Illinois · 870 published self-pay prices, from $1.24 to $20,217.
These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.
Showing the 300 lowest-priced of 870 published items.
| Item | Cash price | Setting |
|---|---|---|
| ACETAMINOPHEN 10 MG/ML IV SOLN | $81.00 | Both |
| ADMIN INFLUENZA VIRUS VAC | $11.95 | Both |
| ADMIN PNEUMOCOCCAL VACCINE | $13.60 | Both |
| AMIODARONE HCL IN DEXTROSE 150-4.21 MG/100ML-% IV SOLN | $74.88 | Both |
| AMIODARONE HCL IN DEXTROSE 360-4.14 MG/200ML-% IV SOLN | $99.72 | Both |
| ATROPINE SULFATE 0.25 MG/5ML IJ SOSY | $142 | Both |
| ATROPINE SULFATE 1 MG/10ML IJ SOSY | $8.88 | Both |
| AZITHROMYCIN 500 MG IV SOLR | $6.48 | Both |
| BENADRYL 50MG INJ | $4.94 | Both |
| BUPIVACAINE HCL (300 MG DOSE) 3 X 100 MG IL IMPL | $179 | Both |
| BUPIVACAINE HCL (PF) 0.75 % IJ SOLN | $3.24 | Both |
| BUPIVACAINE HCL 0.25 % IJ SOLN | $2.74 | Both |
| BUPIVACAINE HCL 0.5 % IJ SOLN | $3.04 | Both |
| BUPIVACAINE LIPOSOME 1.3 % IJ SUSP | $743 | Both |
| CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN | $42.66 | Both |
| CEFAZOLIN SODIUM 1 G IJ SOLR | $4.70 | Both |
| CEFAZOLIN SODIUM 2 G IJ SOLR | $13.16 | Both |
| CEFEPIME HCL 1 G IJ SOLR | $13.16 | Both |
| CEFEPIME HCL 2 G IV SOLR | $23.42 | Both |
| CEFTRIAXONE (ROCEPHIN) PER 250 MG INJ | $3.71 | Both |
| CEFTRIAXONE SODIUM 1 G IJ SOLR | $3.24 | Both |
| CEFTRIAXONE SODIUM 2 G IJ SOLR | $6.26 | Both |
| CEFTRIAXONE SODIUM 250 MG IJ SOLR | $3.22 | Both |
| CEFTRIAXONE SODIUM 500 MG IJ SOLR | $48.40 | Both |
| CERTOLIZUMAB PEGOL 200 MG/ML SC PSKT | $12,959 | Both |
| CHRNC CARE MGMT SVC EA 20 MIN | $23.79 | Both |
| CHRONIC CARE MGMT 20 MIN /MONTH | $31.72 | Both |
| CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN | $15.12 | Both |
| CLINDAMYCIN PHOSPHATE 600 MG/4ML IJ SOLN | $6.36 | Both |
| CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN | $26.74 | Both |
| CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN | $32.58 | Both |
| CLINDAMYCIN PHOSPHATE IN NACL 300-0.9 MG/50ML-% IV SOLN | $20.40 | Both |
| COLLECTION VENOUS BLOOD,VENIPUNCTURE | $17.50 | Both |
| DAPTOMYCIN 500 MG IV SOLR | $425 | Both |
| DENOSUMAB 120 MG/1.7ML SC SOLN | $7,451 | Both |
| DENOSUMAB 60 MG/ML SC SOSY | $4,051 | Both |
| DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN | $16.20 | Both |
| DEXAMETHASONE SODIUM PHOS PER 1 MG INJ | $1.24 | Both |
| DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML IJ SOLN | $100 | Both |
| DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN | $1.80 | Both |
| DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN | $12.60 | Both |
| DIAZEPAM 5 MG/ML IJ SOLN | $53.18 | Both |
| DICYCLOMINE HCL 10 MG/ML IM SOLN | $42.12 | Both |
| DIGOXIN 0.25 MG/ML IJ SOLN | $11.88 | Both |
| DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN | $2.52 | Both |
| DRAIN/INJECT LARGE JOINT/BURSA | $202 | Both |
| DRUGS UNCLASSIFIED INJECTION | $14.42 | Both |
| ENOXAPARIN SODIUM 100 MG/ML IJ SOSY | $50.30 | Both |
| ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY | $60.38 | Both |
| ENOXAPARIN SODIUM 150 MG/ML IJ SOSY | $75.48 | Both |
| ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY | $9.72 | Both |
| ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY | $12.96 | Both |
| ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY | $30.18 | Both |
| ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY | $40.24 | Both |
| EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN | $32.32 | Both |
| EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML IJ SOLN | $541 | Both |
| FAMOTIDINE (PF) 20 MG/2ML IV SOLN | $1.94 | Both |
| FENTANYL CITRATE (PF) 100 MCG/2ML IJ SOLN | $6.08 | Both |
| FENTANYL CITRATE (PF) 250 MCG/5ML IJ SOLN | $7.38 | Both |
| FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN - ANESTHESIA ONLY | $6.08 | Both |
| FENTANYL CITRATE PF 50 MCG/ML IJ SOSY | $4.78 | Both |
| FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN | $3,313 | Both |
| FLU VACC TRIVLNT IIV3 6MO TO 64YRS PF 0.5 ML IM | $16.40 | Both |
| FLU VACCINE ADJUVANT IM | $37.60 | Both |
| FUROSEMIDE 10 MG/ML IJ SOLN | $1.48 | Both |
| FUROSEMIDE INJ UP TO 20MG | $1.24 | Both |
| GLUCAGON EMERGENCY 1 MG IJ KIT | $605 | Both |
| GLUCAGON HCL (DIAGNOSTIC) 1 MG IJ SOLR | $546 | Both |
| HALOPERIDOL LACTATE 5 MG/ML IJ SOLN | $2.60 | Both |
| HC 94640 MDI TREATMENT INITIAL | $230 | Both |
| HC 94640 MDI TREATMENT SUBSEQUENT | $89.55 | Both |
| HC 94640 NEBULIZER TX INITIAL | $230 | Both |
| HC 94640 NEBULIZER TX SUBSEQUENT | $89.55 | Both |
| HC 94660 CPAP/BIPAP INITIATION AND MGMT | $435 | Both |
| HC ASSAY OF LACTIC ACID | $121 | Both |
| HC ASSAY OF UREA NITROGEN | $42.02 | Both |
| HC CREATINE KINASE (CPK); TOTAL | $87.33 | Both |
| HC CREATININE, OTHER SOURCE | $56.56 | Both |
| HC CULTURE, BACTERIA, OTHER | $216 | Both |
| HC G0239 THERPEUTIC EXERCISE,2 OR MORE | $104 | Both |
| HC IONIZED CALCIUM | $126 | Both |
| HC LACTATE DEHYDROGENASE (LDH) | $61.91 | Both |
| HC PARATHORMONE | $216 | Both |
| HC QUANTITATIVE ASSAY, DRUG | $124 | Both |
| HC VALPROIC ACID, QUANTITATIVE | $100 | Both |
