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)
Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	Q5121 HCPCS	—	—	—	—
Blincyto: 1 Kit In 1 Package (55513-160-01) * 3.088 Ml In 1 Vial (55513-150-01) * 10.6 Ml In 1 Vial (55513-155-01) Inpatient & outpatient	J9039 HCPCS	—	—	—	—
Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0159-02) Inpatient & outpatient	10696_00555015902 CDM	—	—	—	—
Corlanor: 60 Tablet, Film Coated In 1 Bottle (55513-800-60) Inpatient & outpatient	124632_55513080060 CDM	—	—	—	—
Ddavp: 10 Ampule In 1 Carton (55566-2200-0) / 1 Ml In 1 Ampule Inpatient & outpatient	J2597 HCPCS	—	—	—	—
Dexmedetomidine Hydrochloride: 24 Bag In 1 Carton (0338-9555-24) / 50 Ml In 1 Bag Inpatient & outpatient	114955_00338955524 CDM	—	—	—	—
Evenity: 2 Syringe In 1 Carton (55513-880-02) / 1.17 Ml In 1 Syringe (55513-880-01) Inpatient & outpatient	J3111 HCPCS	—	—	—	—
Evenity: 2 Syringe, Glass In 1 Carton (55513-998-02) / 1.17 Ml In 1 Syringe, Glass (55513-998-01) Inpatient & outpatient	J3111 HCPCS	—	—	—	—
Imlygic: 1 Vial In 1 Carton (55513-079-01) / 1 Ml In 1 Vial Inpatient & outpatient	J9325 HCPCS	—	—	—	—
Kanjinti: 1 Vial, Multi-Dose In 1 Carton (55513-132-01) / 20 Ml In 1 Vial, Multi-Dose Inpatient & outpatient	Q5117 HCPCS	—	—	—	—
Kanjinti: 1 Vial, Single-Dose In 1 Carton (55513-141-01) / 7.15 Ml In 1 Vial, Single-Dose Inpatient & outpatient	Q5117 HCPCS	—	—	—	—
Mvasi: 1 Vial In 1 Carton (55513-206-01) / 4 Ml In 1 Vial Inpatient & outpatient	Q5107 HCPCS	—	—	—	—
Mvasi: 1 Vial In 1 Carton (55513-207-01) / 16 Ml In 1 Vial Inpatient & outpatient	Q5107 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	10493_02055503200 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12371_02055502101 CDM	—	—	—	—
Neulasta: 1 Kit In 1 Carton (55513-192-01) * .6 Ml In 1 Syringe Inpatient & outpatient	J2506 HCPCS	—	—	—	—
Nplate: 1 Vial, Single-Dose In 1 Carton (55513-223-01) / .25 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J2802 HCPCS	—	—	—	—
Ondansetron Hydrochloride: 50 Ml In 1 Bottle (62135-555-58) Inpatient & outpatient	Q0162 HCPCS	—	—	—	—
Ondansetron: 120 Syringe In 1 Box, Unit-Dose (17856-0555-4) / 1.25 Ml In 1 Syringe Inpatient & outpatient	Q0162 HCPCS	—	—	—	—