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)
Acetylcysteine: 25 Vial In 1 Carton (63323-694-04) / 4 Ml In 1 Vial (63323-694-22) Inpatient & outpatient	J7608 HCPCS	—	—	—	—
Acetylcysteine: 3 Vial In 1 Carton (63323-690-30) / 30 Ml In 1 Vial (63323-690-22) Inpatient & outpatient	J7608 HCPCS	—	—	—	—
Dapsone: 100 Tablet In 1 Bottle (70954-135-20) Inpatient & outpatient	13760_70954013520 CDM	—	—	—	—
Dapsone: 2 Blister Pack In 1 Carton (49938-102-30) / 15 Tablet In 1 Blister Pack Inpatient & outpatient	13760_49938010230 CDM	—	—	—	—
Dapsone: 30 Tablet In 1 Bottle (70954-135-10) Inpatient & outpatient	13760_70954013510 CDM	—	—	—	—
Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-109-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass (76045-109-01) Inpatient & outpatient	J1100 HCPCS	—	—	—	—
Dilaudid: 10 Syringe In 1 Carton (76045-009-06) / .5 Ml In 1 Syringe (76045-009-96) Inpatient & outpatient	J1171 HCPCS	—	—	—	—
Diphenhydramine Hydrochloride: 100 Capsule In 1 Bottle (0904-7237-60) Inpatient & outpatient	12227_00904723760 CDM	—	—	—	—
Edurant: 30 Tablet, Film Coated In 1 Bottle (59676-278-01) Inpatient & outpatient	104227_59676027801 CDM	—	—	—	—
Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-102-01) / 15 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9047 HCPCS	—	—	—	—
Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-103-01) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9047 HCPCS	—	—	—	—
Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01) / 30 Ml In 1 Vial, Single-Use Inpatient & outpatient	J9047 HCPCS	—	—	—	—
Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4276-16) Inpatient & outpatient	1060_00409427601 CDM	—	—	—	—
Lorazepam: 100 Tablet In 1 Bottle (0904-6007-60) Inpatient & outpatient	10350_00904600760 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	J7608 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	127043_06817600011 CDM	—	—	—	—
Nystatin: 60 mL in 1 BOTTLE, GLASS (60432-537-60) Inpatient & outpatient	1306_60432053760 CDM	—	—	—	—
Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01) / 1 Ml In 1 Vial Inpatient & outpatient	J2760 HCPCS	—	—	—	—