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.

16 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Asparlas: 1 Vial, Single-Use In 1 Carton (72694-515-01) / 5 Ml In 1 Vial, Single-Use Inpatient & outpatient	J9118 HCPCS	—	—	—	—
Cisatracurium Besylate: 1 Vial In 1 Carton (70069-141-01) / 5 Ml In 1 Vial Inpatient & outpatient	12697_70069014101 CDM	—	—	—	—
Cisatracurium Besylate: 1 Vial In 1 Carton (70069-161-01) / 10 Ml In 1 Vial Inpatient & outpatient	12697_70069016101 CDM	—	—	—	—
Cisatracurium Besylate: 10 Box In 1 Carton (0781-3150-95) / 1 Vial In 1 Box (0781-3150-75) / 5 Ml In 1 Vial Inpatient & outpatient	12697_00781315095 CDM	—	—	—	—
Cisatracurium Besylate: 10 Vial, Multi-Dose In 1 Carton (0781-3152-95) / 10 Ml In 1 Vial, Multi-Dose (0781-3152-70) Inpatient & outpatient	12697_00781315295 CDM	—	—	—	—
Elzonris: 1 Vial, Single-Dose In 1 Carton (72187-0401-1) / 1 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9269 HCPCS	—	—	—	—
Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Box, Unit-Dose (68084-269-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-269-11) Inpatient & outpatient	142147_68084026901 CDM	—	—	—	—
Lets Kit: 1 Kit In 1 Box (51552-1345-1) * 180 Mg In 1 Container (51552-0454-9) * 500 Mg In 1 Container (51552-0269-9) * 4 G In 1 Container (51552-0106-9) Inpatient & outpatient	114253_51552134501 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	102292_70092126937 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12697_00409109812 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	12697_00781315075 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12697_00781315270 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12697_63323041701 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12697_71288071205 CDM	—	—	—	—