| HC 10005 FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION | $1,120 | Both |
| HC 23472 PRO ARTHROPLASTY GLENOHUMERAL TTL SHOULDER - LT | $1,824 | Outpatient |
| HC 23472 PRO ARTHROPLASTY GLENOHUMERAL TTL SHOULDER - RT | $1,824 | Outpatient |
| HC 31500 INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE | $148 | Both |
| HC 36410 VENIPUNCTURE, AGE 3 OR >, FOR DX/TX PURPOSES (NOT ROUTINE VENIPUNCTURE) | $428 | Both |
| HC 36430 BLOOD TRANSFUSION | $531 | Both |
| HC 36430 BLOOD TRANSFUSION ADMIN LEVEL II | $531 | Both |
| HC 36569 PICC LINE INSERTION W/O SUBQ PORT >5YRS W/O IMAGING GUIDE | $428 | Both |
| HC 36591 BLOOD COLLECT, COMPLETE IMPLANT DEVICE | $59.92 | Both |
| HC 36591 COLLECT BLD SPEC IMPLNT VENOUS AC DV | $59.92 | Both |
| HC 36592 BLOOD COLLECTION, VENOUS CATHETER | $57.08 | Both |
| HC 49550 PRO REPAIR 1ST FEMORAL HERNIA ANY AGE REDUCIBLE - LT | $582 | Outpatient |
| HC 49550 PRO REPAIR 1ST FEMORAL HERNIA ANY AGE REDUCIBLE - RT | $582 | Outpatient |
| HC 70030 EYE FOR DETECTION FB-BLT | $229 | Both |
| HC 70360 NECK SOFT TISSUE | $93.15 | Both |
| HC 70450 CT HEAD/BRAIN W/O CONTRAST | $1,925 | Both |
| HC 70480 CT INTRACRANIAL W/O CONTRAST | $1,139 | Both |
| HC 70480 CT ORBITS W/O CONTRAST | $1,068 | Both |
| HC 70486 CT FACIAL BONES W/O CONTRAST | $1,751 | Both |
| HC 70486 CT MAXILLOFACIAL W/O CONTRAST, LTD | $1,290 | Both |
| HC 70486 CT SINUS W/O CONTRAST | $1,290 | Both |
| HC 70490 CT SOFT TISSUE NECK W/O CONTRAST | $975 | Both |
| HC 70491 CT SOFT TISSUE NECK W/ CONTRAST | $1,381 | Both |
| HC 70496 CTA HEAD WO/W CONTRAST | $1,517 | Both |
| HC 70498 CT ANGIO NECK WO/W CONTRAST W/ IMAGE PP | $1,573 | Both |
| HC 70553 MRI BRAIN (INC BRAIN STEM) WO/W CONTRAST | $2,365 | Both |
| HC 71045 CHEST SINGLE VIEW | $222 | Both |
| HC 71045 CHEST SINGLE VIEW PORTABLE | $222 | Both |
| HC 71046 CHEST 2 VIEWS | $320 | Both |
| HC 71100 RIBS UNILAT, 2 VIEWS-LT | $127 | Both |
| HC 71100 RIBS UNILAT, 2 VIEWS-RT | $121 | Both |
| HC 71101 RIBS UNILAT, MIN 3V, W/ PA CHEST-LT | $159 | Both |
| HC 71101 RIBS UNILAT, MIN 3V, W/ PA CHEST-RT | $159 | Both |
| HC 71111 RIBS BILAT, MIN 4V, W/ PA CHEST | $213 | Both |
| HC 71120 STERNUM MIN 2V | $123 | Both |
| HC 71250 CT THORAX DIAGNOSTIC W/O CONTRAST | $1,783 | Both |
| HC 71260 CT THORAX DIAGNOSTIC W/ CONTRAST | $1,671 | Both |
| HC 71270 CT THORAX DIAGNOSTIC WO/W CONTRAST | $1,355 | Both |
| HC 71271 CT THORAX W/O CONTRAST - SCREENING | $594 | Both |
| HC 71275 CT ANGIO CHST,NCRNY WO/W CONT W/ IMG PP | $2,646 | Both |
| HC 72040 SPINE CERVICAL 2 OR 3 VIEWS | $105 | Both |
