Supplies, drugs & other prices at The University of Chicago Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010) $164 $164 3.3×
Admin influenza virus vac (G0008) $165 $165 3.3×
Admin pneumococcal vaccine (G0009) $164 $164 3.3×
Alcohol/subs interv 15-30mn (G0396) $12 $12 0.3×
Annual alcohol screen 15 min (G0442) $11 $11 0.3×
Blind interatrial shunt ide (C9758) $42,090 $42,090 2.3×
Ca screen;flexi sigmoidscope (G0104)
range across 5 matching MRF lines
$664–$2,266 $664–$2,266 varies
Ca screen;pelvic/breast exam (G0101)
range across 4 matching MRF lines
$174–$474 $174–$474 varies
Catheterize for urine spec (P9612) $86 $86 9.2×
Chemo extend iv infus w/pump (G0498) $974 $974 2.8×
Collagen Cross-Linking Cornea&Pachymetry (0402T) $5,775 $5,775 2.3×
Colon ca scrn not hi rsk ind (G0121)
range across 4 matching MRF lines
$2,502–$5,441 $2,502–$5,441 varies
Colorectal scrn; hi risk ind (G0105)
range across 5 matching MRF lines
$2,246–$5,185 $2,246–$5,185 varies
Depression screen annual (G0444) $11 $11 0.3×
Dermal filler injection(s) (G0429)
range across 3 matching MRF lines
$469–$5,957 $469–$5,957 varies
Diab manage trn per indiv (G0108) $230 $230 4.1×
Diab manage trn ind/group (G0109) $179 $179 11.2×
Direct refer hospital observ (G0379) $623 $623 1.0×
Ed svc ckd grp per session (G0421) $146 $146 5.3×
Ed svc ckd ind per session (G0420) $597 $597 5.3×
Elec alys cplx prgrmg iins ptn 4+ parameters (0590T)
range across 3 matching MRF lines
$253–$641 $253–$641 varies
Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T)
range across 3 matching MRF lines
$253–$595 $253–$595 varies
Elec stim other than wound (G0283) $294 $294 23.2×
Elec stim unattend for press (G0281) $222 $222 19.0×
Elisa hiv-1/hiv-2 screen (G0433) $332 $332 18.2×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $43,320 $43,320 0.9×
Group mnt 2 or more 30 mins (G0271) $45 $45 2.6×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $30,366 $30,366 1.7×
Hiv combination assay (G0475)
range across 2 matching MRF lines
$157–$241 $157–$241 varies
Home sleep test/type 3 porta (G0399)
range across 4 matching MRF lines
$50–$350 $50–$350 varies
Hpv combo assay ca screen (G0476) $390 $390 11.1×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U)
range across 2 matching MRF lines
$312–$314 $312–$314 varies
Initial preventive exam (G0402)
range across 3 matching MRF lines
$425–$1,201 $425–$1,201 varies
Inj for sacroiliac jt anesth (G0260) $3,396 $3,396 4.5×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $3,608 $3,608 3.8×
Insertion wrls car stimulator lv pacg compl sys (0515T) $64,160 $64,160 2.7×
Insj Wcs Lv Eltrd Only (0516T) $21,596 $21,596 1.9×
Insj Wcs Lv Pg Compnt (0517T) $21,596 $21,596 1.9×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $76,180 $76,180 2.3×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $79,376 $79,376 2.4×
Interrog Dev Eval Wrls Car Stimulator in Person (0521T)
range across 4 matching MRF lines
$53–$466 $53–$466 varies
Ire Abltj 1+Tum Organ Perq (0600T) $24,085 $24,085 2.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $937 $937 7.7×
Mnt subs tx for change dx (G0270) $148 $148 4.7×
Mra w/cont, abd (C8900) $4,218 $4,218 11.3×
Mra w/cont, chest (C8909) $3,901 $3,901 10.4×
Mra w/o cont, abd (C8901) $3,586 $3,586 14.0×
Mra w/o cont, chest (C8910) $3,393 $3,393 13.3×
Mra w/o fol w/cont, chest (C8911) $4,485 $4,485 12.0×
Mri w/cont, breast, bi (C8906) $1,682 $1,682 4.5×
Mri w/o fol w/cont, breast, (C8908) $1,682 $1,682 4.5×
