Uchicago Medicine Adventhealth La Grange
5101 S Willow Springs Rd, La Grange, IL · AdventHealth · · NPI 1407889652
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $28.67 – $47.43 | 8 |
| 17-hydroxypregnenolone CPT 84143 | $18.75 | $75.00 | $22.33 – $36.95 | 8 |
| 17-ketosteroids CPT 83586 | $35.00 | $140.00 | $12.53 – $20.74 | 8 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $139.68 – $231.13 | 8 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.17 – $58.19 | 8 |
| 24 hr ambulatory b/p monitor CPT 93786 | $142.50 | $570.00 | $139.58 – $230.97 | 8 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $822.42 – $1,360.90 | 8 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $822.42 – $1,360.90 | 8 |
| 2nd order venous cath CPT 36012 | $200.00 | $800.00 | $1,032.00 – $2,414.00 | 2 |
| 3d ech img cgen car anomal CPT 93319 | $75.00 | $300.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $1,900.00 | $7,600.00 | $425.30 – $2,402.88 | 8 |
| 3d recon without postprocess indpndt CPT 76376 | $200.00 | $800.00 | $49.01 – $49.01 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $35.00 | $140.00 | $10.92 – $18.06 | 8 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $75.00 | $300.00 | $17.60 – $17.81 | 2 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $992.50 | $3,970.01 | $43.18 – $71.46 | 8 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $35.00 | $140.00 | $11.76 – $19.46 | 8 |
| Abd aorta w/runoff s&i CPT 75630 | $1,875.00 | $7,500.00 | $129.72 – $5,481.46 | 8 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | $375.00 | $1,500.00 | $1,032.00 – $3,217.00 | 2 |
| Abd/low ext cath 2nd CPT 36246 | $375.00 | $1,500.00 | $1,032.00 – $3,217.00 | 2 |
| Abd/low ext cath 3rd CPT 36247 | $375.00 | $1,500.00 | $1,032.00 – $3,217.00 | 2 |
| Abd/low ext cath addl CPT 36248 | $200.00 | $800.00 | $1,032.00 – $3,217.00 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $750.00 | $3,000.00 | $184.02 – $304.50 | 8 |
| Abdominal CT scan (with contrast) CPT 74160 | $700.00 | $2,800.00 | $184.02 – $304.50 | 8 |
| Abdominal CT scan (without contrast) CPT 74150 | $625.00 | $2,500.00 | $109.68 – $181.49 | 8 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,350.00 | $5,400.00 | $366.01 – $605.65 | 8 |
| Abdominal MRI (with contrast) CPT 74182 | $1,050.00 | $4,200.00 | $366.01 – $605.65 | 8 |
| Abdominal MRI (without contrast) CPT 74181 | $950.00 | $3,800.00 | $250.32 – $414.22 | 8 |
| Abdominal paracentesis w/image guidance CPT 49083 | $575.00 | $2,300.00 | $430.00 – $1,574.55 | 8 |
| Abdominal Ultrasound (complete) CPT 76700 | $475.00 | $1,900.00 | $109.68 – $181.49 | 8 |
| Abdominal Ultrasound (limited) CPT 76705 | $375.00 | $1,500.00 | $97.98 – $181.49 | 8 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $658.00 – $11,527.48 | 8 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $575.00 | $2,300.00 | $430.00 – $1,574.55 | 8 |
| Abl1 gene CPT 81170 | $200.00 | $800.00 | $261.30 – $486.00 | 8 |
| Ablate arrhythmia add on CPT 93655 | $4,125.00 | $16,500.00 | $1,032.00 – $2,414.00 | 2 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $3,217.00 – $12,596.95 | 8 |
| Ablate bone tumor(s) perq CPT 20982 | $4,000.00 | $16,000.00 | $2,414.00 – $30,439.09 | 8 |
| Ablate heart dysrhythm focus CPT 93650 | $2,837.50 | $11,350.00 | $5,474.00 – $13,540.39 | 8 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $430.00 – $2,693.58 | 8 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $430.00 – $2,693.58 | 8 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $5,474.00 – $18,453.63 | 8 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $1,728.00 – $10,495.17 | 8 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $134.99 – $223.38 | 8 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $951.53 – $1,574.55 | 8 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $2,414.00 – $10,495.17 | 8 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $258.78 – $428.22 | 8 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $3,000.00 | $12,000.00 | $1,728.00 – $18,453.63 | 8 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $462.84 – $765.89 | 8 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $258.78 – $428.22 | 8 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $11,151.91 – $18,453.63 | 8 |