| HC 72040 SPINE CERVICAL 2 OR 3 VIEWS PORTABLE | $105 | Both |
| HC 72050 SPINE CERVICAL 4 OR 5 VIEWS | $393 | Both |
| HC 72052 SPINE CERVICAL, 6 OR MORE VIEWS | $482 | Both |
| HC 72070 SPINE THORACIC 2 VIEWS | $92.63 | Both |
| HC 72072 SPINE THORACIC 3 VIEWS | $298 | Both |
| HC 72100 SPINE LUMBAR 2 OR 3 VIEWS | $266 | Both |
| HC 72100 SPINE LUMBAR 2 OR 3 VIEWS-PORTABLE | $266 | Both |
| HC 72114 SPINE LUMBAR W/BEND MINIMUM 6 VIEWS | $575 | Both |
| HC 72125 CT CERVICAL SPINE W/O CONTRAST | $2,459 | Both |
| HC 72128 CT THORACIC SPINE W/O CONTRAST | $1,047 | Both |
| HC 72130 CT THORACIC SPINE WO/W CONTRAST | $1,675 | Both |
| HC 72131 CT LUMBAR SPINE W/O CONTRAST | $1,313 | Both |
| HC 72133 CT LUMBAR SPINE WO/W CONTRAST | $1,895 | Both |
| HC 72170 PELVIS 1 OR 2 VIEWS | $194 | Both |
| HC 72170 PELVIS 1 OR 2 VIEWS-PORTABLE | $194 | Both |
| HC 72190 PELVIS COMPLETE, MIN 3V | $143 | Both |
| HC 72192 CT PELVIS W/O CONTRAST | $1,079 | Both |
| HC 72202 SACROILIAC JOINTS MIN 3V | $147 | Both |
| HC 72220 SACRUM & COCCYX MIN 2V | $251 | Both |
| HC 73000 CLAVICAL COMPLETE-BLT | $139 | Both |
| HC 73000 CLAVICAL COMPLETE-LT | $68.17 | Both |
| HC 73000 CLAVICAL COMPLETE-RT | $68.17 | Both |
| HC 73030 SHOULDER COMPLETE, MIN 2V-BLT | $456 | Both |
| HC 73030 SHOULDER COMPLETE, MIN 2V-LT | $391 | Both |
| HC 73030 SHOULDER COMPLETE, MIN 2V-RT | $391 | Both |
| HC 73060 HUMERUS MIN 2V-BLT | $192 | Both |
| HC 73060 HUMERUS MIN 2V-LT | $98.63 | Both |
| HC 73060 HUMERUS MIN 2V-RT | $98.63 | Both |
| HC 73070 ELBOW 2 VIEWS-BLT | $150 | Both |
| HC 73070 ELBOW 2 VIEWS-LT | $73.33 | Both |
| HC 73070 ELBOW 2 VIEWS-RT | $73.33 | Both |
| HC 73080 ELBOW COMPLETE, MIN 3V-BLT | $219 | Both |
| HC 73080 ELBOW COMPLETE, MIN 3V-LT | $117 | Both |
| HC 73080 ELBOW COMPLETE, MIN 3V-RT | $117 | Both |
| HC 73090 FOREARM 2 VIEWS-BLT | $184 | Both |
| HC 73090 FOREARM 2 VIEWS-LT | $94.88 | Both |
| HC 73090 FOREARM 2 VIEWS-RT | $94.88 | Both |
| HC 73100 WRIST 2 VIEWS-BLT | $171 | Both |
| HC 73100 WRIST 2 VIEWS-LT | $84.03 | Both |
| HC 73100 WRIST 2 VIEWS-RT | $84.03 | Both |
| HC 73110 WRIST COMPLETE, MIN 3V-BLT | $188 | Both |
| HC 73110 WRIST COMPLETE, MIN 3V-LT | $111 | Both |
| HC 73110 WRIST COMPLETE, MIN 3V-RT | $111 | Both |
| HC 73120 HAND 2 VIEWS-BLT | $158 | Both |
| HC 73120 HAND 2 VIEWS-LT | $77.25 | Both |
| HC 73120 HAND 2 VIEWS-RT | $77.25 | Both |
| HC 73130 HAND MIN 3 VIEWS-BLT | $423 | Both |
| HC 73130 HAND MIN 3 VIEWS-LT | $401 | Both |
| HC 73130 HAND MIN 3 VIEWS-RT | $401 | Both |
