Northwestern Memorial Hospital
251 E. Huron, Chicago, IL · Nm · · NPI 1497859649
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 |
|---|---|---|---|---|
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $5,721.81 | $8,174.01 | $1.58 – $1.58 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $5,714.07 | $8,162.96 | $8.00 – $8.00 | 1 |
| Destruction ciliary body CPT 66700 | $13,966.31 | $19,951.87 | not published | 0 |
| Destruction ciliary body CPT 66720 | $49,230.52 | $70,329.31 | not published | 0 |
| Destruction ciliary body CPT 66740 | $36,952.17 | $52,788.81 | not published | 0 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $25,984.45 | $37,120.64 | not published | 0 |
| Destruction les conjunctiva CPT 68135 | $42,252.17 | $60,360.24 | not published | 0 |
| Destruction vag lesions simple 57061 CPT 57061 | $16,769.12 | $23,955.89 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $105.00 | $150.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $209.30 | $299.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $399.00 | $570.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $28,190.08 | $40,271.55 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $11,140.64 | $15,915.20 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $3,085.52 | $4,407.89 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $1,374.58 | $1,963.69 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $1,521.40 | $2,173.43 | not published | 0 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $199.50 | $285.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $368.20 | $526.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $28.00 | $40.00 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $75.42 | $107.75 | not published | 0 |
| Dexamethasone intra implant HCPCS J7312 | $8,102.50 | $11,575.00 | not published | 0 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $912.45 | $1,303.50 | not published | 0 |
| Dextran 40 infusion HCPCS J7100 | $451.50 | $645.00 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $279.65 | $399.50 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $16.97 | $24.25 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $279.65 | $399.50 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $279.65 | $399.50 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $303.80 | $434.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $116.90 | $167.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $31,699.56 | $45,285.09 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | $10,996.45 | $15,709.21 | not published | 0 |
| Diagnostic anoscopy & biopsy CPT 46607 | $10,493.81 | $14,991.16 | $152.32 – $152.32 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $34,715.94 | $49,594.20 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $112.70 | $161.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $102.20 | $146.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $648.90 | $927.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $16,495.64 | $23,565.20 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $513.80 | $734.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $464.80 | $664.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $5,055.40 | $7,222.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,066.70 | $4,381.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $3,222.10 | $4,603.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $214.90 | $307.00 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $1,802.85 | $2,575.50 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $166.25 | $237.50 | not published | 0 |
| Diffusing capacity CPT 94729 | $854.70 | $1,221.00 | not published | 0 |
| Digit nerve surgery add-on CPT 64778 | $38,893.41 | $55,562.01 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $868.00 | $1,240.00 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $28,858.37 | $41,226.25 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $138.60 | $198.00 | not published | 0 |
| Dilate biliary duct/ampulla CPT 47542 | $17,536.88 | $25,052.69 | $10.00 – $10.00 | 1 |
| Dilate esophagus CPT 43453 | $8,030.57 | $11,472.24 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $10,312.69 | $14,732.41 | not published | 0 |
| Dilate tear duct opening CPT 68801 | $16,530.02 | $23,614.31 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $1,451.10 | $2,073.00 | not published | 0 |
| Dilation of anal sphincter CPT 45905 | $7,261.42 | $10,373.46 | not published | 0 |
| Dilation of cervical canal 57800 CPT 57800 | $9,984.09 | $14,262.99 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $3,345.30 | $4,779.00 | not published | 0 |
| Dilation of salivary duct CPT 42660 | $42,403.84 | $60,576.91 | not published | 0 |
| Dilation of vagina CPT 57400 | $12,421.56 | $17,745.09 | not published | 0 |
| Dilation salivary duct 42650 CPT 42650 | $23,916.55 | $34,166.50 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $26,798.39 | $38,283.41 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $807.76 | $1,153.95 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $56,053.56 | $80,076.51 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $77,067.52 | $110,096.46 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $387.62 | $553.75 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $3,750.95 | $5,358.50 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.40 | $2.00 | not published | 0 |
| Dipyridamole injection HCPCS J1245 | $73.32 | $104.75 | not published | 0 |
| Disability dlco CPT 94727 | $632.80 | $904.00 | not published | 0 |
| Disaccharidases CPT 82657 | $828.10 | $1,183.00 | not published | 0 |
| Dise eval slp do brth flx dx CPT 42975 | $7,427.35 | $10,610.50 | not published | 0 |
| Dissolve clot heart vessel CPT 92975 | $1,688.40 | $2,412.00 | not published | 0 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $4,795.00 | $6,850.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $644.70 | $921.00 | not published | 0 |
| Dmpk gene detc abnor allele CPT 81234 | $316.40 | $452.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $295.40 | $422.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $159.60 | $228.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $163.10 | $233.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $248.32 | $354.75 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $3,195.15 | $4,564.50 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $182.70 | $261.00 | not published | 0 |
| Doppler echo complete CPT 93320 | $1,038.10 | $1,483.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,260.20 | $6,086.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $828.80 | $1,184.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $595.70 | $851.00 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $125,316.88 | $179,024.12 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $33,148.32 | $47,354.75 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $2,270.27 | $3,243.25 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $6,586.30 | $9,409.00 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $161.87 | $231.25 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $1,514.10 | $2,163.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $308.70 | $441.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,531.60 | $2,188.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $3,717.00 | $5,310.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $884.10 | $1,263.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $1,015.00 | $1,450.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $2,263.10 | $3,233.00 | not published | 0 |
| Drainage of eye CPT 65800 | $5,379.50 | $7,685.00 | not published | 0 |
| Drainage of eye CPT 65810 | $48,441.90 | $69,202.71 | not published | 0 |
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.