Advocate Illinois Masonic Medical Center — price list

← Hospital overviewVerified from Advocate Illinois Masonic Medical Center’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. 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.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1002609 - KIT CATH 4.7 MM X 75 MM OD 14FR IMPELLA CP VNTRC ASSIST IV Outpatient	0278 RC	$97,500	$48,750	$22,133 – $78,000	—
1004325 - FELT CV 6X6IN THK1.65MM PTFE PATCH STRL LF Outpatient	C1768 HCPCS	$3,355	$1,677	$762 – $2,684	—
1004965 - WIRE FX OD.5 MM L160 MM NA LIGATURE BLUNT Outpatient	C1713 HCPCS	$83.06	$41.53	$18.85 – $66.45	$5,756
1004966 - WIRE FX OD.64 MM L160 MM NA LIGATURE BLUNT Outpatient	C1713 HCPCS	$108	$54.23	$24.62 – $86.77	$5,756
1005049 - PLATE L24 MM MINI CRV MNDB 6 HOLE SAGITTAL RGD TI LVL 1 BN Outpatient	C1713 HCPCS	$1,231	$616	$279 – $985	$5,756
1005942 - MESH LG HERNIA REPR GROIN L1.6 IN PP PERFIX OD1.9 IN PLUG Outpatient	C1781 HCPCS	$1,793	$896	$407 – $1,434	—
1005943 - MESH XL INGUINAL HERNIA REPR GROIN L2 IN X W1.6 IN PP PERFIX Outpatient	C1781 HCPCS	$2,080	$1,040	$472 – $1,664	—
1005953 - SYSTEM FX PERMANENT 30 FASTENER CAPSURE PEEK STNLS STL Outpatient	C1713 HCPCS	$4,465	$2,233	$1,014 – $3,572	$5,756
1005974 - MESH BARD 3DMAX 6X4IN LG CRV CONTOUR PP SEAL EDGE 3D MEDIAL Outpatient	C1781 HCPCS	$1,742	$871	$395 – $1,393	—
1005975 - MESH 3DMAX 7X5IN XL 3D CRV PP CONTOUR SEAL EDGE LAPSCP INGNL Outpatient	C1781 HCPCS	$1,922	$961	$436 – $1,538	—
1005976 - MESH BARD 3DMAX 5X3IN MED CRV CONTOUR PP SEAL EDGE LAPSCP Outpatient	C1781 HCPCS	$1,634	$817	$371 – $1,307	—
1005977 - MESH 3DMAX 6X4IN LG CRV CONTOUR PP SEAL EDGE LAPSCP INGNL Outpatient	C1781 HCPCS	$1,742	$871	$395 – $1,393	—
1005987 - MESH 3DMAX 16X10CM LG MID INGNL HERNIA REPR SURG LT Outpatient	C1781 HCPCS	$2,468	$1,234	$560 – $1,974	—
1005988 - MESH 3DMAX 17X12CM XL MID INGNL HERNIA REPR SURG LT Outpatient	C1781 HCPCS	$2,716	$1,358	$617 – $2,173	—
1005989 - MESH 3DMAX 16X10CM LG MID INGNL HERNIA REPR SURG RT Outpatient	C1781 HCPCS	$2,468	$1,234	$560 – $1,974	—
1005990 - MESH 3DMAX 17X12CM XL MID INGNL HERNIA REPR SURG 7X5IN RT Outpatient	C1781 HCPCS	$2,716	$1,358	$617 – $2,173	—
1005994 - MESH HERNIA L6 IN X W4 IN PP BARD LTWT LG PORE MONO LOW PRFL Outpatient	C1781 HCPCS	$897	$449	$204 – $718	—
1005995 - MESH HERNIA REPR L6 IN X W6 IN PP BARD SOFT SMTH RND CRNR LG Outpatient	C1781 HCPCS	$1,924	$962	$437 – $1,539	—
1005998 - MESH BARD 12X12IN SQ PP MONO LTWT LOWPRFL HERNIA REPR SURG Outpatient	C1781 HCPCS	$3,950	$1,975	$897 – $3,160	—
1006772 - PLATE L18 MM RECTANGLE MDFC 2 X 3 HOLE MTRX TI TRAUMAONE Outpatient	C1713 HCPCS	$1,300	$650	$295 – $1,040	$5,756
1006802 - PLATE H.5 MM CRANIOMAXILLOFACIAL BURR HOLE TI LORENZ OD18.5 Outpatient	C1713 HCPCS	$1,477	$739	$335 – $1,182	$5,756
1006803 - PLATE H.5 MM CRANIOMAXILLOFACIAL BURR HOLE TI LORENZ OD22 MM Outpatient	C1713 HCPCS	$1,358	$679	$308 – $1,087	$5,756
1006809 - PLATE H.6 MM LONG STRGT CRANIOMAXILLOFACIAL 2 HOLE TI LORENZ Outpatient	C1713 HCPCS	$402	$201	$91.14 – $321	$5,756
1007369 - GRAFT DYNAGRAFT 2 1ML DBM GEL BN Outpatient	C1713 HCPCS	$553	$276	$126 – $442	$5,756
1007660 - PLATE L122 MM DIST HUM LT 4 HOLE PRECONTOUR LIMIT CNTCT TPR Outpatient	C1713 HCPCS	$5,010	$2,505	$1,137 – $4,008	$5,756
1007673 - PLATE BN 73MM OLECRANON LT PROX 2 HOLE RND PRFL VAR ANG TPR Outpatient	C1713 HCPCS	$4,361	$2,180	$990 – $3,489	$5,756
1007675 - PLATE L90 MM RT 2 HOLE RND PRFL VAR ANG TPR TIP STNLS STL BN Outpatient	C1713 HCPCS	$4,806	$2,403	$1,091 – $3,845	$5,756
1007682 - PLATE L90 MM LT 2 HOLE RND PRFL VAR ANG TPR TIP STNLS STL BN Outpatient	C1713 HCPCS	$4,798	$2,399	$1,089 – $3,838	$5,756
1007870 - PLATE L51 MM NAR RDS RT DIST VOLAR 6 HOLE HEAD 3 HOLE SHAFT Outpatient	C1713 HCPCS	$4,150	$2,075	$942 – $3,320	$5,756
1007873 - PLATE L51 MM NAR RDS DIST VOLAR LT 6 HOLE HEAD 3 HOLE SHAFT Outpatient	C1713 HCPCS	$4,150	$2,075	$942 – $3,320	$5,756