| Ablation of upper extremity nerves rf CPT 64999 | $200.00 | $800.00 | $322.03 – $532.87 | 8 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,732.71 – $2,867.21 | 8 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $3,217.00 – $16,433.99 | 8 |
| Abobotulinumtoxina HCPCS J0586 | $602.06 | $2,408.23 | $8.57 – $14.18 | 8 |
| Abortion CPT 59850 | not published | not published | $576.00 – $3,217.00 | 3 |
| Abortion (mpr) CPT 59866 | not published | not published | $319.70 – $529.02 | 8 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $210.49 – $348.31 | 8 |
| Abscess drain retroperitoneal surg code CPT 49406 | $600.00 | $2,400.00 | $1,728.00 – $2,867.21 | 8 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $375.00 | $1,500.00 | $1,032.00 – $2,414.00 | 2 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $3.35 | $13.41 | $0.11 – $0.11 | 1 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $0.32 | $1.30 | not published | 0 |
| Acetaminophen level CPT 80143 | $40.00 | $160.00 | $18.25 – $30.20 | 8 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $85.86 | $343.44 | $48.55 – $48.55 | 1 |
| Acetone qualitative CPT 82009 | $20.00 | $80.00 | $4.43 – $7.32 | 8 |
| Acetylcholine receptor modulating antibody CPT 86043 | $35.00 | $140.00 | $11.80 – $19.52 | 8 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.03 – $19.91 | 8 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $19.63 | $78.51 | $1.15 – $1.15 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $18.40 – $18.40 | 1 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $391.49 – $647.81 | 8 |
| Acne surgery 10040 CPT 10040 | not published | not published | $210.49 – $348.31 | 8 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $139.68 – $231.13 | 8 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $27.50 | $110.00 | $12.60 – $20.85 | 8 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $39.19 – $64.84 | 8 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $926.00 – $5,680.26 | 8 |
| Actigraphy testing CPT 95803 | not published | not published | $61.89 – $102.41 | 8 |
| Actinotherapy uv light CPT 96900 | not published | not published | $39.19 – $64.84 | 8 |
| Acute hepatitis panel CPT 80074 | $66.25 | $265.00 | $46.63 – $77.16 | 8 |
| Acute venous thrombus image CPT 78456 | not published | not published | $437.58 – $2,247.54 | 8 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.93 | $3.74 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $10.56 | $42.24 | $0.08 – $0.08 | 1 |
| #acylcarnitineprfl CPT 82017 | $46.25 | $185.00 | $16.52 – $27.33 | 8 |
| Acylcarnitines qual CPT 82016 | not published | not published | $14.98 – $26.71 | 8 |
| Adapter b 8 channel 10cm HCPCS C1883 | $368.03 | $1,472.13 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $170.48 – $282.10 | 8 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $31.43 | $125.73 | $0.85 – $0.85 | 1 |
| Adenovirus ag ia CPT 87301 | $10.50 | $42.00 | $11.73 – $19.41 | 8 |
| Adenovirus antibody,serum - quest CPT 86603 | $37.50 | $150.00 | $12.60 – $20.85 | 8 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $12.94 – $35.25 | 8 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $3,383.00 – $7,125.00 | 2 |
| Adh-sendout CPT 84588 | $29.75 | $119.00 | $33.23 – $54.98 | 8 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $951.53 – $1,574.55 | 8 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $658.00 – $12,596.95 | 8 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $658.00 – $3,581.90 | 8 |
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.