University of Chicago Medical Center — price list

← Hospital overviewVerified from University of Chicago Medical Center’s published price file

Showing the first 1,500 prices. 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.

11 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Abilify Maintena: 1 Kit In 1 Carton (59148-018-71) * 1.5 Ml In 1 Vial, Single-Use * 5 Ml In 1 Vial, Single-Use Inpatient & outpatient	J0401 HCPCS	—	—	—	—
Abilify Maintena: 1 Kit In 1 Carton (59148-019-71) * 1.9 Ml In 1 Vial, Single-Use * 5 Ml In 1 Vial, Single-Use Inpatient & outpatient	J0401 HCPCS	—	—	—	—
Abilify Maintena: 1 Kit In 1 Carton (59148-232-12) * 1.5 Ml In 1 Vial, Single-Use (59148-235-70) * 2.5 Ml In 1 Vial, Single-Use (59148-100-12) Inpatient & outpatient	J0401 HCPCS	—	—	—	—
Abilify Maintena: 1 Kit In 1 Carton (59148-245-12) * 1.9 Ml In 1 Vial, Single-Use (59148-238-90) * 2.5 Ml In 1 Vial, Single-Use (59148-100-12) Inpatient & outpatient	J0401 HCPCS	—	—	—	—
Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0781-1487-01) Inpatient & outpatient	10207_00781148701 CDM	—	—	—	—
Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-257-01) Inpatient & outpatient	11487_16714025701 CDM	—	—	—	—
Carnitor Sf: 24 Bottle, Plastic In 1 Case (54482-148-01) / 118 Ml In 1 Bottle, Plastic Inpatient & outpatient	1346_54482014801 CDM	—	—	—	—
Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6148-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use Inpatient & outpatient	J0696 HCPCS	—	—	—	—
Dimethyl Fumarate: 1 Bottle, Plastic In 1 Carton (69097-323-03) / 60 Capsule, Delayed Release In 1 Bottle, Plastic Inpatient & outpatient	114840_69097032303 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	114840_00378039918 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	11487_50268003711 CDM	—	—	—	—