Advocate Illinois Masonic Medical Center — price list
← Hospital overviewVerified from Advocate Illinois Masonic Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
3 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1085752 - BARRIER ADH 6X5IN BIORESBL 1 SHT DEHP-FR SPRFLM SOD HALUR Outpatient | C1765 HCPCS | $2,361 | $1,180 | $536 – $1,889 | $1,629 | |
| 1086120 - BARRIER ADH 4X3IN ABS CNTRL BYND CLSR GYNECARE INTCD PLVC Outpatient | C1765 HCPCS | $1,666 | $833 | $378 – $1,333 | $1,629 | |
| 1096739 - BARRIER ADH 5X3IN BIORESBL 6 SHT DEHP-FR SPRFLM SOD HALUR Outpatient | C1765 HCPCS | $4,864 | $2,432 | $1,104 – $3,891 | $1,629 |