| HC 73140 FINGER(S) MIN 2 VIEWS | $82.66 | Both |
| HC 73140 FINGER(S) MIN 2 VIEWS BLT | $165 | Both |
| HC 73140 FINGER(S) MIN 2 VIEWS LT | $82.66 | Both |
| HC 73140 FINGER(S) MIN 2 VIEWS RT | $82.66 | Both |
| HC 73200 CT UPPER EXTREMITY W/O CONTRAST-LT | $890 | Both |
| HC 73200 CT UPPER EXTREMITY W/O CONTRAST-RT | $890 | Both |
| HC 73221 MRI UP EXTREM, ANY JOINT, W/O CONTRAST - BLT | $2,494 | Both |
| HC 73221 MRI UP EXTREM, ANY JOINT, W/O CONTRAST - LT | $1,222 | Both |
| HC 73221 MRI UP EXTREM, ANY JOINT, W/O CONTRAST - RT | $1,283 | Both |
| HC 73502 HIP 2/3 VIEW (W PELVIS) - LT | $352 | Both |
| HC 73502 HIP 2/3 VIEW (W PELVIS) -RT | $352 | Both |
| HC 73521 HIP 2 VIEW (W PELVIS) - BIL | $452 | Both |
| HC 73522 HIP 3/4 VIEW (W PELVIS) - BIL | $280 | Both |
| HC 73552 FEMUR MIN 2 VIEW - BLT | $184 | Both |
| HC 73552 FEMUR MIN 2 VIEW - LT | $93.94 | Both |
| HC 73552 FEMUR MIN 2 VIEW - RT | $93.94 | Both |
| HC 73560 KNEE 1 OR 2 VIEWS-BLT | $154 | Both |
| HC 73560 KNEE 1 OR 2 VIEWS-LT | $82.82 | Both |
| HC 73560 KNEE 1 OR 2 VIEWS-RT | $78.88 | Both |
| HC 73562 KNEE 3 VIEWS-BLT | $503 | Both |
| HC 73562 KNEE 3 VIEWS-LT | $400 | Both |
| HC 73562 KNEE 3 VIEWS-RT | $400 | Both |
| HC 73564 KNEE COMPLETE, MIN 4V-BLT | $287 | Both |
| HC 73564 KNEE COMPLETE, MIN 4V-LT | $151 | Both |
| HC 73564 KNEE COMPLETE, MIN 4V-RT | $151 | Both |
| HC 73590 TIBIA & FIBULA 2 VIEWS-BLT | $188 | Both |
| HC 73590 TIBIA & FIBULA 2 VIEWS-LT | $98.63 | Both |
| HC 73590 TIBIA & FIBULA 2 VIEWS-RT | $98.63 | Both |
| HC 73600 ANKLE 2 VIEWS-BLT | $154 | Both |
| HC 73600 ANKLE 2 VIEWS-LT | $77.25 | Both |
| HC 73600 ANKLE 2 VIEWS-RT | $77.25 | Both |
| HC 73610 ANKLE COMPLETE, MIN 3V-BLT | $402 | Both |
| HC 73610 ANKLE COMPLETE, MIN 3V-LT | $373 | Both |
| HC 73610 ANKLE COMPLETE, MIN 3V-RT | $373 | Both |
| HC 73620 FOOT 2 VIEWS-BLT | $174 | Both |
| HC 73620 FOOT 2 VIEWS-LT | $86.01 | Both |
| HC 73620 FOOT 2 VIEWS-RT | $86.01 | Both |
| HC 73630 FOOT COMPLETE, MIN 3V-BLT | $420 | Both |
| HC 73630 FOOT COMPLETE, MIN 3V-LT | $366 | Both |
| HC 73630 FOOT COMPLETE, MIN 3V-RT | $366 | Both |
| HC 73700 CT LOWER EXTREM W/O CONTRAST BLT | $3,085 | Both |
| HC 73700 CT LOWER EXTREM W/O CONTRAST LT | $1,545 | Both |
| HC 73700 CT LOWER EXTREM W/O CONTRAST RT | $1,545 | Both |
| HC 73718 MRI LOW EXTREM, NON JOINT, W/O CONTRAST - BLT | $2,494 | Both |
| HC 73718 MRI LOW EXTREM, NON JOINT, W/O CONTRAST - LT | $1,222 | Both |
| HC 73718 MRI LOW EXTREM, NON JOINT, W/O CONTRAST - RT | $1,197 | Both |
| HC 73721 MRI LOW EXTREM, JOINT, W/O CONTRAST - BLT | $2,441 | Both |