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) $705 $705 2.1×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $5,485 $5,485 5.8×
Njx platelet plasma (0232T)
range across 4 matching MRF lines
$552–$1,729 $552–$1,729 varies
Non-ophthalmic fva (C9733) $427.35 $427.35 1.1×
Obtaining screen pap smear (Q0091)
range across 4 matching MRF lines
$206–$491 $206–$491 varies
Oral hiv-1/hiv-2 screen (G0435) $374 $374 31.2×
Oth resp proc, group (G0239) $115 $115 2.9×
Oth resp proc, indiv (G0238) $85 $85 2.7×
Pattern erg w/i&r (0509T) $427 $427 1.8×
Pemivibart infusion (M0224) $1,182 $1,182 2.5×
Perq Sacral Augmt Bilat Inj (0201T) $50,662 $50,662 6.5×
Perq Sacral Augmt Unilat Inj (0200T) $11,189 $11,189 1.4×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $13,541 $13,541 1.1×
Pin service 60m per month (G0023) $232 $232 2.1×
Place device/marker, non pro (C9728) $4,957 $4,957 3.3×
Potassium hydroxide preps (Q0112) $190 $190 32.6×
Ppps, initial visit (G0438)
range across 4 matching MRF lines
$426–$892 $426–$892 varies
Ppps, subseq visit (G0439)
range across 4 matching MRF lines
$254–$653 $254–$653 varies
Prgrmg dev eval scrms phys/qhp remote (0650T) $98 $98 2.5×
Prgrmg device eval wrls car stimulator in person (0522T)
range across 4 matching MRF lines
$117–$517 $117–$517 varies
Psa screening (G0103) $482 $482 25.0×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,627 $1,627 2.4×
Revasc intra lithotrip-stent (C9765) $38,956 $38,956 2.0×
Revasc intravasc lithotripsy (C9764) $24,895 $24,895 2.0×
Revasc lith-sten-ath tib/per (C9775) $43,320 $43,320 2.2×
Revasc lithotr-ather tib/per (C9774) $43,320 $43,320 2.2×
Revasc lithotr-stent tib/per (C9773) $43,320 $43,320 2.2×
Revasc lithotrip tibi/perone (C9772) $27,084 $27,084 2.2×
Rmvl & Rplcmt Pg Compnt Wcs (0519T) $9,131 $9,131 0.8×
Rmvl Pg Compnt Wcs (0518T) $9,131 $9,131 2.3×
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) $64,160 $64,160 5.7×
Scr c/v cyto,thinlayer,rescr (G0143)
range across 2 matching MRF lines
$223–$346 $223–$346 varies
Screen cerv/vag thin layer (G0123)
range across 2 matching MRF lines
$223–$296 $223–$296 varies
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $44,092 $44,092 2.1×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $44,092 $44,092 2.1×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $44,092 $44,092 2.1×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $44,092 $44,092 2.1×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $7,476 $7,476 2.2×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $13,126 $13,126 2.2×
Therapeutic procd strg endur (G0237) $85 $85 2.7×
Therapeutic ultrafiltration (0692T) $1,052 $1,052 0.6×
Transcatheter Renal Sympath Denervation Bilat (0339T) $13,615 $13,615 2.2×
Transcatheter renal sympath denervation unilat (0338T) $13,615 $13,615 2.2×
Trauma respons w/hosp criti (G0390) $10,813 $10,813 7.6×
Trluml perip athrc abd aorta (0236T) $31,922 $31,922 2.6×
Trluml Perip Athrc Brchiocph (0237T) $32,785 $32,785 2.7×
Trluml Perip Athrc Iliac Art (0238T) $31,922 $31,922 1.6×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $31,922 $31,922 2.6×
Tte w or w/o fol w/con,stres (C8928) $4,361 $4,361 5.2×
U/s trtmt, not leiomyomata (C9734) $33,075 $33,075 2.4×
Unsched dialysis esrd pt hos (G0257) $3,227 $3,227 4.4×
Visit to determ ldct elig (G0296)
range across 4 matching MRF lines
$191–$445 $191–$445 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.