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.

25 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Alprazolam: 100 Tablet In 1 Bottle (51991-704-01) Inpatient & outpatient	10000_51991070401 CDM	—	—	—	—
Bleomycin: 1 VIAL, SINGLE-DOSE in 1 CARTON (0703-3154-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE Inpatient & outpatient	J9040 HCPCS	—	—	—	—
Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1) / 3 Ml In 1 Vial Inpatient & outpatient	J0706 HCPCS	—	—	—	—
Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5747-11) / 50 Ml In 1 Vial, Multi-Dose Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5748-11) / 100 Ml In 1 Vial, Multi-Dose Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-270-30) Inpatient & outpatient	123950_70700027030 CDM	—	—	—	—
Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-271-30) Inpatient & outpatient	123951_70700027130 CDM	—	—	—	—
Desonide: 1 Tube In 1 Carton (51672-1281-1) / 15 G In 1 Tube Inpatient & outpatient	10705_51672128101 CDM	—	—	—	—
Desonide: 1 Tube In 1 Carton (72603-164-01) / 15 G In 1 Tube Inpatient & outpatient	10705_72603016401 CDM	—	—	—	—
Gazyva: 1 Vial, Single-Use In 1 Carton (50242-070-01) / 40 Ml In 1 Vial, Single-Use Inpatient & outpatient	J9301 HCPCS	—	—	—	—
Hydroxyurea: 100 Blister Pack In 1 Box, Unit-Dose (68084-284-01) / 1 Capsule In 1 Blister Pack (68084-284-11) Inpatient & outpatient	126070_68084028401 CDM	—	—	—	—
Hydroxyurea: 100 Blister Pack In 1 Carton (0904-6939-61) / 1 Capsule In 1 Blister Pack Inpatient & outpatient	126070_00904693961 CDM	—	—	—	—
Lansoprazole: 500 Capsule, Delayed Release In 1 Bottle (70700-263-05) Inpatient & outpatient	13145_70700026305 CDM	—	—	—	—
Lorazepam: 100 Tablet In 1 Bottle (13107-085-01) Inpatient & outpatient	11530_13107008501 CDM	—	—	—	—
Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9260 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	115012_05777100704 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	126070_68084028411 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12697_00703203301 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12697_00703205601 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	134374_09999007085 CDM	—	—	—	—
Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01) Inpatient & outpatient	12222_75907006901 CDM	—	—	—	—
Nystatin: 5 Ml In 1 Cup, Unit-Dose (63739-160-70) Inpatient & outpatient	1306_63739016070 CDM	—	—	—	—
Phenazopyridine Hydrochloride: 100 TABLET, COATED in 1 BOTTLE (42937-701-10) Inpatient & outpatient	11638_42937070110 CDM	—	—	—	—
Potassium Chloride: 24 Bag In 1 Carton (0338-0703-48) / 100 Ml In 1 Bag Inpatient & outpatient	J3480 HCPCS	—	—	—	—
Potassium Chloride: 24 Bag In 1 Carton (0338-0705-48) / 100 Ml In 1 Bag Inpatient & outpatient	J3480 HCPCS	—	—	—	—