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.

19 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1) / 3 Ml In 1 Vial Inpatient & outpatient	J0706 HCPCS	—	—	—	—
Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (0517-0031-25) / 1 Ml In 1 Vial, Multi-Dose (0517-0031-01) Inpatient & outpatient	J3420 HCPCS	—	—	—	—
Fasenra: 1 Syringe, Glass In 1 Carton (0310-1730-30) / 1 Ml In 1 Syringe, Glass Inpatient & outpatient	J0517 HCPCS	—	—	—	—
Feiba: 1 Kit In 1 Carton (64193-424-02) * 20 Ml In 1 Vial, Glass (64193-324-01) * 20 Ml In 1 Vial, Glass (64764-517-20) Inpatient & outpatient	J7198 HCPCS	—	—	—	—
Fomepizole: 1 Vial In 1 Carton (0517-0710-01) / 1.5 Ml In 1 Vial Inpatient & outpatient	J1451 HCPCS	—	—	—	—
Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (0115-1700-01) Inpatient & outpatient	13955_00115170001 CDM	—	—	—	—
Injectafer: 1 Vial, Single-Dose In 1 Box (0517-0650-01) / 15 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J1439 HCPCS	—	—	—	—
Lactulose: 15 Ml In 1 Cup, Unit-Dose (0116-4005-15) Inpatient & outpatient	110517_00116400515 CDM	—	—	—	—
Lactulose: 30 Ml In 1 Cup, Unit-Dose (0116-4005-30) Inpatient & outpatient	110517_00116400530 CDM	—	—	—	—
Lactulose: 473 Ml In 1 Bottle (0527-5125-70) Inpatient & outpatient	110517_00527512570 CDM	—	—	—	—
Morphine Sulfate: 30 Ml In 1 Bottle (0054-0517-44) Inpatient & outpatient	145003_00054051744 CDM	—	—	—	—
Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (67877-230-22) / 225 Ml In 1 Bottle, Plastic Inpatient & outpatient	J7517 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	110517_00121115430 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	110517_00121457715 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	110517_66689003801 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	110517_66689003901 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	1432_00517610101 CDM	—	—	—	—
Nipride Rtu: 1 Vial In 1 Vial (51754-1006-1) / 100 Ml In 1 Vial Inpatient & outpatient	132915_51754100601 CDM	—	—	—	—
Phenobarbital: 100 TABLET in 1 BOTTLE (13517-755-01) Inpatient & outpatient	12233_13517075501 CDM	—	—	—	—