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.

18 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78) Inpatient & outpatient	J0290 HCPCS	—	—	—	—
Cepacol Extra Strength Sore Throat Cherry: 2 Blister Pack In 1 Carton (63824-713-16) / 8 Lozenge In 1 Blister Pack Inpatient & outpatient	106568_63824071316 CDM	—	—	—	—
Diazepam: 3 Tray In 1 Case (68094-750-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-750-59) Inpatient & outpatient	110508_68094075062 CDM	—	—	—	—
Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02) Inpatient & outpatient	14484_16714072002 CDM	—	—	—	—
Indomethacin: 100 Capsule In 1 Bottle (68462-302-01) Inpatient & outpatient	14076_68462030201 CDM	—	—	—	—
Indomethacin: 50 Blister Pack In 1 Box, Unit-Dose (50268-431-15) / 1 Capsule In 1 Blister Pack (50268-431-11) Inpatient & outpatient	14076_50268043115 CDM	—	—	—	—
Lorazepam: 100 Tablet In 1 Bottle (63304-772-01) Inpatient & outpatient	10350_63304077201 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	10311_68084072111 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	107121_70004077540 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	107121_70004078540 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	107237_70860040741 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	110508_68094075059 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	14076_50268043111 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	14308_00536407810 CDM	—	—	—	—
Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-34) / 150 Ml In 1 Bottle, Plastic Inpatient & outpatient	Q9966 HCPCS	—	—	—	—
Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-38) / 50 Ml In 1 Bottle, Plastic Inpatient & outpatient	Q9966 HCPCS	—	—	—	—
Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-10) / 10 Ml In 1 Vial, Glass Inpatient & outpatient	Q9966 HCPCS	—	—	—	—
Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20) / 20 Ml In 1 Vial, Glass Inpatient & outpatient	Q9966 HCPCS	—	—	—	—