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University of Chicago Medical Centerprice 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.

23 prices shown (filtered).

ServiceCodeList priceCash priceNegotiated rangeAllowed (median)
Adenosine: 10 Vial In 1 Carton (25021-318-02) / 2 Ml In 1 Vial
Inpatient & outpatient
J0153
HCPCS
Adenosine: 10 Vial, Single-Use In 1 Tray (63323-651-02) / 2 Ml In 1 Vial, Single-Use (63323-651-00)
Inpatient & outpatient
J0153
HCPCS
Benzonatate: 100 Blister Pack In 1 Carton (0904-7153-61) / 1 Capsule In 1 Blister Pack
Inpatient & outpatient
11747_00904715361
CDM
Clobazam: 1 Bottle, Glass In 1 Carton (69238-1535-2) / 120 Ml In 1 Bottle, Glass
Inpatient & outpatient
117478_69238153502
CDM
Famotidine: 10 Blister Pack In 1 Box, Unit-Dose (63739-645-10) / 10 Tablet In 1 Blister Pack
Inpatient & outpatient
10153_63739064510
CDM
Famotidine: 100 Blister Pack In 1 Carton (0904-7193-61) / 1 Tablet, Film Coated In 1 Blister Pack
Inpatient & outpatient
10153_00904719361
CDM
Famotidine: 24 Bottle In 1 Box (61442-121-01) / 100 Tablet In 1 Bottle
Inpatient & outpatient
10153_61442012101
CDM
Famotidine: 50 Blister Pack In 1 Carton (0904-7193-06) / 1 Tablet, Film Coated In 1 Blister Pack
Inpatient & outpatient
10153_00904719306
CDM
Hydrocortisone: 1 Tube In 1 Carton (0168-0015-31) / 28.35 G In 1 Tube
Inpatient & outpatient
11840_00168001531
CDM
Jardiance: 30 Blister Pack In 1 Carton (0597-0153-37) / 1 Tablet, Film Coated In 1 Blister Pack
Inpatient & outpatient
121398_00597015337
CDM
Jardiance: 90 Tablet, Film Coated In 1 Bottle (0597-0153-90)
Inpatient & outpatient
121398_00597015390
CDM
Linzess: 1 Bottle In 1 Carton (0456-1203-30) / 30 Capsule, Gelatin Coated In 1 Bottle
Inpatient & outpatient
131530_00456120330
CDM
Lorazepam: 100 Blister Pack In 1 Carton (0904-6009-61) / 1 Tablet In 1 Blister Pack
Inpatient & outpatient
11530_00904600961
CDM
Lorazepam: 100 BLISTER PACK in 1 CARTON (51079-387-20) / 1 TABLET in 1 BLISTER PACK (51079-387-01)
Inpatient & outpatient
11530_51079038720
CDM
Lorazepam: 100 Tablet In 1 Bottle (13107-085-01)
Inpatient & outpatient
11530_13107008501
CDM
Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3427-01)
Inpatient & outpatient
11530_00093342701
CDM
NDC Description Not Available
Inpatient & outpatient
10153_00172572810
CDM
NDC Description Not Available
Inpatient & outpatient
10153_50268029911
CDM
NDC Description Not Available
Inpatient & outpatient
10153_60687059511
CDM
NDC Description Not Available
Inpatient & outpatient
11530_60687064911
CDM
NDC Description Not Available
Inpatient & outpatient
119153_05820400401
CDM
NDC Description Not Available
Inpatient & outpatient
119153_05820400408
CDM
NDC Description Not Available
Inpatient & outpatient
J0153
HCPCS
University of Chicago Medical Center price list · HospitalPricer