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.

29 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
2 VIAL, SINGLE-USE in 1 CARTON (24208-002-02) / 1.2 mL in 1 VIAL, SINGLE-USE Inpatient & outpatient	106272_24208000202 CDM	—	—	—	—
Activase: 1 Kit In 1 Carton (50242-085-27) * 100 Ml In 1 Vial, Single-Use * 100 Ml In 1 Vial, Single-Use Inpatient & outpatient	J2997 HCPCS	—	—	—	—
Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use Inpatient & outpatient	C9257 HCPCS	—	—	—	—
Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial Inpatient & outpatient	J2997 HCPCS	—	—	—	—
Cathflo Activase: 10 Vial In 1 Carton (50242-041-10) / 2 Ml In 1 Vial Inpatient & outpatient	J2997 HCPCS	—	—	—	—
Cephalexin: 100 Ml In 1 Bottle (0093-4177-73) Inpatient & outpatient	12429_00093417773 CDM	—	—	—	—
Cephalexin: 100 mL in 1 BOTTLE (24979-155-14) Inpatient & outpatient	12429_24979015514 CDM	—	—	—	—
Cephalexin: 200 mL in 1 BOTTLE (24979-155-38) Inpatient & outpatient	12429_24979015538 CDM	—	—	—	—
Cephalexin: 200 mL in 1 BOTTLE (42043-143-58) Inpatient & outpatient	12429_42043014358 CDM	—	—	—	—
Desmopressin Acetate: 1 Bottle, Pump In 1 Carton (24208-342-05) / 5 Ml In 1 Bottle, Pump Inpatient & outpatient	12059_24208034205 CDM	—	—	—	—
Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02) / 5 Ml In 1 Bottle, Dropper Inpatient & outpatient	12883_24208072002 CDM	—	—	—	—
Erythromycin: 1 Tube In 1 Carton (24208-910-55) / 3.5 G In 1 Tube Inpatient & outpatient	12165_24208091055 CDM	—	—	—	—
Erythromycin: 50 Tube In 1 Box (24208-910-19) / 1 G In 1 Tube Inpatient & outpatient	12165_24208091019 CDM	—	—	—	—
Gazyva: 1 Vial, Single-Use In 1 Carton (50242-070-01) / 40 Ml In 1 Vial, Single-Use Inpatient & outpatient	J9301 HCPCS	—	—	—	—
Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (24208-580-60) / 5 Ml In 1 Bottle, Dropper Inpatient & outpatient	10884_24208058060 CDM	—	—	—	—
Herceptin Hylecta: 1 Vial, Single-Dose In 1 Carton (50242-077-01) / 5 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9356 HCPCS	—	—	—	—
Herceptin: 1 Vial, Single-Dose In 1 Carton (50242-132-01) / 15 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9355 HCPCS	—	—	—	—
Invega Trinza: 1 Syringe In 1 Kit (50458-606-01) / 1 Ml In 1 Syringe Inpatient & outpatient	J2427 HCPCS	—	—	—	—
Invega Trinza: 1 Syringe In 1 Kit (50458-608-01) / 1 Ml In 1 Syringe Inpatient & outpatient	J2427 HCPCS	—	—	—	—
Invega Trinza: 1 Syringe In 1 Kit (50458-609-01) / 1 Ml In 1 Syringe Inpatient & outpatient	J2427 HCPCS	—	—	—	—
Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-087-01) / 8 Ml In 1 Vial, Single-Use Inpatient & outpatient	J9354 HCPCS	—	—	—	—
Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-088-01) / 5 Ml In 1 Vial, Single-Use Inpatient & outpatient	J9354 HCPCS	—	—	—	—
Lotemax: 1 Bottle In 1 Carton (24208-503-07) / 5 G In 1 Bottle Inpatient & outpatient	113918_24208050307 CDM	—	—	—	—
Neomycin And Polymyxin B Sulfates And Hydrocortisone: 1 Bottle, Dropper In 1 Carton (24208-631-10) / 10 Ml In 1 Bottle, Dropper Inpatient & outpatient	1129_24208063110 CDM	—	—	—	—
Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use Inpatient & outpatient	J2350 HCPCS	—	—	—	—
Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use Inpatient & outpatient	134047_50242015001 CDM	—	—	—	—
Perjeta: 1 Vial, Single-Use In 1 Carton (50242-145-01) / 14 Ml In 1 Vial, Single-Use Inpatient & outpatient	J9306 HCPCS	—	—	—	—
Polivy: 1 Vial, Single-Dose In 1 Carton (50242-105-01) / 20 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9309 HCPCS	—	—	—	—
Polymyxin B Sulfate And Trimethoprim: 1 Bottle, Dropper In 1 Carton (24208-315-10) / 10 Ml In 1 Bottle, Dropper Inpatient & outpatient	13361_24208031510 CDM	—	—	—	—