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.

25 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Acetaminophen: 10 Vial, Glass In 1 Carton (0781-3156-95) / 100 Ml In 1 Vial, Glass (0781-3156-06) Inpatient & outpatient	J0131 HCPCS	—	—	—	—
Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31) Inpatient & outpatient	J1120 HCPCS	—	—	—	—
Bivalirudin: 10 Vial, Single-Use In 1 Carton (0781-3158-95) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0781-3158-94) Inpatient & outpatient	J0583 HCPCS	—	—	—	—
Bleomycin: 1 VIAL, SINGLE-DOSE in 1 CARTON (0703-3154-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE Inpatient & outpatient	J9040 HCPCS	—	—	—	—
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	—	—	—	—
E.E.S: 200 Ml In 1 Bottle (24338-136-10) Inpatient & outpatient	13159_24338013610 CDM	—	—	—	—
Erythromycin Ethylsuccinate: 200 Ml In 1 Bottle (52536-136-13) Inpatient & outpatient	13159_52536013613 CDM	—	—	—	—
Linzess: 1 Bottle In 1 Carton (0456-1203-30) / 30 Capsule, Gelatin Coated In 1 Bottle Inpatient & outpatient	131530_00456120330 CDM	—	—	—	—
Lorazepam: 100 Tablet In 1 Bottle (69315-904-01) Inpatient & outpatient	10350_69315090401 CDM	—	—	—	—
Miostat: 12 Vial, Glass In 1 Carton (0065-0023-15) / 1.5 Ml In 1 Vial, Glass Inpatient & outpatient	13414_00065002315 CDM	—	—	—	—
Misoprostol: 100 Blister Pack In 1 Carton (60687-746-01) / 1 Tablet In 1 Blister Pack (60687-746-11) Inpatient & outpatient	13152 HCPCS	—	—	—	—
Misoprostol: 60 Tablet In 1 Bottle (59762-5008-1) Inpatient & outpatient	13152 HCPCS	—	—	—	—
Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial Inpatient & outpatient	J7315 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	J3315 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	107237_23155016631 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	J7315 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12697_00781315075 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12697_00781315270 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12773_68094023159 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	13152 HCPCS	—	—	—	—
Nifedipine: 100 Capsule In 1 Bottle, Plastic (69315-211-01) Inpatient & outpatient	11298_69315021101 CDM	—	—	—	—
Octreotide Acetate: 5 Ml In 1 Vial, Glass (23155-686-31) Inpatient & outpatient	J2354 HCPCS	—	—	—	—
Onfi: 1 Bottle In 1 Carton (67386-315-01) / 100 Tablet In 1 Bottle Inpatient & outpatient	107320_67386031501 CDM	—	—	—	—
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	—	—	—	—