University of Chicago Medical Center — price list

← Hospital overviewVerified from University of Chicago Medical Center’s published price file

Showing the first 1,500 prices. 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.

24 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1 VIAL, SINGLE-DOSE in 1 CARTON (0078-0827-61) / .05 mL in 1 VIAL, SINGLE-DOSE Inpatient & outpatient	J0179 HCPCS	—	—	—	—
Adrenalin: 25 Vial In 1 Carton (42023-159-25) / 1 Ml In 1 Vial (42023-159-01) Inpatient & outpatient	J0171 HCPCS	—	—	—	—
Anoro Ellipta: 1 Tray In 1 Carton (0173-0869-06) / 1 Inhaler In 1 Tray / 7 Powder In 1 Inhaler Inpatient & outpatient	119167_00173086906 CDM	—	—	—	—
Anoro Ellipta: 1 Tray In 1 Carton (0173-0869-10) / 1 Inhaler In 1 Tray / 30 Powder In 1 Inhaler Inpatient & outpatient	119167_00173086910 CDM	—	—	—	—
Baclofen: 100 Tablet In 1 Bottle (0172-4096-60) Inpatient & outpatient	11689_00172409660 CDM	—	—	—	—
Captopril: 100 TABLET in 1 BOTTLE, PLASTIC (0378-3017-01) Inpatient & outpatient	13346_00378301701 CDM	—	—	—	—
Diazepam: 100 Tablet In 1 Bottle (0172-3925-60) Inpatient & outpatient	11568_00172392560 CDM	—	—	—	—
Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial Inpatient & outpatient	J0173 HCPCS	—	—	—	—
Epinephrine: 10 Carton In 1 Package (76329-3318-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe Inpatient & outpatient	J0171 HCPCS	—	—	—	—
Epinephrine: 10 VIAL in 1 PACKAGE (76329-3316-1) / 10 mL in 1 VIAL Inpatient & outpatient	J0171 HCPCS	—	—	—	—
EPINEPHRINE: 25 AMPULE in 1 CARTON (0409-7241-01) / 1 mL in 1 AMPULE (0409-7241-10) Inpatient & outpatient	J0171 HCPCS	—	—	—	—
Eylea: 1 Syringe, Glass In 1 Carton (61755-005-01) / .05 Ml In 1 Syringe, Glass Inpatient & outpatient	J0178 HCPCS	—	—	—	—
Eylea: 1 Vial, Single-Use In 1 Carton (61755-005-02) / .05 Ml In 1 Vial, Single-Use Inpatient & outpatient	J0178 HCPCS	—	—	—	—
Flovent Hfa: 1 Inhaler In 1 Carton (0173-0718-20) / 120 Aerosol, Metered In 1 Inhaler Inpatient & outpatient	13584_00173071820 CDM	—	—	—	—
Incruse Ellipta: 1 Tray In 1 Carton (0173-0873-06) / 1 Inhaler In 1 Tray / 7 Aerosol, Powder In 1 Inhaler Inpatient & outpatient	122384_00173087306 CDM	—	—	—	—
Incruse Ellipta: 1 Tray In 1 Carton (0173-0873-10) / 1 Inhaler In 1 Tray / 30 Aerosol, Powder In 1 Inhaler Inpatient & outpatient	122384_00173087310 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	10153_00172572810 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	102292_99999001757 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	J0171 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	108222_05707400177 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	13258_50268017511 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	J9017 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	141646_99999001790 CDM	—	—	—	—
Nucala: 1 Vial In 1 Carton (0173-0881-01) / 1 Ml In 1 Vial Inpatient & outpatient	J2182 HCPCS	—	—	—	—