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.

18 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Amlodipine Besylate: 90 Tablet In 1 Bottle (69097-128-05) Inpatient & outpatient	11705_69097012805 CDM	—	—	—	—
Benzonatate: 100 Capsule In 1 Bottle (42806-714-01) Inpatient & outpatient	11747_42806071401 CDM	—	—	—	—
Bumetanide: 100 Tablet In 1 Bottle (0185-0128-01) Inpatient & outpatient	12665_00185012801 CDM	—	—	—	—
Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (51079-986-20) / 1 Tablet In 1 Blister Pack (51079-986-01) Inpatient & outpatient	12802_51079098620 CDM	—	—	—	—
Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-457-01) Inpatient & outpatient	13806_50228045701 CDM	—	—	—	—
Demeclocycline Hydrochloride: 48 Tablet, Film Coated In 1 Bottle (42806-144-48) Inpatient & outpatient	14371_42806014448 CDM	—	—	—	—
Ethambutol Hydrochloride: 100 Tablet In 1 Bottle (68180-280-01) Inpatient & outpatient	12413_68180028001 CDM	—	—	—	—
Firvanq: 1 Kit In 1 Carton (65628-208-10) * 15 G In 1 Bottle * 289 Ml In 1 Bottle Inpatient & outpatient	122183_65628020810 CDM	—	—	—	—
Lamotrigine: 100 Tablet, Chewable In 1 Bottle (68462-228-01) Inpatient & outpatient	14144_68462022801 CDM	—	—	—	—
Lansoprazole: 1 Kit In 1 Container (65628-080-03) * .27 G In 1 Bottle, Plastic * 90 Ml In 1 Bottle, Plastic Inpatient & outpatient	107533_65628008003 CDM	—	—	—	—
Lansoprazole: 1 Kit In 1 Container (65628-080-10) * 300 Ml In 1 Bottle, Plastic * .9 G In 1 Bottle, Plastic Inpatient & outpatient	107533_65628008010 CDM	—	—	—	—
Mitomycin: 1 VIAL in 1 BOX, UNIT-DOSE (55390-251-01) / 10 mL in 1 VIAL Inpatient & outpatient	J9280 HCPCS	—	—	—	—
Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial Inpatient & outpatient	J9280 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	111937_99999002280 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	11658_68084028011 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	119527_05280048846 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12802_51079098601 CDM	—	—	—	—
Nplate: 1 Vial, Single-Dose In 1 Carton (55513-223-01) / .25 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J2802 HCPCS	—	—	—	—