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Advocate Illinois Masonic Medical Center

836 West Wellington Avenue, Chicago, IL 60657 · (773) 975-1600

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Chicago, IL-IN metroWebsite ↗

Price file

Prices published

File dated 2025-11-04

2,071 price rows for 65 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines · metro median $83

$45
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,050

$1,915
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,250

$855
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,580

$955
cash
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cash
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cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $123

$180
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $75

$33
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $108

$108
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $283

$283
cash
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cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $208

$208
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $151

$298
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $143

$310
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $144

$180
cash
Group psychotherapy

CPT 90853 · lowest of 4 lines · metro median $83

$158
cash
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Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $5,550

$6,715
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $91

$83
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $85

$80
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,750

$2,125
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $1,790

$1,350
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 6 lines · metro median $1,765

$1,350
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 6 lines · metro median $1,765

$1,350
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 8 lines · metro median $1,220

$1,135
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $148

$148
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $178

$178
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $208

$208
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $92

$108
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $48

$48
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $85

$85
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $590

$515
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $28

$28
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $160

$135
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $180

$180
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $184

$225
cash
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cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $238

$238
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines · metro median $2,105

$2,105
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $996

$895
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $1,145

$1,145
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $80

$25
cash
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cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $570

$570
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $740

$740
cash
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Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $35

$35
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $478

$505
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.