $246.00 | $35.50 – $87.84 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $32.67 | $99.00 | $20.63 – $71.00 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $33.99 | $103.00 | $21.61 – $73.20 | 19 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $95.37 | $289.00 | $28.81 – $85.40 | 19 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $41.25 | $125.00 | $32.82 – $87.84 | 19 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $33.00 | $100.00 | $32.09 – $87.84 | 19 |
| Out of office emerg med serv CPT 99060 | not published | not published | $52.80 – $78.08 | 3 |
| Ovulation tests CPT 84830 | not published | not published | $9.53 – $53.12 | 26 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $97.51 | $295.48 | $2.14 – $2.14 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $547.54 | $1,659.22 | $0.16 – $29.28 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $157.54 | $477.38 | $2.86 – $2.86 | 1 |
| P-32 chromic phos ther per mci HCPCS A9564 | $243.54 | $738.00 | $257.38 – $257.38 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $243.54 | $738.00 | $621.94 – $621.94 | 1 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $569.37 | 22 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $293.12 | $888.24 | $0.22 – $0.22 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $2,126.42 | $6,443.69 | $16.73 – $29.28 | 6 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $410.18 – $2,814.15 | 21 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $226.01 – $1,253.15 | 21 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $610.91 | $1,851.25 | $17.42 – $29.46 | 3 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $414.41 – $4,078.28 | 22 |
| Palonosetron hcl HCPCS J2469 | $317.39 | $961.80 | $1.14 – $53.68 | 4 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $212.11 | $642.75 | $25.16 – $25.16 | 1 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $29.31 | $88.83 | $9.28 – $9.28 | 1 |
| Papaverin hcl injection HCPCS J2440 | $85.02 | $257.63 | $76.50 – $76.50 | 1 |
| Parathormone (pth) intact CPT 83970 | $100.32 | $304.00 | $30.96 – $171.63 | 26 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $361.09 – $3,009.11 | 24 |
| Parathyroid planar imaging CPT 78070 | $1,073.82 | $3,254.00 | $258.13 – $2,151.06 | 24 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,323.96 | $4,012.00 | $294.54 – $2,454.47 | 24 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $207.13 – $335.55 | 16 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $6,299.10 – $6,299.10 | 1 |
| Partial removal of sternum CPT 21620 | not published | not published | $643.77 – $643.77 | 1 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $1,204.01 | $3,648.51 | $5.08 – $5.08 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $4,925.70 – $4,925.70 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $60.46 – $289.38 | 20 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $32.18 – $289.38 | 20 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $28.97 – $107.28 | 4 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $14.94 – $90.23 | 20 |
| Patient recorded spirometry CPT 94014 | not published | not published | $130.35 – $673.87 | 19 |
| Patient recorded spirometry CPT 94015 | not published | not published | $64.35 – $525.87 | 19 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $191.29 – $1,061.09 | 23 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $644.56 – $644.56 | 1 |
| Pdgfra gene CPT 81314 | $352.11 | $1,067.00 | $247.13 – $1,370.30 | 23 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $207.13 – $335.55 | 16 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $1,207.80 – $1,786.08 | 3 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $711.15 – $1,051.64 | 3 |
| Ped crit care transport CPT 99466 | not published | not published | $516.45 – $763.72 | 3 |
| Ped crit care transport addl CPT 99467 | not published | not published | $257.40 – $380.64 | 3 |
| Ped critical care initial CPT 99471 | not published | not published | $1,752.30 – $2,591.28 | 3 |
| Ped critical care subsq CPT 99472 | not published | not published | $858.00 – $1,268.80 | 3 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $163.10 – $264.22 | 16 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $163.10 – $264.22 | 16 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $8,944.69 | $27,105.11 | $39.96 – $133.90 | 3 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $5,993.21 | $18,161.25 | $165.30 – $271.10 | 3 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $5,993.21 | $18,161.25 | $419.80 – $596.62 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,996.61 | $9,080.63 | $200.13 – $250.60 | 3 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $12,759.31 | $38,664.57 | $4,138.13 – $7,100.10 | 3 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $751.74 | $2,278.00 | $178.55 – $1,388.36 | 23 |
| Pelvic CT scan (with contrast) CPT 72193 | $725.01 | $2,197.00 | $178.55 – $1,141.92 | 23 |
| Pelvic CT scan (without contrast) CPT 72192 | $551.43 | $1,671.00 | $94.51 – $954.04 | 23 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,629.11 | $7,967.00 | $269.92 – $2,881.64 | 23 |
| Pelvic MRI (with contrast) CPT 72196 | $2,181.30 | $6,610.00 | $216.59 – $2,083.76 | 23 |
| Pelvic MRI (without contrast) CPT 72195 | $1,687.95 | $5,115.00 | $184.97 – $1,876.36 | 23 |
| Pelvic Ultrasound (complete) CPT 76856 | $679.80 | $2,060.00 | $81.27 – $677.23 | 24 |
| Pelvic Ultrasound (limited) CPT 76857 | $397.32 | $1,204.00 | $29.41 – $331.84 | 24 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $7,668.10 | $23,236.66 | $69.92 – $115.20 | 3 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $612.76 | $1,856.85 | $26.84 – $53.64 | 3 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $37.84 | $114.68 | $1.50 – $1.50 | 1 |
| Penile injection CPT 54235 | not published | not published | $253.53 – $410.72 | 16 |
| Penile vascular study CPT 93980 | $484.11 | $1,467.00 | $64.72 – $597.80 | 21 |
| Penile vascular study CPT 93981 | $349.14 | $1,058.00 | $55.52 – $427.00 | 21 |
| Penis study CPT 54240 | not published | not published | $324.61 – $525.87 | 16 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $688.63 | $2,086.76 | $83.22 – $192.76 | 4 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $42.90 – $100.31 | 19 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $92.40 – $136.64 | 3 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $69.30 – $102.48 | 3 |
| Peritoneogram rs&i CPT 74190 | $298.32 | $904.00 | $37.83 – $1,086.50 | 24 |
| Perit-vens shunt pat tst CPT 78291 | $336.60 | $1,020.00 | $223.56 – $1,862.97 | 24 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $733.44 – $1,188.17 | 16 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $733.44 – $1,188.17 | 16 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $253.53 – $410.72 | 16 |
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.