Supplies, drugs & other prices at Advocate Illinois Masonic Medical Center

Chicago, IL · every code in this section with a posted price and a Medicare benchmark.

44 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Asstv alg ECG rsk asmt cncrt (0764T) $120 $240 0.8×
Asstv alg ECG rsk asmt prev (0765T) $120 $240 0.8×
Catheterize for urine spec (P9612) $87.50 $175 9.4×
Collagen Cross-Linking Cornea&Pachymetry (0402T) $480 $960 0.2×
Direct refer hospital observ (G0379) $207.50 $415 0.3×
Drug test def 15-21 classes (G0482) $322.50 $645 1.6×
Drug test def 22+ classes (G0483) $140 $280 0.6×
Fern test (Q0114) $32.50 $65 3.3×
Group mnt 2 or more 30 mins (G0271) $45 $90 2.6×
Group train w/o patient (G0543) $37.50 $75 1.2×
Hopd mntl hlt, 15-29 min (C7900) $52.50 $105 1.3×
Hopd mntl hlt, 30-60 min (C7901) $105 $210 1.0×
Hopd mntl hlt, grp (C7903) $62.50 $125 1.6×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $31,940 $63,880 0.9×
Mnt subs tx for change dx (G0270) $55 $110 1.7×
Neuro csf prion prtn qual (0035U) $845 $1,690 1.6×
No pt prsnt train initial 30 (G0541) $20 $40 0.6×
Oth resp proc, group (G0239) $67.50 $135 1.7×
Pathogen test for platelets (P9100) $60 $120 0.9×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$5,700 $11,400 0.5×
Place device/marker, non pro (C9728) $1,870 $3,740 1.3×
Prostate biopsy, any mthd (G0416) $302.50 $605 0.8×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,040 $2,080 1.0×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $815 $1,630 1.1×
Revasc intra lithotrip-ather (C9766) $12,710 $25,420 0.6×
Revasc intra lithotrip-stent (C9765) $12,710 $25,420 0.6×
Revasc intravasc lithotripsy (C9764) $6,565 $13,130 0.5×
Revasc lith-sten-ath tib/per (C9775) $20,300 $40,600 1.0×
Revasc lithotr-ather tib/per (C9774) $20,300 $40,600 1.0×
Revasc lithotr-stent tib/per (C9773) $20,300 $40,600 1.0×
Revasc lithotrip tibi/perone (C9772) $13,925 $27,850 1.1×
Revasc lithotrip-stent-ather (C9767) $20,300 $40,600 1.0×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $17,845 $35,690 0.9×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $19,160 $38,320 0.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $19,160 $38,320 0.9×
Therapeutic procd strg endur (G0237) $60 $120 1.9×
Tomosynthesis, mammo (G0279) $152.50 $305 12.0×
Trauma respons w/hosp criti (G0390) $5,455 $10,910 3.8×
Trluml perip athrc abd aorta (0236T) $17,100 $34,200 1.4×
Trluml Perip Athrc Brchiocph (0237T) $17,100 $34,200 1.4×
Trluml Perip Athrc Iliac Art (0238T) $10,215 $20,430 0.5×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $15,520 $31,040 1.3×
Unsched dialysis esrd pt hos (G0257) $1,025 $2,050 1.4×
Vasc emb/occ w/prs cath (C9797) $20,240 $40,480 1.0×