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)
Anoro Ellipta: 1 Tray In 1 Carton (0173-0869-06) / 1 Inhaler In 1 Tray / 7 Powder In 1 Inhaler Inpatient & outpatient	119167_00173086906 CDM	—	—	—	—
Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02) Inpatient & outpatient	90620 HCPCS	—	—	—	—
Cisplatin: 1 Vial In 1 Carton (25021-253-50) / 50 Ml In 1 Vial Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 1 Vial In 1 Carton (25021-253-51) / 100 Ml In 1 Vial Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 1 Vial In 1 Carton (44567-530-01) / 50 Ml In 1 Vial Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 1 Vial In 1 Carton (63323-103-51) / 50 Ml In 1 Vial Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 1 Vial In 1 Carton (63323-103-64) / 200 Ml In 1 Vial Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 1 Vial In 1 Carton (63323-103-65) / 100 Ml In 1 Vial Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5747-11) / 50 Ml In 1 Vial, Multi-Dose Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5748-11) / 100 Ml In 1 Vial, Multi-Dose Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 1 Vial, Multi-Dose In 1 Carton (60505-6277-0) / 50 Ml In 1 Vial, Multi-Dose Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 100 Ml In 1 Vial (16729-288-38) Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 50 Ml In 1 Vial (16729-288-11) Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cladribine: 1 Ml In 1 Vial, Single-Dose (42658-010-01) Inpatient & outpatient	J9065 HCPCS	—	—	—	—
Cladribine: 1 Vial, Single-Dose In 1 Carton (63323-140-10) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9065 HCPCS	—	—	—	—
Famotidine: 10 Blister Pack In 1 Box, Unit-Dose (63739-645-10) / 10 Tablet In 1 Blister Pack Inpatient & outpatient	10153_63739064510 CDM	—	—	—	—
Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01) Inpatient & outpatient	90651 HCPCS	—	—	—	—
Gardasil 9: 10 Vial, Single-Dose In 1 Carton (0006-4119-03) / .5 Ml In 1 Vial, Single-Dose (0006-4119-01) Inpatient & outpatient	90651 HCPCS	—	—	—	—
Losartan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-686-10) / 10 Tablet, Film Coated In 1 Blister Pack Inpatient & outpatient	103_63739068610 CDM	—	—	—	—
Losortan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-673-10) / 10 Tablet, Film Coated In 1 Blister Pack Inpatient & outpatient	13659_63739067310 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	90633 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	122640_65649065102 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	90651 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	90620 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12371_00904759060 CDM	—	—	—	—