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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.

28 prices shown (filtered).

ServiceCodeList priceCash priceNegotiated rangeAllowed (median)
Acetaminophen 325Mg Rs: 30 Blister Pack In 1 Box (63739-087-02) / 10 Tablet In 1 Blister Pack
Inpatient & outpatient
1445_63739008702
CDM
Acetaminophen For Children: 12 Blister Pack In 1 Carton (45802-732-30) / 1 Suppository In 1 Blister Pack
Inpatient & outpatient
10390_45802073230
CDM
Acetaminophen: 25 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-440-01) / 30 TABLET in 1 BLISTER PACK
Inpatient & outpatient
1445_63739044001
CDM
Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-479-10) / 10 Tablet In 1 Blister Pack
Inpatient & outpatient
11689_63739047910
CDM
Clonazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-263-10) / 10 TABLET in 1 BLISTER PACK
Inpatient & outpatient
138855_63739026310
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: 10 VIAL in 1 BOX (55390-028-10) / 4 mL in 1 VIAL
Inpatient & outpatient
13149_55390002810
CDM
Feverall Childrens: 6 Blister Pack In 1 Carton (51672-2115-2) / 1 Suppository In 1 Blister Pack (51672-2115-0)
Inpatient & outpatient
10390_51672211502
CDM
Fluphenazine Decanoate: 1 VIAL, MULTI-DOSE in 1 BOX (55390-465-05) / 5 mL in 1 VIAL, MULTI-DOSE
Inpatient & outpatient
J2680
HCPCS
Isosorbide Dinitrate: 10 Blister Pack In 1 Box, Unit-Dose (63739-367-10) / 10 Tablet In 1 Blister Pack
Inpatient & outpatient
12352_63739036710
CDM
Jardiance: 90 Tablet, Film Coated In 1 Bottle (0597-0153-90)
Inpatient & outpatient
121398_00597015390
CDM
Lorazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-499-10) / 10 TABLET in 1 BLISTER PACK
Inpatient & outpatient
138826_63739049910
CDM
Losartan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-686-10) / 10 Tablet, Film Coated In 1 Blister Pack
Inpatient & outpatient
103_63739068610
CDM
Losortan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-673-10) / 10 Tablet, Film Coated In 1 Blister Pack
Inpatient & outpatient
13659_63739067310
CDM
Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (0093-8739-01)
Inpatient & outpatient
11996_00093873901
CDM
Midazolam: 10 VIAL in 1 BOX (55390-125-10) / 10 mL in 1 VIAL
Inpatient & outpatient
J2250
HCPCS
Midazolam: 10 VIAL in 1 BOX (55390-137-02) / 2 mL in 1 VIAL
Inpatient & outpatient
J2250
HCPCS
Midazolam: 10 VIAL in 1 BOX (55390-137-05) / 5 mL in 1 VIAL
Inpatient & outpatient
J2250
HCPCS
Mitomycin: 1 VIAL in 1 BOX, UNIT-DOSE (55390-251-01) / 10 mL in 1 VIAL
Inpatient & outpatient
J9280
HCPCS
NDC Description Not Available
Inpatient & outpatient
10390_45802073200
CDM
NDC Description Not Available
Inpatient & outpatient
10390_51672211500
CDM
NDC Description Not Available
Inpatient & outpatient
10491_63739019601
CDM
NDC Description Not Available
Inpatient & outpatient
106291_99999003903
CDM
NDC Description Not Available
Inpatient & outpatient
110517_66689003901
CDM
NDC Description Not Available
Inpatient & outpatient
141051_63739022510
CDM
Nystatin: 5 Ml In 1 Cup, Unit-Dose (63739-160-70)
Inpatient & outpatient
1306_63739016070
CDM
Pantoprazole Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-564-10) / 10 Tablet, Delayed Release In 1 Blister Pack
Inpatient & outpatient
12155_63739056410
CDM
Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-973-10) / 10 Tablet, Extended Release In 1 Blister Pack
Inpatient & outpatient
10125_63739097310
CDM
University of Chicago Medical Center price list · HospitalPricer