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.

23 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Ampicillin And Sulbactam: 10 Vial, Single-Dose In 1 Carton (71288-032-21) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (71288-032-20) Inpatient & outpatient	J0295 HCPCS	—	—	—	—
Baclofen: 100 Tablet In 1 Bottle (72888-010-01) Inpatient & outpatient	11689_72888001001 CDM	—	—	—	—
Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-106-10) / 15 Powder, For Solution In 1 Vial, Single-Dose Inpatient & outpatient	J9040 HCPCS	—	—	—	—
Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-035-01) Inpatient & outpatient	1448_72888003501 CDM	—	—	—	—
Cisplatin: 100 Ml In 1 Vial (16729-288-38) Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cisplatin: 50 Ml In 1 Vial (16729-288-11) Inpatient & outpatient	J9060 HCPCS	—	—	—	—
Cyanocobalamin: 25 Vial, Multi-Dose In 1 Carton (71288-303-02) / 1 Ml In 1 Vial, Multi-Dose (71288-303-01) Inpatient & outpatient	J3420 HCPCS	—	—	—	—
Dehydrated Alcohol: 10 Ampule In 1 Carton (54288-105-15) / 5 Ml In 1 Ampule (54288-105-02) Inpatient & outpatient	140213_54288010515 CDM	—	—	—	—
Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02) / 5 Ml In 1 Bottle, Dropper Inpatient & outpatient	12883_24208072002 CDM	—	—	—	—
Docetaxel Anhydrous: 1 Vial, Multi-Dose In 1 Carton (71288-144-16) / 16 Ml In 1 Vial, Multi-Dose Inpatient & outpatient	J9171 HCPCS	—	—	—	—
Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial Inpatient & outpatient	J0173 HCPCS	—	—	—	—
Fludrocortisone Acetate: 100 Blister Pack In 1 Box, Unit-Dose (68084-288-01) / 1 Tablet In 1 Blister Pack (68084-288-11) Inpatient & outpatient	142137_68084028801 CDM	—	—	—	—
Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-113-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose Inpatient & outpatient	J9201 HCPCS	—	—	—	—
Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-06) / 5.26 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9201 HCPCS	—	—	—	—
Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-28) / 26.3 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J9201 HCPCS	—	—	—	—
Heparin Sodium: 25 Vial, Single-Dose In 1 Carton (71288-403-02) / 1 Ml In 1 Vial, Single-Dose (71288-403-01) Inpatient & outpatient	J1644 HCPCS	—	—	—	—
Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-161-20) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	J0640 HCPCS	—	—	—	—
Maxidex: 5 mL in 1 BOTTLE, PLASTIC (0998-0615-05) Inpatient & outpatient	12883_00998061505 CDM	—	—	—	—
Methylene Blue: 1 Vial In 1 Carton (54288-147-01) / 10 Ml In 1 Vial Inpatient & outpatient	Q9968 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	106288_99999002066 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	110558_71288020310 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	12697_71288071205 CDM	—	—	—	—
NDC Description Not Available Inpatient & outpatient	140213_54288010502 CDM	—	—	—	—