PROVIDENT HOSPITAL OF CHICAGO

45 CFR § 180 compliance

B · 85

This hospital published most of what § 180 requires.

●Machine-readable file published

●Gross / standard charges

●Discounted cash price

●Payer-specific negotiated rates

○Min / max negotiated charges

●Free, public, no login required

Procedures listed

10,690

Insurances with rates

CPT / HCPCS codes

10,336

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
C9293	GLUCARPIDASE 1000 UNITS	$89,200	$62,440	—	—	4
63685	INSRT/REDO SPINE N GEN	$78,816	$55,171	—	—	6
J3241	TEPROTUMUMAB TRBW 500 MG POW	$75,680	$52,976	—	—	6
J2502	PASIREOTIDE 40 MG LAR INJ - NF	$63,784	$44,649	—	—	6
J1628	GUSELKUMAB 100 MG/ML INJ - NF	$58,266	$40,786	—	—	6
J9229	INOTUZUMAB OZOGAMICIN 0.9 MG (SDV) INJ	$47,555	$33,288	—	—	6
61624	OCC/EMB TRANSCATH CNS PERC	$46,822	$32,775	—	—	6
36906	AV FISTULA GRFT DECLOT W/STENT	$46,822	$32,775	—	—	6
37182	INSERT HEPATIC SHUNT (TIPS)	$46,822	$32,775	—	—	6
37184	PRIM ART MECH THROMBECTOMY	$46,822	$32,775	—	—	6
37242	VASC EMBOLIZE/OCCLUDE ART LT	$46,822	$32,775	—	—	6
0238T	TRLUML PERIP ATHEREC ILIAC ART	$46,598	$32,619	—	—	6
62362	IMPLANT SPINE INF PUMP	$46,036	$32,225	—	—	6
20982	ABLATE BONE TUMOR(S) RADIOFREQ	$44,784	$31,349	—	—	6
28705	FUSION FOOT BONES-PANTALAR	$44,784	$31,349	—	—	6
J9042	BRENTUXIMAB VEDOTIN 50 MG (SDV) - NF	$41,930	$29,351	—	—	6
65770	KERATOPROSTHESIS	$37,051	$25,936	—	—	6
J2997	ALTEPLASE 100 MG INJ VL	$36,962	$25,873	—	—	6
J7313	FLUOCINOLONE OPHTHALMIC 0.19 MG IMP- NF	$36,960	$25,872	—	—	6
C9047	CAPLACIZUMAB YHDP 11 MG KIT-NF	$36,001	$25,201	—	—	4
67027	MPLANT EYE DRUG SYSTEM	$35,638	$24,947	—	—	6
J3101	TENECTEPLASE 50 MG INJ VL	$34,848	$24,394	—	—	6
28297	CORRECT BUNION (LAPIDUS)	$32,792	$22,954	—	—	6
28320	REPAIR OF FOOT BONES	$32,792	$22,954	—	—	6
28420	TREAT/GRAFT HEEL FRACTURE	$32,792	$22,954	—	—	6
28715	FUSION OF FOOT BONES	$32,792	$22,954	—	—	6
28725	FUSION OF FT BONES-ANTHROD	$32,792	$22,954	—	—	6
28730	FUSION FT BONES MULT/TRANS	$32,792	$22,954	—	—	6
28735	FUSION FT BONES W/OSTEOTMY	$32,792	$22,954	—	—	6
28737	REVISE FT BONES (MILLER)	$32,792	$22,954	—	—	6
J3357	USTEKINUMAB 90 MG/ML (SDV) - NF	$30,582	$21,408	—	—	6
61626	OCC/EMB TRANSCATH NON-CNS PERC	$29,486	$20,640	—	—	6
36903	INTRO CATH DIALYSIS W/STENT	$29,486	$20,640	—	—	6
36905	AV FISTULA GRFT DECLOT W/ANGIO	$29,486	$20,640	—	—	6
37187	VENOUS MECH THROMBECTOMY	$29,486	$20,640	—	—	6
37236	OPEN/PERQ PLACE STENT 1ST LT	$29,486	$20,640	—	—	6
37238	OPEN/PERQ PLACE STENT SAME LT	$29,486	$20,640	—	—	6
61623	ENDOVASC TEMPRY VESSEL OCCL	$29,486	$20,640	—	—	6
37241	VASC EMBOLIZE/OCCLUDE VEN LT	$29,486	$20,640	—	—	6
37243	VASC EMBOLIZE/OCCLUDE ORGAN LT	$29,486	$20,640	—	—	6
37244	VASC EMBOLIZE/OCCLUDE BLEED LT	$29,486	$20,640	—	—	6
0236T	TRLUML PERIP ATHEREC ABD AORTA	$29,429	$20,600	—	—	6
0237T	TRLUML PERIP ATHEREC BRACHIOCP	$29,429	$20,600	—	—	6
0234T	TRLUML PERIP ATHEREC RENAL ART	$29,429	$20,600	—	—	6
47383	PERQ ABLTJ LVR CRYOABLATION	$27,151	$19,006	—	—	6
47556	BILIARY ENDO W/DILATE W/STENT	$27,151	$19,006	—	—	6
50593	ABLAT RENAL TUM PERC CRYO LT	$27,151	$19,006	—	—	6
C1882	UNIFY ASSURA CRT-D	$27,000	$18,900	—	—	6
J2506	PEGFILGRASTIM 6 MG/0.6 ML INJ - NF	$26,956	$18,869	—	—	6
J0717	CERTOLIZUMAB 200 MG/ML KIT - NF	$25,198	$17,638	—	—	6

Showing top 50 of 10,690 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.