Northwestern Medicine Delnor Hospital
300 Randall Rd., Geneva, IL · Nm · · NPI 1407859655
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 |
|---|---|---|---|---|
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $99.05 | $141.50 | not published | 0 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $770.70 | $1,101.00 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $81,320.62 | $116,172.32 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $141.40 | $202.00 | 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 | $209.30 | $299.00 | not published | 0 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $148,451.10 | $212,073.00 | not published | 0 |
| Ligate/strip long leg vein CPT 37722 | $20,663.41 | $29,519.16 | not published | 0 |
| Ligate/strip short leg vein CPT 37718 | $16,566.16 | $23,665.94 | 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 | $20,580.87 | $29,401.24 | not published | 0 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $19,186.33 | $27,409.04 | not published | 0 |
| Liletta, 52 mg HCPCS J7297 | $2.80 | $4.00 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $125.12 | $178.75 | not published | 0 |
| Lipase CPT 83690 | $263.20 | $376.00 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $89.60 | $128.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $96.60 | $138.00 | 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 |
| Lithium therapeutic drug level CPT 80178 | $106.40 | $152.00 | not published | 0 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $4,105.50 | $5,865.00 | 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 | $186.20 | $266.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $2,182.60 | $3,118.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $106.05 | $151.50 | not published | 0 |
| Low back disk surgery CPT 63030 | $46,534.70 | $66,478.14 | 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 | $81,843.16 | $116,918.80 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $1,246.00 | $1,780.00 | not published | 0 |
| Lso full corset HCPCS L0976 | $1,405.60 | $2,008.00 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $10,573.50 | $15,105.00 | 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 | $247.80 | $354.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $443.10 | $633.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,829.10 | $2,613.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $28,675.50 | $40,965.00 | 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 | $1,883.00 | $2,690.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $704.90 | $1,007.00 | 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 of labial adhesions CPT 56441 | $8,914.94 | $12,735.63 | not published | 0 |
| Macro exam dissect molec study ea CPT 88387 | $19,996.37 | $28,566.24 | $7.96 – $8.58 | 3 |
| Macroscopic exam arthropod CPT 87168 | $203.00 | $290.00 | 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 | $107.80 | $154.00 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $322.00 | $460.00 | 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 | $51,811.85 | $74,016.93 | not published | 0 |
| Map tachycard site(s) CPT 93609 | $8,255.80 | $11,794.00 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,078.30 | $2,969.00 | not published | 0 |
| Mastoidectomy complete 69502 CPT 69502 | $54,426.55 | $77,752.21 | not published | 0 |
| Mastoids complete CPT 70130 | $531.30 | $759.00 | 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 | $231.00 | $330.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $418.60 | $598.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $320.60 | $458.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $392.00 | $560.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $205.10 | $293.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $349.30 | $499.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $81.90 | $117.00 | not published | 0 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $228.20 | $326.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $111.30 | $159.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $207.20 | $296.00 | not published | 0 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $39.20 | $56.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $45.50 | $65.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,206.10 | $1,723.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $901.60 | $1,288.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $893.90 | $1,277.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,071.60 | $4,388.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $124.60 | $178.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $189.00 | $270.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $120.40 | $172.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $197.40 | $282.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $194.60 | $278.00 | not published | 0 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $99.40 | $142.00 | not published | 0 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $40.60 | $58.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $175.70 | $251.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $444.50 | $635.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $308.00 | $440.00 | 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.