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.

28 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Briviact: 1 Bottle In 1 Carton (50474-870-15) / 300 Ml In 1 Bottle Inpatient & outpatient	129244_50474087015 CDM	—	—	—	—
Cystografin: 10 Bottle In 1 Package (0270-0149-57) / 300 Ml In 1 Bottle Inpatient & outpatient	Q9958 HCPCS	—	—	—	—
Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20) / 5 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J3380 HCPCS	—	—	—	—
Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20) / 5 Ml In 1 Vial, Single-Dose Inpatient & outpatient	137118_64764030020 CDM	—	—	—	—
Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-078-96) / 120 Aerosol, Metered In 1 Inhaler Inpatient & outpatient	13584_66993007896 CDM	—	—	—	—
FUL-GLO: 300 APPLICATOR in 1 CARTON (17478-403-03) / 1 STRIP in 1 APPLICATOR Inpatient & outpatient	10772_17478040303 CDM	—	—	—	—
Hc Triple Room Inpatient & outpatient	13300000 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: 50 G In 1 Jar (51672-3008-3) Inpatient & outpatient	107829_51672300803 CDM	—	—	—	—
Nalbuphine Hydrochloride: 25 Carton In 1 Case (0409-1464-01) / 1 Vial, Multi-Dose In 1 Carton (0409-1464-61) / 10 Ml In 1 Vial, Multi-Dose Inpatient & outpatient	J2300 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	111849_63323009301 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	111849_63323009502 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	111849_63323009903 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	11515_66553000801 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	11713_08065183004 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	J2300 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12019_43393000101 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12773_81033000205 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	13142_00121053005 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	13507_66794023002 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	13556_66553000401 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	14084_60505706300 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	141646_63323009502 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	145706_24338023005 CDM	—	—	—	—
Neomycin And Polymyxin B Sulfates And Dexamethasone: 5 Ml In 1 Bottle, Plastic (61314-630-06) Inpatient & outpatient	12642_61314063006 CDM	—	—	—	—
Octagam Immune Globulin (Human): 300 Ml In 1 Bottle, Glass (68982-850-05) Inpatient & outpatient	J1568 HCPCS	—	—	—	—
Paragard T 380A: 1 Pouch In 1 Carton (59365-5128-1) / 1 Intrauterine Device In 1 Pouch Inpatient & outpatient	J7300 HCPCS	—	—	—	—
Paragard T 380A: 1 Pouch In 1 Carton (59365-5129-1) / 1 Intrauterine Device In 1 Pouch Inpatient & outpatient	J7300 HCPCS	—	—	—	—