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.

28 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Cyclophosphamide: 100 Capsule In 1 Bottle (0054-0383-25) Inpatient & outpatient	118959_00054038325 CDM	—	—	—	—
Dapsone: 100 Tablet In 1 Bottle (70954-135-20) Inpatient & outpatient	13760_70954013520 CDM	—	—	—	—
Dapsone: 100 Tablet In 1 Bottle (70954-136-20) Inpatient & outpatient	12263_70954013620 CDM	—	—	—	—
Dapsone: 30 Tablet In 1 Bottle (70954-135-10) Inpatient & outpatient	13760_70954013510 CDM	—	—	—	—
Dapsone: 30 Tablet In 1 Bottle (70954-136-10) Inpatient & outpatient	12263_70954013610 CDM	—	—	—	—
Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25) / 1 Tablet In 1 Blister Pack Inpatient & outpatient	J8540 HCPCS	—	—	—	—
Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25) / 1 Tablet In 1 Blister Pack Inpatient & outpatient	J8540 HCPCS	—	—	—	—
Dexamethasone: 100 Blister Pack In 1 Carton (0904-7266-61) / 1 Tablet In 1 Blister Pack Inpatient & outpatient	J8540 HCPCS	—	—	—	—
Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4183-25) Inpatient & outpatient	J8540 HCPCS	—	—	—	—
Digoxin: 100 Tablet In 1 Bottle (70954-200-10) Inpatient & outpatient	118892_70954020010 CDM	—	—	—	—
Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0010-20) / 1 Tablet In 1 Blister Pack Inpatient & outpatient	13551_00054001020 CDM	—	—	—	—
Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0011-20) / 1 Tablet In 1 Blister Pack Inpatient & outpatient	14010_00054001120 CDM	—	—	—	—
Flecainide Acetate: 60 Tablet In 1 Bottle (0054-0011-21) Inpatient & outpatient	14010_00054001121 CDM	—	—	—	—
Heparin Sodium: 25 Vial In 1 Tray (63323-540-01) / 1 Ml In 1 Vial Inpatient & outpatient	J1644 HCPCS	—	—	—	—
Heparin Sodium: 25 Vial In 1 Tray (63323-540-31) / 30 Ml In 1 Vial Inpatient & outpatient	J1644 HCPCS	—	—	—	—
Hydromorphone Hydrochloride: 10 AMPULE in 1 CARTON (17478-540-01) / 1 mL in 1 AMPULE Inpatient & outpatient	J1171 HCPCS	—	—	—	—
Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24) / 1 Tablet In 1 Blister Pack Inpatient & outpatient	113807_00054023524 CDM	—	—	—	—
Morphine Sulfate: 30 mL in 1 BOTTLE (0054-0404-44) Inpatient & outpatient	145003_00054040444 CDM	—	—	—	—
Morphine Sulfate: 30 Ml In 1 Bottle (0054-0517-44) Inpatient & outpatient	145003_00054051744 CDM	—	—	—	—
Motegrity: 30 Tablet, Film Coated In 1 Bottle (54092-547-01) Inpatient & outpatient	141083_54092054701 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	J2540 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	125540_99999003124 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	142935_00338954001 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	142935_00338954002 CDM	—	—	—	—
Pentasa: 240 Capsule In 1 Bottle (54092-189-81) Inpatient & outpatient	1088_54092018981 CDM	—	—	—	—
Pfizerpen: 1 Vial In 1 Carton (0049-0530-28) / 1 Powder, For Solution In 1 Vial Inpatient & outpatient	J2540 HCPCS	—	—	—	—