Uchicago Medicine Adventhealth Glenoaks
701 Winthrop Avenue, Glendale Heights, IL · AdventHealth · · NPI 1760415939
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 |
|---|---|---|---|---|
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $213.90 – $346.52 | 7 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $125.00 | $500.00 | $111.97 – $181.39 | 7 |
| Diagnostic Mammogram (one breast) CPT 77065 | $68.75 | $275.00 | $88.75 – $143.78 | 7 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $72.96 – $151.08 | 7 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Dialysis one evaluation CPT 90945 | $405.00 | $1,620.00 | $447.15 – $724.38 | 7 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.82 – $12.67 | 7 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.77 | $3.09 | $0.15 – $0.15 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $45.64 | $182.56 | $11.01 – $11.01 | 1 |
| Dicyclomine injection HCPCS J0500 | $90.06 | $360.22 | $41.07 – $41.07 | 1 |
| Diffusing capacity CPT 94729 | $112.50 | $450.00 | not published | 0 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $145.78 | $583.11 | $14.49 – $14.49 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $3,340.91 | $13,363.63 | $5,168.23 – $8,372.53 | 7 |
| Digoxin total therapeutic drug level CPT 80162 | $35.00 | $140.00 | $13.28 – $21.51 | 7 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $182.72 | $730.88 | $95.17 – $95.17 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Dilate esophagus CPT 43453 | not published | not published | $398.00 – $3,331.27 | 7 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $398.00 – $1,574.55 | 7 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $533.00 – $2,648.00 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $533.00 – $2,648.00 | 2 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $609.00 – $2,648.00 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $478.72 – $775.52 | 7 |
| Dilate urethra stricture CPT 53600 | not published | not published | $267.74 – $433.74 | 7 |
| Dilate urethra stricture CPT 53601 | not published | not published | $142.58 – $230.97 | 7 |
| Dilate urethra stricture CPT 53605 | not published | not published | $533.00 – $6,119.44 | 7 |
| Dilate urethra stricture CPT 53621 | not published | not published | $267.74 – $433.74 | 7 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $137.89 – $223.38 | 7 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $398.00 – $2,077.40 | 7 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $398.00 – $5,619.72 | 7 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $398.00 – $2,077.40 | 7 |
| Dilation of salivary duct CPT 42660 | not published | not published | $577.95 – $936.29 | 7 |
| Dilation of urethra CPT 53661 | not published | not published | $142.58 – $230.97 | 7 |
| Dilation of urethra CPT 53665 | not published | not published | $398.00 – $3,628.95 | 7 |
| Dilation of vagina CPT 57400 | not published | not published | $533.00 – $5,619.72 | 7 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $398.00 – $2,693.58 | 7 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $747.24 – $1,210.52 | 7 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $2,414.00 – $6,119.44 | 7 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,217.00 – $6,119.44 | 7 |
| Dimecaprol injection HCPCS J0470 | $107.90 | $431.60 | not published | 0 |
| Dimenhydrinate injection HCPCS J1240 | $24.68 | $98.70 | $17.08 – $17.08 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $105.39 | $421.57 | $748.84 – $1,213.13 | 7 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $19.27 | $77.07 | $1.83 – $1.83 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $91.33 | $365.32 | not published | 0 |
| Dipyridamole injection HCPCS J1245 | $18.57 | $74.26 | $7.83 – $7.83 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $40.03 – $64.84 | 7 |
| Disability dlco CPT 94727 | $101.25 | $405.00 | $231.39 – $374.85 | 7 |
| Disaccharidases CPT 82657 | $50.00 | $200.00 | $18.87 – $35.92 | 7 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $609.00 – $3,581.90 | 7 |
| Disarticulation shoulder CPT 23920 | not published | not published | $5,474.00 – $22,288.23 | 7 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $82.95 – $3,389.97 | 7 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,032.00 – $3,089.94 | 7 |
| Dissect brain w/scope CPT 62161 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,474.00 – $9,660.07 | 7 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $4,750.00 – $10,276.96 | 7 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $2,954.00 – $3,217.00 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $25.44 – $161.55 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,875.00 | $7,500.00 | $2,414.00 – $2,648.00 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $107.49 – $451.98 | 7 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $445.22 | 7 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $221.94 | 7 |
| Dna antibody native/double stranded CPT 86225 | $35.00 | $140.00 | $13.74 – $22.26 | 7 |
| Dna gardnerella CPT 87510 | $17.50 | $70.00 | $20.05 – $32.48 | 7 |
| Dna probe chlamydia CPT 87490 | not published | not published | $20.96 – $36.86 | 7 |
| Dna probe gc CPT 87590 | not published | not published | $20.96 – $43.55 | 7 |
| Dna trichomonas CPT 87660 | $17.50 | $70.00 | $20.05 – $32.48 | 7 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $6.47 | $25.89 | $15.31 – $15.31 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $712.02 | $2,848.06 | $1.75 – $1.75 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $7.71 | $30.85 | $1.59 – $1.59 | 1 |
| Doppler echo complete CPT 93320 | $375.00 | $1,500.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $750.00 | $3,000.00 | $1,032.00 – $1,032.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $231.25 | $925.00 | $155.70 – $374.85 | 7 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $187.50 | $750.00 | $109.41 – $230.97 | 7 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $107.94 – $107.94 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $1,517.70 | $6,070.81 | $243.71 – $394.81 | 7 |
| Double transfer toe-hand CPT 26554 | not published | not published | $4,750.00 – $12,596.95 | 7 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $409.84 | $1,639.36 | $6.59 – $6.59 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $178.92 | $715.68 | $108.47 – $175.72 | 7 |
| Dpyd gene common variants CPT 81232 | $100.00 | $400.00 | $174.81 – $283.19 | 7 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $557.50 | $2,230.00 | $758.85 – $1,229.33 | 7 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $557.50 | $2,230.00 | $758.85 – $1,229.33 | 7 |
| Drainage external ear complex 69005 CPT 69005 | $600.00 | $2,400.00 | $1,769.88 – $2,867.21 | 7 |
| Drainage external ear simple 69000 CPT 69000 | $557.50 | $2,230.00 | $758.85 – $1,229.33 | 7 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $398.00 – $5,042.65 | 7 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $533.00 – $5,042.65 | 7 |
| Drainage mouth roof lesion CPT 42000 | $130.00 | $520.00 | $253.81 – $411.18 | 7 |
| Drainage of abdomen CPT 48000 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | $600.00 | $2,400.00 | $533.00 – $2,867.21 | 7 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $398.00 – $5,042.65 | 7 |
| Drainage of bone lesion CPT 26992 | not published | not published | $3,217.00 – $5,680.26 | 7 |
| Drainage of bone lesion CPT 27303 | not published | not published | $3,217.00 – $5,680.26 | 7 |
| Drainage of eye CPT 65800 | not published | not published | $398.00 – $4,006.43 | 7 |
| Drainage of eye CPT 65810 | not published | not published | $609.00 – $4,006.43 | 7 |
| Drainage of eye CPT 65815 | not published | not published | $533.00 – $4,006.43 | 7 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $533.00 – $2,791.51 | 7 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $398.00 – $1,229.33 | 7 |
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.