Evanston Regional Hospital

, Evanston

ProcedureCodeCash Price
ACETAMINOPHEN1000MG/100 INJJ0131< $1
LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGEJ1920< $1
CT colonography dx w/dye74262< $1
IRON SUCROSE IV INJECTION 100 MG/5 MLJ1756< $1
RANITIDINE 150MGJ2780< $1
HYDROMORPHONE 1MG/ML 1ML SYRINGEJ1171< $1
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTIONJ2919< $1
Inj tbo filgrastim 1 microgJ1447$1.10
Methylnaltrexone injectionJ2212$1.10
ESMOLOL 2 000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IVJ1805$1.15
AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE ISO-OSMOTIC IVJ0282$1.23
INJ METHYLPREDNISOLONE ACETATEJ1050$1.53
BUPIVACAINE LIPOSOME/PF 266MG/20ML INJECJ0666$1.57
DOPAMINE 800 MG/250 ML (3 200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLNJ1265$2.01
INJ ONDANSETRON HYDROCHLORIDEJ2405$2.04
PROTAMINE 10 MG/ML INTRAVENOUS SOLUTIONJ2720$2.32
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IVJ3480$2.43
ADENOSINE 3MG/ML IVJ0153$2.61
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUSJ2916$2.72
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTIONJ2404$2.75
PHENYTOIN SODIUM IV SOLUTION 50 MG/MLJ1165$2.84
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTIONJ0706$2.91
COCAINE 4 % NASAL SOLUTIONC9046$3.09
MEPIVACINE 2%J0670$3.11
PREDNISONE 5 MG TABLETJ7512$3.22
DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE)J8540$3.22
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTIONJ0132$3.26
HEPARIN (PORCINE) 5 000 UNIT/ML INJECTION SOLUTIONJ1644$3.32
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTIONJ2360$3.44
TACROLIMUS 0.5 MG CAPSULE IMMEDIATE-RELEASEJ7507$3.47
INJ TRIAMCINOLONE ACETONIDEJ3301$3.72
NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUSJ2305$3.75
CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMENQ0161$3.83
METHYLPREDNISOLONE 4 MG TABLETJ7509$3.92
TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTIONJ3260$3.95
BUTORPHANOL 2 MG/ML INJECTION SOLUTIONJ0595$4.05
CEFAZOLIN 1 G/10 ML IV (WET SOLR VIAL)J0690$4.05
MIDAZOLAM (PF) 5 MG/ML NASALJ2250$4.05
NEOSTIGMINE 3MG SIMPJ2710$4.05
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTIONJ0713$4.15
INJ DEXAMETHASONE SOD PHOSPHJ1100$4.18
Inj hydroxocobalamin iv 25mgJ3424$4.27
FENTANYL INFUSION 2500 MCG/50 MLJ3010$4.62
AZTREONAM 2 GRAM SOLUTION FOR INJECTIONJ0457$4.79
MEROPENEM 1 GRAM INTRAVENOUS SOLUTIONJ2185$4.81
AZATHIOPRINE 50 MG TABLETJ7500$5.15
CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACKJ0736$5.62
FUROSEMIDE 10MG/ML IVJ1938$5.84
INJ KETOROLAC TROMETHAMINEJ1885$5.88
ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGEJ1650$5.91
INJECTION ONABOTULINUMTOXIN AJ0585$6
INJECTION CEFTRIAXONE SODIUMJ0696$6.19
NALBUPHINE 10 MG/ML INJECTION SOLUTIONJ2300$6.66
PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTIONJ2501$6.74
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTIONJ2543$6.79
AMPICILLIN 1 GRAM SOLUTION FOR INJECTIONJ0290$7.06
MORPHINE 2 MG/ML INJECTION SYRINGEJ2270$7.12
DOBUTAMINE 12.5 MG/ML IV SOLUTION (MCG)J1250$7.49
DROPERIDOL 2.5 MG/ML INJECTION SOLUTIONJ1790$7.54
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTIONJ0295$7.61
TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTIONJ3105$7.73
CEFOTAXIME 500MG JJ0698$8.09
MANNITOL 25 % INTRAVENOUS SOLUTIONJ2150$8.09
OXYTOCIN 10 UNIT/ML INJECTION SOLUTIONJ2590$8.09
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTIONJ2765$8.09
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTIONJ0330$8.09
INJECTION DIPHENHYDRAMINE HCLJ1200$8.09
INJECTION GARAMYCIN GENTAMICINJ1580$8.09
INJECTION LORAZEPAMJ2060$8.09
INJECTION PROMETHAZINE HCL TOJ2550$8.09
CIPROFLOXACIN LACTATE/D5W400MG/0.2L IVJ0744$8.21
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTIONJ0780$8.45
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGEJ3475$8.55
PHENYLEPH 20MCG 100MCG 1ML SNIJJ2371$8.58
METHYLPRED SS 1G JJ2930$8.89
ONDANSETRON 8MG TABQ0162$8.90
CEFEPIME 2 GRAM SOLUTION FOR INJECTIONJ0692$9.01
LIDOCAINE IN D5W 4 MG/ML INFUSION PREMIX (FOR PAIN)J2001$9.18
PANTOPRAZOLE 40MG 40MG PWIJJ2470$9.20
Urinalysis81005$9.30
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTIONJ3411$9.51
GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTIONA9577$9.78
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTIONJ1160$10.10
Automated leukocyte count85048$10.23
ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTIONQ9968$10.31
D5W-NS IV BOLUSJ7042$10.33
METHOTREXATE SODIUM (PF) 1 GRAM SOLUTION FOR INJECTIONJ9260$10.35
PT TeleHealth SVC 5-10 MIN98970$10.43
HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTIONJ3410$10.66
ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTIONJ1364$10.81
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTIONJ1630$11
AZITHROMYCIN 500 MG POWDER VIAL FOR RECONSTITUTIONJ0456$11.05
CEFOXITIN 2 GRAM INTRAVENOUS SOLUTIONJ0694$11.12
MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGEJ2175$11.13
BICILL CR 1,200,000J0558$11.53
Assay of hemosiderin qual83070$12.19
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTIONQ2009$12.35
METHOTREXATE SODIUM 2.5 MG TABLETJ8610$12.50
INDIUM IN-111 PENTETATE, DIAGNOSTIC, PER 0.5 MILLICURIEA9548$12.52
Smear complex stain87209$12.54