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.

10 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1088636 - IMPLANT BIO TISS MED BOVINE ACHILLES TNDN DELIVERY DEV Outpatient	C1763 HCPCS	$8,835	$4,418	$2,006 – $7,068	—
1155473 - CONNECTOR NRV 15MM 3MM AXOGUARD STRL Outpatient	C1763 HCPCS	$9,324	$4,662	$2,116 – $7,459	—
1164579 - MATRIX 8X6CM RSRB SUTURABLE BOVINE PRICRD TISS STRL Outpatient	C1763 HCPCS	$3,038	$1,519	$690 – $2,431	—
1172411 - MATRIX TISS DURAGEN DURAPLASTY L2 IN X W2 IN PATCH Outpatient	C1763 HCPCS	$2,566	$1,283	$582 – $2,053	—
1172412 - MATRIX 3X3IN DURAGEN PATCH RGNRT RSRB BOVINE CLGN TISS Outpatient	C1763 HCPCS	$3,336	$1,668	$757 – $2,668	—
1172413 - MATRIX 5X4IN DURAGEN PATCH RGNRT RSRB BOVINE CLGN TISS Outpatient	C1763 HCPCS	$5,744	$2,872	$1,304 – $4,595	—
1172414 - MATRIX TISS DURAGEN DURAPLASTY L7 IN X W5 IN PATCH Outpatient	C1763 HCPCS	$11,355	$5,678	$2,578 – $9,084	—
1173274 - MATRIX 2X2IN DURAGEN PATCH RGNRT RSRB SUTURABLE BOVINE CLGN Outpatient	C1763 HCPCS	$2,578	$1,289	$585 – $2,062	—
1198310 - MESH UPSYLON 35.4CM THK200UM 2.8SQ MM Y LTWT LG PORE SURG 25 Outpatient	C1763 HCPCS	$5,844	$2,922	$1,327 – $4,675	—
1207094 - ENVELOPE ABS L2.7 IN X W2.5 IN MED TYRX POLYARYLATE Outpatient	C1763 HCPCS	$5,274	$2,637	$1,197 – $4,219	—