| HC 73721 MRI LOW EXTREM, JOINT, W/O CONTRAST - LT | $1,283 | Both |
| HC 73721 MRI LOW EXTREM, JOINT, W/O CONTRAST - RT | $1,283 | Both |
| HC 74018 ABDOMEN SINGLE VIEW | $303 | Both |
| HC 74019 ABDOMEN 2 VIEWS | $216 | Both |
| HC 74022 ABDOMEN ACUTE SERIES, COMPLETE | $317 | Both |
| HC 74160 CT ABDOMEN W/ CONTRAST | $1,594 | Both |
| HC 74170 CT ABDOMEN WO/W CONTRAST | $1,649 | Both |
| HC 74174 CT ANGIOGRAPHY ABD/PELVIS W CONTRAST | $2,399 | Both |
| HC 74175 CT ANGIO ABDOMEN WO/W CONTRAST W/ IMG PP | $1,676 | Both |
| HC 74176 CT ABD AND PELVIS, WITHOUT CONTRAST | $3,661 | Both |
| HC 74177 CT ABD AND PELVIS, WITH CONTRAST | $3,879 | Both |
| HC 74178 CT ABD & PLVS W & WO CONT 1 BODY REGN | $4,364 | Both |
| HC 74220 ESOPHAGUS | $365 | Both |
| HC 74246 RADIOLOGIC EXAM UPPER GI TRACT DOUBLE CONTRAST STUDY | $525 | Both |
| HC 74246 UGI W/AIR CONTRAS W/O KUB-CT CALGB 10105 | $525 | Both |
| HC 74300 CHOLANGIO/PANCREAT, INTRAOPERATIVE | $508 | Both |
| HC 74400 UROGRAM (IVP), ADULT W/O TOMO | $521 | Both |
| HC 75635 CTA ABD AORTA BILAT ILIOFEMORAL W/WO | $1,628 | Both |
| HC 76000 FLUOROSCOPY UP TO 1 HR | $385 | Both |
| HC 76377 CT RECONSTRUCT W PP ON INDEPENDT WORKSTATION | $510 | Both |
| HC 76536 US SOFT TISSUE HEAD/NECK | $682 | Both |
| HC 76604 US CHEST INCLUDES MEDIASTINUM | $320 | Both |
| HC 76700 US ABDOMEN COMPLETE | $750 | Both |
| HC 76705 US ABDOMEN LIMITED LEVEL I | $591 | Both |
| HC 76770 US RETROPERITONEAL COMPLETE | $526 | Both |
| HC 76775 US RETROPERITONEAL LIMITED | $431 | Both |
| HC 76830 US TRANSVAGINAL | $471 | Both |
| HC 76856 US PELVIS (NON-OBSTETRIC) COMPLETE | $744 | Both |
| HC 76857 US PELVIS (NON-OB), LIMITED OR FOLLOWUP | $366 | Both |
| HC 76870 US SCROTUM AND CONTENTS | $498 | Both |
| HC 76882 US EXTR NONVASC REALTIME LIMITED - BLT | $198 | Both |
| HC 76882 US EXTR NONVASC REALTIME LIMITED - LT | $99.09 | Both |
| HC 76882 US EXTR NONVASC REALTIME LIMITED - RT | $99.09 | Both |
| HC 77065 MAMMOGRAM,DIAGNOSTIC,+/- CAD,UNI-LT | $84.06 | Both |
| HC 77065 MAMMOGRAM,DIAGNOSTIC,+/- CAD,UNI-RT | $84.06 | Both |
| HC 77066 MAMMOGRAM,DIAGNOSTIC,+/- CAD,BILATERAL | $185 | Both |
| HC 77067 MAMMOGRAM SCREENING,+/- CAD,BILATERAL | $283 | Both |
| HC 77067 MAMMOGRAM SCRN,+/- CAD,UNI-LT | $35.67 | Both |
| HC 77067 MAMMOGRAM SCRN,+/- CAD,UNI-RT | $35.67 | Both |
| HC 77072 BONE AGE, STUDIES-I | $77.25 | Both |
| HC 77080 DEXA SC, 1 OR MORE SITES, AXIAL SKELETON | $454 | Both |
| HC 77085 DXA, BONE DENSITY STUDY, 1 OR MORE SITES; AXIAL, INC VERTEBRAL FX ASSESSMENT | $680 | Both |
