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 |
|---|---|---|---|---|
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $33,012.17 | $47,160.25 | not published | 0 |
| Leuprolide acetate injeciton HCPCS J9218 | $2,154.25 | $3,077.50 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $236.95 | $338.50 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $148.40 | $212.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $93.80 | $134.00 | not published | 0 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $1,159.90 | $1,657.00 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $146,084.88 | $208,692.69 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $344.05 | $491.50 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $134.75 | $192.50 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $107.80 | $154.00 | not published | 0 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $173.07 | $247.25 | not published | 0 |
| Ligate/strip long leg vein CPT 37722 | $20,663.41 | $29,519.16 | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $10,659.66 | $15,228.09 | not published | 0 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $26,966.46 | $38,523.51 | not published | 0 |
| Ligation major artery neck CPT 37615 | $61,427.88 | $87,754.11 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $24,380.00 | $34,828.57 | not published | 0 |
| Liletta, 52 mg HCPCS J7297 | $5,498.50 | $7,855.00 | not published | 0 |
| Limited autopsy CPT 88037 | $2,928.80 | $4,184.00 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $232.92 | $332.75 | not published | 0 |
| Lipase CPT 83690 | $107.80 | $154.00 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $89.60 | $128.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $165.20 | $236.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $79.10 | $113.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $140.00 | $200.00 | not published | 0 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $100.10 | $143.00 | not published | 0 |
| Lip surgery procedure CPT 40799 | $39,512.63 | $56,446.61 | not published | 0 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $2,983,581.00 | $4,262,259.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $77.00 | $110.00 | not published | 0 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $6,616.40 | $9,452.00 | not published | 0 |
| Litt icr 1 traj 1 smpl les CPT 61736 | $191,267.89 | $273,239.84 | not published | 0 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | $168,818.44 | $241,169.20 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $396.20 | $566.00 | not published | 0 |
| Liver elastography 91200 CPT 91200 | $242.20 | $346.00 | not published | 0 |
| Liver Function Test CPT 80076 | $271.60 | $388.00 | not published | 0 |
| Liver imaging CPT 78201 | $1,008.00 | $1,440.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $1,266.30 | $1,809.00 | not published | 0 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,261.40 | $1,802.00 | not published | 0 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $101.51 | $145.02 | not published | 0 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $83,724.20 | $119,606.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $16.80 | $24.00 | not published | 0 |
| Low back disk surgery CPT 63030 | $49,857.21 | $71,224.59 | not published | 0 |
| Low cost skin substitute app HCPCS C5271 | $1,207.50 | $1,725.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5275 | $2,969.40 | $4,242.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5272 | $1,210.30 | $1,729.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5276 | $3,444.00 | $4,920.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,717.00 | $5,310.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,506.30 | $5,009.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $3,083.50 | $4,405.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,706.80 | $6,724.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,172.70 | $5,961.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,837.40 | $5,482.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $651.70 | $931.00 | not published | 0 |
| Low frequency non-thermal Ultrasound CPT 97610 | $419.30 | $599.00 | not published | 0 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $71,163.01 | $101,661.44 | not published | 0 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $95,189.07 | $135,984.39 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $255.50 | $365.00 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $672.70 | $961.00 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $2,509.50 | $3,585.00 | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $508.20 | $726.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $405.30 | $579.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,932.00 | $2,760.00 | not published | 0 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $42,932.75 | $61,332.50 | not published | 0 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $923.30 | $1,319.00 | not published | 0 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $526.40 | $752.00 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $2,568.30 | $3,669.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $737.10 | $1,053.00 | not published | 0 |
| Lymph vessel x-ray arm/leg CPT 75801 | $1,558.20 | $2,226.00 | not published | 0 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,635.90 | $2,337.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75805 | $898.10 | $1,283.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75807 | $2,283.40 | $3,262.00 | not published | 0 |
| Lysis intranasal synechia 30560 CPT 30560 | $20,711.85 | $29,588.36 | not published | 0 |
| Lysis of labial adhesions CPT 56441 | $16,021.80 | $22,888.29 | not published | 0 |
| Lysis penil circumic lesion CPT 54162 | $10,455.35 | $14,936.21 | not published | 0 |
| Macro exam dissect molec study ea CPT 88387 | $43,504.85 | $62,149.79 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $133.70 | $191.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $152.60 | $218.00 | not published | 0 |
| Magnesium CPT 83735 | $81.20 | $116.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $210.00 | $300.00 | not published | 0 |
| Male sling procedure CPT 53440 | $78,636.66 | $112,338.09 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $128.10 | $183.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $464.80 | $664.00 | not published | 0 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $1,719.90 | $2,457.00 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | $56,447.99 | $80,639.99 | not published | 0 |
| Map tachycard site(s) CPT 93609 | $8,255.80 | $11,794.00 | not published | 0 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $24,904.25 | $35,577.50 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,282.41 | $3,260.58 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | $61,961.25 | $88,516.07 | not published | 0 |
| Mastoidectomy CPT 69501 | $60,513.96 | $86,448.51 | not published | 0 |
| Mastoids complete CPT 70130 | $531.30 | $759.00 | not published | 0 |
| Mastoid surgery revision CPT 69603 | $60,828.29 | $86,897.56 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | $235.90 | $337.00 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $114.10 | $163.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $376.60 | $538.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $131.60 | $188.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $667.10 | $953.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $294.70 | $421.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $207.20 | $296.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $162.40 | $232.00 | not published | 0 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $207.20 | $296.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $231.00 | $330.00 | 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.