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 |
|---|---|---|---|---|
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $75.90 – $112.24 | 3 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $56.58 – $154.14 | 7 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $53.22 – $236.68 | 7 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $302.43 | $916.46 | $195.54 – $458.23 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $105.43 | $319.48 | $21.04 – $90.28 | 7 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $689.04 – $689.04 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $259.05 – $383.08 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $39.48 – $164.32 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $35.27 – $164.32 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $43.24 – $70.76 | 4 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $85.06 | $257.75 | $15.85 – $48.80 | 7 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $14.80 – $41.30 | 4 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $94.38 – $152.28 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $17.06 – $42.80 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $18.49 – $44.20 | 4 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $7.44 – $20.66 | 4 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $24.65 – $54.88 | 4 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $89.55 – $144.50 | 3 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $16.64 – $72.68 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $4.85 – $70.76 | 7 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $501.20 – $501.20 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $426.18 – $426.18 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $264.00 – $390.40 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $264.00 – $390.40 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | $200.53 | $607.67 | $128.70 – $207.18 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $161.88 – $623.08 | 6 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $87.60 – $262.26 | 7 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $167.75 – $507.20 | 4 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $309.34 – $513.40 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $581.91 | $1,763.36 | $363.61 – $881.68 | 4 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1,598.12 | $4,842.80 | $74.25 – $109.80 | 4 |
| Vaccine rabies im CPT 90675 | $859.33 | $2,604.02 | $317.67 – $927.16 | 22 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $660.80 – $660.80 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,164.24 – $1,164.24 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,164.24 – $1,164.24 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $658.56 – $658.56 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $273.90 – $405.04 | 4 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $189.75 – $280.60 | 4 |
| Vaccine tdap >=7 years im CPT 90715 | $109.52 | $331.89 | $99.00 – $146.40 | 4 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $51.15 – $90.30 | 4 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $125.40 – $328.32 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | $362.43 | $1,098.28 | $226.05 – $409.92 | 4 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $199.65 – $501.70 | 4 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 19 |
| Vaginal bx CPT 58999 | not published | not published | $209.70 – $339.71 | 16 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $50.49 | $153.00 | $10.16 – $55.85 | 26 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $3,483.15 – $7,429.00 | 4 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $3,608.55 – $7,429.00 | 4 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $2,773.65 – $7,429.00 | 4 |
| Vancomycin hcl injection HCPCS J3370 | $697.41 | $2,113.36 | $3.72 – $15.47 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $48.51 | $147.00 | $10.16 – $55.85 | 26 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $26.32 – $145.75 | 26 |
| Varicella zoster antibody igg CPT 86787 | $64.35 | $195.00 | $9.66 – $53.12 | 26 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $214.50 – $4,888.96 | 6 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $481.48 | $1,459.03 | $2.29 – $3.26 | 3 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $553.11 – $896.04 | 16 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $324.61 – $525.87 | 16 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $553.11 – $896.04 | 16 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $324.61 – $525.87 | 16 |
| Vein x-ray adrenal gland CPT 75840 | $1,964.16 | $5,952.00 | $83.46 – $6,438.74 | 8 |
| Vein x-ray adrenal glands CPT 75842 | $2,160.84 | $6,548.00 | $98.54 – $10,733.33 | 8 |
| Vein x-ray eye socket CPT 75880 | $1,964.16 | $5,952.00 | $83.10 – $1,218.65 | 24 |
| Vein x-ray kidney CPT 75831 | $1,541.10 | $4,670.00 | $76.48 – $6,438.74 | 8 |
| Vein x-ray liver CPT 75891 | $1,266.21 | $3,837.00 | $81.26 – $6,438.74 | 8 |
| Vein x-ray liver w/hemodynam CPT 75885 | $1,608.75 | $4,875.00 | $80.52 – $6,438.74 | 8 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,403.49 | $4,253.00 | $80.52 – $6,438.74 | 8 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,223.31 | $3,707.00 | $81.26 – $6,438.74 | 8 |
| Vein x-ray skull CPT 75870 | $781.44 | $2,368.00 | $108.84 – $6,438.74 | 8 |
| Vein x-ray skull epidural CPT 75872 | $1,964.16 | $5,952.00 | $83.46 – $1,218.65 | 24 |
| Vein x-ray spleen/liver CPT 75810 | $1,964.16 | $5,952.00 | $442.96 – $6,438.74 | 8 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $163.10 – $264.22 | 16 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $163.10 – $264.22 | 16 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $324.61 – $525.87 | 16 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $208.89 | $633.00 | $6.21 – $23.00 | 4 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $19.52 – $19.52 | 1 |
| Venogram ext bil s&i CPT 75822 | $1,185.69 | $3,593.00 | $72.81 – $3,163.82 | 8 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $481.80 | $1,460.00 | $65.82 – $3,163.82 | 8 |
| Venous sampling s&i CPT 75893 | $2,730.75 | $8,275.00 | $88.98 – $10,733.33 | 8 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $133.09 – $1,109.11 | 24 |
| Ven thrombosis images bilat CPT 78458 | $290.07 | $879.00 | $167.30 – $1,394.14 | 24 |
| Ventilator each subsequent day CPT 94003 | not published | not published | $689.14 – $1,116.41 | 16 |
| Ventilator initial day CPT 94002 | $899.91 | $2,727.00 | $234.30 – $1,116.41 | 19 |
| Vent mgmt nf per day CPT 94004 | not published | not published | $123.75 – $183.00 | 3 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $928.06 – $1,503.46 | 16 |
| Very long chain fatty acids CPT 82726 | not published | not published | $14.81 – $81.73 | 26 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $292.62 – $292.62 | 1 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $106.91 | $323.98 | $9.66 – $9.66 | 1 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $24.18 | $73.26 | $12.21 – $18.06 | 4 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $13.12 – $72.19 | 23 |
| Virus isolation addl studies ea CPT 87253 | $26.07 | $79.00 | $15.15 – $84.45 | 26 |
| Visual audiometry (vra) CPT 92579 | $254.10 | $770.00 | $112.20 – $264.22 | 19 |
| Vital capacity test CPT 94150 | $87.45 | $265.00 | $61.05 – $264.22 | 19 |
| Vitamin b-12 CPT 82607 | $52.14 | $158.00 | $11.31 – $62.66 | 26 |
| Vitamin D Test CPT 82306 | $62.37 | $189.00 | $22.20 – $122.59 | 26 |
| Vkorc1 gene CPT 81355 | not published | not published | $68.45 – $366.41 | 23 |
| Vlvctmy rad comp bi lymphad CPT 56637 | not published | not published | $5,706.17 – $5,706.17 | 1 |
| Vlvctmy rad comp uni lymphad CPT 56634 | not published | not published | $5,706.17 – $5,706.17 | 1 |
| Vlvctmy rad prtl uni lymphad CPT 56631 | not published | not published | $5,706.17 – $5,706.17 | 1 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $9.19 – $289.38 | 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.