| HC 80305 DRUG TEST, PRESUMPTIVE, DIRECT OBSERV, PER DOS | $23.51 | Both |
| HC 80307 DRUG TEST, PRESUMPTIVE, CHEM ANALYZERS, PER DOS | $148 | Both |
| HC 88173 PRO CYTOPATH EVAL FINE NEEDLE ASPIRATE INTERP W REPORT | $534 | Outpatient |
| HC 88342 PRO IMMUNOHISTOCHEM OR IMMUNOCYSTOCHEM ANTB STAIN PROC 1ST SNGL | $220 | Outpatient |
| HC 90471 IMMUNIZATION ADMIN, ONE VACCINE | $37.40 | Both |
| HC 90471 IMMUNIZATION ADMINISTRAT, ONE VACCINE | $37.40 | Both |
| HC 90834 PSYCHOTHERAPY 45 MIN W/PT | $95.99 | Both |
| HC 90837 PSYCHOTHERAPY 60 MIN W/PT | $140 | Both |
| HC 90853 GROUP THERAPY | $195 | Both |
| HC 93017 CARDIO STRESS TEST TRACING ONLY | $805 | Both |
| HC 93225 HOLTER MONITOR UP TO 48 HRS VIS SUPERIMP REC | $549 | Both |
| HC 93226 HOLTER MONITOR UP TO 48 HRS VIS SUPERIMP SCN/RPT | $667 | Both |
| HC 93242 EXTERNAL ECG REC>48HR<7DAY RECORDING | $356 | Both |
| HC 93243 EXTERNAL ECG REC>48HR<7DAY SCANNING ALYS W/REPORT | $361 | Both |
| HC 93244 PRO EXTERNAL ECG REC>48HR<7D REVIEW & INTERP | $127 | Outpatient |
| HC 93246 EXTERNAL ECG REC>7D<15DAY RECORDING | $420 | Both |
| HC 93247 EXTERNAL ECG REC>7D<15DAY SCANNING ALYS W/REPORT | $361 | Both |
| HC 93798 CARDIAC REHAB W/CONT ECG MONITOR | $223 | Both |
| HC 93922 PHY STDY UP/LOW EXTREM ART SNGL BILAT | $306 | Both |
| HC 93970 DUPLEX EXTREM VEINS COMPLETE BILAT | $683 | Both |
| HC 93971 DUPLEX EXTREM VEINS UNILAT/LIMITED-LT | $293 | Both |
| HC 93971 DUPLEX EXTREM VEINS UNILAT/LIMITED-RT | $279 | Both |
| HC 93976 ABD ART/VEN DUP/ LIMITED STUDY | $566 | Both |
| HC 94060 PRO BRONCHODILATION RESPONSE PRE POST BRONCHO ADMIN INTERP | $44.13 | Outpatient |
| HC 94150 VITAL CAPACITY, TOTAL | $199 | Both |
| HC 94618 PULMONARY EXERCISE CHALLENGE TEST, SIMPLE | $87.88 | Both |
| HC 94618 PULMONARY STRESS TESTING | $87.88 | Both |
| HC 94625 PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR | $136 | Both |
| HC 94640 AIRWAY INHALATION TREATMENT INITIAL | $230 | Both |
| HC 94640 AIRWAY INHALATION TREATMENT SUBSQ | $89.55 | Both |
| HC 94726 PLETHYSMOGRAPHY LUNG VOL/AIRWAY RESIST | $344 | Both |
| HC 94726 PRO PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESISTANCE | $33.52 | Outpatient |
| HC 94729 DIFFUSING CAPACITY | $240 | Both |
| HC 94729 PRO CARBON MONO MEMBRANE DIFFUSING CAPACITY SEP FROM PRIMARY PROC | $36.92 | Outpatient |
| HC 94760 PULSE OXIMETRY SINGLE DETERM | $101 | Both |
| HC 94761 PULSE OXIMETRY, MULTIPLE DETERM | $62.56 | Both |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Illinois or browse all procedures.