Uchicago Medicine Adventhealth Bolingbrook
500 Remington Boulevard, Bolingbrook, IL · AdventHealth · · NPI 1164530465
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ligation of femoral vein CPT 37650 | not published | not published | $576.00 – $5,481.46 | 7 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $4,150.00 – $9,660.07 | 7 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,383.62 – $5,481.46 | 7 |
| Ligation of salivary duct CPT 42665 | not published | not published | $1,284.00 – $5,755.71 | 7 |
| Ligation of shunt CPT 49428 | not published | not published | $2,954.00 – $2,954.00 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $658.00 – $5,481.46 | 7 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $658.00 – $5,481.46 | 7 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $658.00 – $5,481.46 | 7 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $658.00 – $5,481.46 | 7 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $1,184.09 – $1,184.09 | 1 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Limited autopsy CPT 88036 | not published | not published | $13.13 – $148.03 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $11.70 – $108.53 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $63.22 – $102.41 | 7 |
| Lincomycin injection HCPCS J2010 | $34.57 | $138.28 | $15.44 – $20.09 | 2 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $5.60 | $22.38 | $5.29 – $5.39 | 2 |
| Lipase CPT 83690 | $40.00 | $160.00 | $6.89 – $11.16 | 7 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $576.00 – $5,755.71 | 7 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $26.82 – $54.85 | 7 |
| Lipoprotein blood quant CPT 83704 | $43.75 | $175.00 | $34.09 – $55.39 | 7 |
| Lipoprotein direct measurement hdl CPT 83718 | $18.75 | $75.00 | $8.19 – $13.27 | 7 |
| Lipoprotein direct measurement ldl CPT 83721 | $31.25 | $125.00 | $10.31 – $17.01 | 7 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $55.39 | 7 |
| Lip surgery procedure CPT 40799 | not published | not published | $253.81 – $411.18 | 7 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $297,363.77 | $1,189,455.08 | $562,538.19 – $911,311.86 | 7 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $21.37 | 7 |
| Lithium therapeutic drug level CPT 80178 | $31.25 | $125.00 | $6.61 – $10.71 | 7 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,750.00 | $15,000.00 | $2,414.00 – $2,414.00 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $285.43 | 7 |
| Liver Function Test CPT 80076 | $62.50 | $250.00 | $8.17 – $13.24 | 7 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $412.70 – $412.70 | 1 |
| Liver imaging CPT 78201 | not published | not published | $272.78 – $942.61 | 7 |
| Liver imaging (3d) CPT 78205 | not published | not published | $291.15 – $291.15 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $291.15 – $942.61 | 7 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $278.91 – $694.01 | 7 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $161.96 – $694.01 | 7 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,547.76 – $4,127.37 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $658.00 – $5,680.26 | 7 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $10.02 | $40.08 | $2.43 – $3.81 | 2 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $136.39 – $136.39 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $22,340.45 | $89,361.78 | $216.90 – $351.38 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $24.29 | $97.17 | $1.85 – $2.64 | 2 |
| Loudness balance test CPT 92562 | not published | not published | $231.39 – $374.85 | 7 |
| Low back disk surgery CPT 63030 | not published | not published | $1,728.00 – $12,596.95 | 7 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $430.00 – $3,217.00 | 3 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,728.00 – $3,217.00 | 3 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $430.00 – $3,217.00 | 3 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $430.00 – $3,217.00 | 3 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $750.00 | $3,000.00 | $187.96 – $304.50 | 7 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $700.00 | $2,800.00 | $373.86 – $605.65 | 7 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $625.00 | $2,500.00 | $112.03 – $181.49 | 7 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,350.00 | $5,400.00 | $373.86 – $605.65 | 7 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,350.00 | $5,400.00 | $373.86 – $605.65 | 7 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,125.00 | $4,500.00 | $255.69 – $414.22 | 7 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $127.50 | $510.00 | $37.28 – $181.49 | 7 |
| Lower jaw bone graft CPT 21215 | not published | not published | $1,284.00 – $10,276.96 | 7 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $215.00 – $348.31 | 7 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.90 – $25.76 | 7 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,728.00 – $18,453.63 | 7 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $1,728.00 – $18,453.63 | 7 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $1,728.00 – $18,453.63 | 7 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $1,728.00 – $18,453.63 | 7 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $35.62 | 7 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $86.28 – $3,389.97 | 7 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $5,474.00 – $30,439.09 | 7 |
| Lumizyme injection HCPCS J0221 | $740.59 | $2,962.36 | $206.59 – $334.67 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $37.50 | $150.00 | $63.22 – $102.41 | 7 |
| Lung Function Test (Spirometry) CPT 94010 | $72.50 | $290.00 | $231.39 – $374.85 | 7 |
| Lung perfusion imaging CPT 78580 | $433.75 | $1,735.00 | $332.36 – $694.01 | 7 |
| Lung transplant double CPT 32853 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $6,431.90 | $25,727.60 | $207.13 – $335.55 | 7 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $8,985.14 | $35,940.56 | $41.98 – $68.01 | 7 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $30.99 – $50.21 | 7 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $32.48 | 7 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $5,474.00 – $14,189.18 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | $500.00 | $2,000.00 | $412.70 – $942.61 | 7 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $59.23 | 7 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $79.43 | 7 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $56.49 – $307.01 | 7 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $77.10 | 7 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $238.17 – $1,089.01 | 7 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $345.48 – $2,732.77 | 7 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $383.27 – $5,481.46 | 7 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $392.15 – $5,481.46 | 7 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $576.00 – $936.29 | 7 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $430.00 – $5,619.72 | 7 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $576.00 – $3,628.95 | 7 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $31.37 – $31.37 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.