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 |
|---|---|---|---|---|
| ER Visit (level 1, minor) CPT 99281 | $130.00 | $520.00 | $90.36 – $146.39 | 7 |
| ER Visit (level 2) CPT 99282 | $222.50 | $890.00 | $164.54 – $266.56 | 7 |
| ER Visit (level 3) CPT 99283 | $387.50 | $1,550.00 | $292.53 – $473.89 | 7 |
| ER Visit (level 4) CPT 99284 | $715.00 | $2,860.00 | $447.15 – $724.38 | 7 |
| ER Visit (level 5, high severity) CPT 99285 | $997.50 | $3,990.00 | $638.18 – $1,033.86 | 7 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $146.48 | $585.92 | $140.97 – $140.97 | 1 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $2,954.00 – $2,954.00 | 1 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,383.00 – $6,693.19 | 7 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.81 – $0.81 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.53 – $0.53 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $303.41 – $694.01 | 7 |
| Esophageal recording CPT 93615 | $875.00 | $3,500.00 | $1,304.74 – $2,113.67 | 7 |
| Esophageal recording CPT 93616 | not published | not published | $1,304.74 – $2,113.67 | 7 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $2,414.00 – $6,693.19 | 7 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $857.00 – $3,331.27 | 7 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $609.00 – $1,574.55 | 7 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $609.00 – $3,331.27 | 7 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $1,600.00 – $10,539.21 | 7 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $533.00 – $3,331.27 | 7 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $398.00 – $3,331.27 | 7 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $533.00 – $3,331.27 | 7 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $398.00 – $3,331.27 | 7 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $398.00 – $1,574.55 | 7 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $609.00 – $1,574.55 | 7 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $398.00 – $3,331.27 | 7 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $1,600.00 – $6,693.19 | 7 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $398.00 – $3,331.27 | 7 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $857.00 – $3,331.27 | 7 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $857.00 – $6,693.19 | 7 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $609.00 – $3,331.27 | 7 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $1,600.00 – $10,276.96 | 7 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $398.00 – $3,331.27 | 7 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $533.00 – $3,331.27 | 7 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $857.00 – $3,331.27 | 7 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $857.00 – $3,331.27 | 7 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $857.00 – $3,331.27 | 7 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $857.00 – $3,331.27 | 7 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $398.00 – $3,331.27 | 7 |
| Esophagus motility study CPT 91010 | not published | not published | $399.88 – $647.81 | 7 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $399.88 – $647.81 | 7 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $533.00 – $3,331.27 | 7 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $398.00 – $3,331.27 | 7 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $231.39 – $374.85 | 7 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $399.88 – $647.81 | 7 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $857.00 – $3,331.27 | 7 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $398.00 – $3,331.27 | 7 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $398.00 – $3,331.27 | 7 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $1,600.00 – $8,684.36 | 7 |
| Establish access to aorta CPT 36160 | $200.00 | $800.00 | $1,032.00 – $3,217.00 | 2 |
| Establish access to artery CPT 36100 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $47.50 | $190.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $80.00 | $320.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $87.50 | $350.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $112.50 | $450.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $166.25 | $665.00 | not published | 0 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Estradiol total CPT 82670 | $53.75 | $215.00 | $27.94 – $45.26 | 7 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $80.09 | $320.35 | $16.81 – $16.81 | 1 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $35.15 | 7 |
| Etanercept injection HCPCS J1438 | $1,505.22 | $6,020.87 | not published | 0 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $170.44 | $681.75 | $508.96 – $824.52 | 7 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $609.00 – $5,755.71 | 7 |
| Ethylene glycol -sendout CPT 82693 | $35.00 | $140.00 | $14.90 – $24.14 | 7 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $268.52 | $1,074.09 | $2.28 – $2.28 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | $96.77 | $387.10 | $77.46 – $125.49 | 7 |
| Euflexxa inj per dose HCPCS J7323 | $130.32 | $521.29 | $112.45 – $182.18 | 7 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $13.62 | 7 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $857.00 – $5,619.72 | 7 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $137.89 – $223.38 | 7 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $117.78 – $190.80 | 7 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.34 – $16.82 | 7 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $43.75 | $175.00 | $67.30 – $158.94 | 7 |
| Evaluation heart device CPT 93640 | not published | not published | $1,032.00 – $10,750.00 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $95.00 | $380.00 | $134.52 – $217.92 | 7 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $4,961.00 | $19,844.00 | $2,648.00 – $2,648.00 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $2,000.00 | $8,000.00 | $2,648.00 – $9,500.00 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,648.00 – $9,500.00 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,648.00 – $9,500.00 | 2 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $2,648.00 – $9,500.00 | 2 |
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.