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 |
|---|---|---|---|---|
| Cine/video x-rays CPT 76120 | $114.51 | $347.00 | $106.91 – $913.22 | 24 |
| Cine/video x-rays add-on CPT 76125 | $141.24 | $428.00 | $105.60 – $156.16 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $46.43 | $140.70 | $1.66 – $1.66 | 1 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $695.78 – $1,127.16 | 16 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $298.65 | $904.99 | $5.38 – $85.89 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $352.11 | $1,067.00 | $247.13 – $1,370.30 | 23 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $530.85 – $859.98 | 16 |
| Clearance of airways CPT 31720 | not published | not published | $212.02 – $343.47 | 16 |
| Clearance of tear duct CPT 68530 | not published | not published | $311.61 – $504.81 | 16 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $134.37 – $278.16 | 19 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $134.37 – $217.68 | 19 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $134.37 – $263.52 | 19 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $40.91 – $207.40 | 19 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $106.97 | $324.15 | $2.77 – $4.26 | 3 |
| Clip ligating vesolock lg HCPCS C1760 | $472.97 | $1,433.25 | $712.36 – $712.36 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $250.06 – $405.10 | 16 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $250.06 – $405.10 | 16 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $250.06 – $405.10 | 16 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $250.06 – $405.10 | 16 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $530.85 – $859.98 | 16 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $250.06 – $405.10 | 16 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $250.06 – $405.10 | 16 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $242.07 – $392.15 | 16 |
| Close tear duct opening CPT 68760 | not published | not published | $311.61 – $504.81 | 16 |
| Close tear duct opening CPT 68761 | not published | not published | $311.61 – $504.81 | 16 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $12.00 – $66.74 | 26 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $530.85 – $859.98 | 16 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $644.49 – $1,044.07 | 16 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $14.20 – $79.00 | 26 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $15.32 – $84.45 | 26 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $14.20 – $79.00 | 26 |
| Clot factor xii hageman CPT 85280 | $126.39 | $383.00 | $14.51 – $80.37 | 26 |
| Clot factor xiii fibrin scrn CPT 85291 | $36.63 | $111.00 | $6.83 – $38.14 | 26 |
| Clot factor xiii fibrin stab CPT 85290 | $44.55 | $135.00 | $12.26 – $68.11 | 26 |
| Clotting assay whole blood CPT 85396 | not published | not published | $13.10 – $63.44 | 10 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $276.85 – $448.50 | 16 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $530.85 – $859.98 | 16 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $250.06 – $405.10 | 16 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $250.06 – $405.10 | 16 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $250.06 – $405.10 | 16 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $250.06 – $405.10 | 16 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $250.06 – $405.10 | 16 |
| Cltx post ankle fx CPT 27767 | not published | not published | $250.06 – $405.10 | 16 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $250.06 – $405.10 | 16 |
| C motor evoked lwr limbs CPT 95929 | $578.16 | $1,752.00 | $440.55 – $896.04 | 19 |
| C motor evoked uppr limbs CPT 95928 | $578.16 | $1,752.00 | $417.45 – $617.32 | 3 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $61.92 – $100.31 | 16 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $61.92 – $143.96 | 19 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $10.55 – $58.57 | 26 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $6.60 – $36.78 | 26 |
| #cmvcul-virus inoculation shell CPT 87254 | $37.62 | $114.00 | $14.67 – $81.73 | 26 |
| Cmv pcr-sendout CPT 87496 | $97.02 | $294.00 | $26.32 – $145.75 | 26 |
| Co2 monitor per day CPT 94681 | not published | not published | $324.61 – $525.87 | 16 |
| Coagulation time activated teg CPT 85347 | $9.24 | $28.00 | $3.21 – $17.71 | 26 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.37 – $19.07 | 26 |
| Cocaine 4 % nasal solution HCPCS C9046 | $1,013.86 | $3,072.30 | $3.12 – $3.12 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $163.10 – $264.22 | 16 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $163.10 – $264.22 | 16 |
| Cold agglutinin screen (arc) CPT 86156 | $32.67 | $99.00 | $6.05 – $34.05 | 26 |
| Cold agglutinin titer CPT 86157 | not published | not published | $6.05 – $34.05 | 26 |
| Colistimethate sodium inj HCPCS J0770 | $115.84 | $351.02 | $24.32 – $56.12 | 4 |
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.