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.

21 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Albuterol Sulfate: 473 Ml In 1 Bottle (70752-102-12) Inpatient & outpatient	13654_70752010212 CDM	—	—	—	—
Descovy: 30 Tablet In 1 Bottle, Plastic (61958-2002-1) Inpatient & outpatient	J0751 HCPCS	—	—	—	—
Diazepam: 3 Tray In 1 Case (68094-750-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-750-59) Inpatient & outpatient	110508_68094075062 CDM	—	—	—	—
Envarsus Xr: 1 Pouch In 1 Carton (68992-3075-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle Inpatient & outpatient	J7503 HCPCS	—	—	—	—
Envarsus Xr: 1 Pouch In 1 Carton (68992-3075-3) / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic Inpatient & outpatient	J7503 HCPCS	—	—	—	—
Fluorometholone: 1 Bottle, Dropper In 1 Carton (60758-880-05) / 5 Ml In 1 Bottle, Dropper Inpatient & outpatient	13190_60758088005 CDM	—	—	—	—
Hydrocortisone: 100 Tablet In 1 Bottle (59762-0075-1) Inpatient & outpatient	13955_59762007501 CDM	—	—	—	—
Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-102-01) / 15 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9047 HCPCS	—	—	—	—
Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-103-01) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9047 HCPCS	—	—	—	—
Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01) / 30 Ml In 1 Vial, Single-Use Inpatient & outpatient	J9047 HCPCS	—	—	—	—
Lansoprazole: 1 Kit In 1 Container (65628-080-03) * .27 G In 1 Bottle, Plastic * 90 Ml In 1 Bottle, Plastic Inpatient & outpatient	107533_65628008003 CDM	—	—	—	—
Lansoprazole: 1 Kit In 1 Container (65628-080-10) * 300 Ml In 1 Bottle, Plastic * .9 G In 1 Bottle, Plastic Inpatient & outpatient	107533_65628008010 CDM	—	—	—	—
Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-646-87) / 20 Ml In 1 Vial Inpatient & outpatient	1060_70756064687 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	10075_68084010311 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	1072_49281075278 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	1082_50268007511 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	110508_68094075059 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12697_00781315075 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	90750 HCPCS	—	—	—	—
Phenobarbital: 100 TABLET in 1 BOTTLE (13517-755-01) Inpatient & outpatient	12233_13517075501 CDM	—	—	—	—
Potassium Chloride: 24 Pouch In 1 Case (0990-7075-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag Inpatient & outpatient	J3480 HCPCS	—	—	—	—