Deaconess Illinois Medical Center — price list
← Hospital overviewVerified from Deaconess Illinois 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) | |
|---|---|---|---|---|---|---|
| ABATACEPT 250 MG IV SOLR Inpatient | J0129 HCPCS | $17,670 | $3,357 | $3,357 – $15,903 | — | |
| ACETAMINOPHEN 10 MG/ML IV SOLN Inpatient | J0136 HCPCS | $92.25 | $17.53 | $17.53 – $83.03 | — | |
| ACETAMINOPHEN 10 MG/ML IV SOLN Inpatient | J0131 HCPCS | $94.25 | $17.91 | $17.91 – $84.83 | — | |
| ACETAMINOPHEN 120 MG RE SUPP Inpatient | 0637 RC | $3.75 | $0.72 | $0.71 – $3.38 | — | |
| ACETAMINOPHEN 160 MG/5ML PO SOLN Inpatient | 0637 RC | $18.50 | $3.52 | $3.52 – $16.65 | — | |
| ACETAMINOPHEN 325 MG PO TABS Inpatient | 0637 RC | $3.00 | $0.57 | $0.57 – $2.70 | — | |
| ACETAMINOPHEN 325 MG RE SUPP Inpatient | 0637 RC | $11.75 | $2.24 | $2.23 – $10.58 | — | |
| ACETAMINOPHEN 325 MG/10.15ML PO SUSP Inpatient | 0637 RC | $14.75 | $2.81 | $2.80 – $13.28 | — | |
| ACETAMINOPHEN 650 MG RE SUPP Inpatient | 0637 RC | $6.50 | $1.24 | $1.24 – $5.85 | — | |
| ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN Inpatient | 0637 RC | $64.00 | $12.16 | $12.16 – $57.60 | — | |
| ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient | J1120 HCPCS | $374 | $71.11 | $71.11 – $337 | — | |
| ACETYLCYSTEINE 20 % IN SOLN Inpatient | 0250 RC | $172 | $32.68 | $32.68 – $155 | — | |
| ACIDOPHILUS/PECTIN PO CAPS Inpatient | 0637 RC | $3.00 | $0.57 | $0.57 – $2.70 | — | |
| ACTIDOSE WITH SORBITOL 50 GM/240ML PO SUSP Inpatient | 0637 RC | $386 | $73.25 | $73.25 – $347 | — | |
| ACYCLOVIR 200 MG/5ML PO SUSP Inpatient | 0637 RC | $4,229 | $803 | $803 – $3,806 | — | |
| ACYCLOVIR SODIUM 50 MG/ML IV SOLN Inpatient | J0133 HCPCS | $399 | $75.81 | $75.81 – $359 | — | |
| ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN Inpatient | J0153 HCPCS | $1,897 | $360 | $360 – $1,707 | — | |
| ADENOSINE 6 MG/2ML IV SOLN Inpatient | J0153 HCPCS | $68.50 | $13.02 | $13.02 – $61.65 | — | |
| ALBUMIN HUMAN 25 % IV SOLN Inpatient | P9047 HCPCS | $2,052 | $390 | $390 – $1,847 | — | |
| ALBUMIN HUMAN 5 % IV SOLN Inpatient | P9045 HCPCS | $1,026 | $195 | $195 – $923 | — | |
| ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU Inpatient | 0250 RC | $12.75 | $2.43 | $2.42 – $11.48 | — | |
| ALBUTEROL SULFATE 1.25 MG/3ML IN NEBU Inpatient | 0250 RC | $16.75 | $3.19 | $3.18 – $15.08 | — | |
| ALLOPURINOL 100 MG PO TABS Inpatient | 0637 RC | $4.00 | $0.76 | $0.76 – $3.60 | — | |
| ALPRAZOLAM 0.25 MG PO TABS Inpatient | 0637 RC | $6.75 | $1.29 | $1.28 – $6.08 | — | |
| ALPRAZOLAM 0.5 MG PO TABS Inpatient | 0637 RC | $4.25 | $0.81 | $0.81 – $3.83 | — | |
| ALPRAZOLAM 1 MG PO TABS Inpatient | 0637 RC | $11.00 | $2.09 | $2.09 – $9.90 | — | |
| ALTEPLASE 1 MG/ML IVPB Inpatient | J2997 HCPCS | $100,324 | $19,062 | $19,062 – $90,292 | — | |
| ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP Inpatient | 0637 RC | $39.75 | $7.56 | $7.55 – $35.78 | — | |
| ALUMINUM HYDROXIDE GEL 320 MG/5ML PO SUSP Inpatient | 0637 RC | $76.50 | $14.54 | $14.54 – $68.85 | — | |
| AMANTADINE HCL 100 MG PO CAPS Inpatient | 0637 RC | $18.50 | $3.52 | $3.52 – $16.65 | — |