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)
Acetazolamide: 1 Vial In 1 Carton (67457-853-50) / 5 Ml In 1 Vial Inpatient & outpatient	J1120 HCPCS	—	—	—	—
Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2570-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose Inpatient & outpatient	J0457 HCPCS	—	—	—	—
AZACTAM: 10 VIAL, SINGLE-DOSE in 1 CARTON (51479-042-15) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-DOSE Inpatient & outpatient	J0457 HCPCS	—	—	—	—
Aztreonam: 10 Vial, Single-Dose In 1 Carton (0409-0830-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-0830-11) Inpatient & outpatient	J0457 HCPCS	—	—	—	—
Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-457-01) Inpatient & outpatient	13806_50228045701 CDM	—	—	—	—
Childrens Mapap: 1 Bottle, Plastic In 1 Carton (0904-5791-46) / 30 Tablet, Chewable In 1 Bottle, Plastic Inpatient & outpatient	12983_00904579146 CDM	—	—	—	—
Creon: 70 Capsule, Delayed Release In 1 Bottle (0032-0045-70) Inpatient & outpatient	105597_00032004570 CDM	—	—	—	—
Dexmedetomidine: 25 Vial, Glass In 1 Carton (67457-251-02) / 2 Ml In 1 Vial, Glass (67457-251-00) Inpatient & outpatient	13507_67457025102 CDM	—	—	—	—
Docetaxel: 1 Vial, Multi-Dose In 1 Carton (67457-533-16) / 16 Ml In 1 Vial, Multi-Dose Inpatient & outpatient	J9171 HCPCS	—	—	—	—
Esmolol Hydrochloride: 10 Vial In 1 Carton (67457-182-10) / 10 Ml In 1 Vial (67457-182-00) Inpatient & outpatient	J1805 HCPCS	—	—	—	—
Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61) / 1 Capsule In 1 Blister Pack Inpatient & outpatient	14484_00904578461 CDM	—	—	—	—
Fomepizole: 1 Vial, Glass In 1 Carton (67457-211-02) / 1.5 Ml In 1 Vial, Glass Inpatient & outpatient	J1451 HCPCS	—	—	—	—
Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (67457-889-10) / 5 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J1453 HCPCS	—	—	—	—
Gemcitabine: 1 Vial, Single-Dose In 1 Carton (67457-617-30) / 26.3 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9201 HCPCS	—	—	—	—
Isosulfan Blue: 6 Vial, Glass In 1 Carton (67457-220-05) / 5 Ml In 1 Vial, Glass (67457-220-00) Inpatient & outpatient	Q9968 HCPCS	—	—	—	—
Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-528-10) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J0640 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	107237_67457019700 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	110517_00121457715 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	114957_67457092500 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	J0457 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	13507_67457025100 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	143074_67457019700 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	145706_24338023005 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	145706_24338023015 CDM	—	—	—	—
Nymalize: 12 Package In 1 Carton (24338-230-12) / 1 Syringe, Plastic In 1 Package (24338-230-05) / 5 Ml In 1 Syringe, Plastic Inpatient & outpatient	145706_24338023012 CDM	—	—	—	—