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 |
|---|---|---|---|---|
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $175.00 | $700.00 | $124.92 – $304.50 | 8 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $200.00 | $800.00 | $184.02 – $304.50 | 8 |
| X-ray elbow 2 views (both sides) CPT 73070 | $125.00 | $500.00 | $30.05 – $151.08 | 8 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $137.50 | $550.00 | $35.06 – $151.08 | 8 |
| Xray endovasc thor ao repr CPT 75957 | $250.00 | $1,000.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $175.00 | $700.00 | $102.44 – $304.50 | 8 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $150.00 | $600.00 | $78.50 – $181.49 | 8 |
| X-ray exam entire spi 6/> vw CPT 72084 | $175.00 | $700.00 | $94.64 – $181.49 | 8 |
| X-ray exam of arm infant CPT 73092 | $112.50 | $450.00 | $30.05 – $181.49 | 8 |
| X-ray exam of eye sockets CPT 70200 | $175.00 | $700.00 | $43.97 – $181.49 | 8 |
| X-ray exam of femur 1 CPT 73551 | $87.50 | $350.00 | $30.60 – $151.08 | 8 |
| X-ray exam of jaw joint CPT 70328 | $87.50 | $350.00 | $33.95 – $151.08 | 8 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $77.93 – $414.22 | 8 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $38.96 – $181.49 | 8 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $52.88 – $948.59 | 8 |
| X-ray exam of penis CPT 74445 | not published | not published | $67.76 – $181.49 | 8 |
| X-ray exam of perineum CPT 74775 | not published | not published | $92.21 – $414.22 | 8 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $42.30 – $151.08 | 8 |
| X-ray exam of sinuses CPT 70210 | $125.00 | $500.00 | $32.82 – $151.08 | 8 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $61.11 – $414.22 | 8 |
| X-ray exam of teeth CPT 70300 | not published | not published | $14.45 – $151.08 | 8 |
| X-ray exam of teeth CPT 70310 | not published | not published | $45.08 – $414.22 | 8 |
| X-ray exam si joints CPT 72200 | $112.50 | $450.00 | $31.16 – $181.49 | 8 |
| X-ray exam thorac spine4/>vw CPT 72074 | $175.00 | $700.00 | $44.52 – $181.49 | 8 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $87.50 | $350.00 | $30.60 – $151.08 | 8 |
| X-ray facial bones complete > 3 views CPT 70150 | $127.50 | $510.00 | $43.97 – $181.49 | 8 |
| X-ray femur >=2 views (both sides) CPT 73552 | $125.00 | $500.00 | $36.17 – $151.08 | 8 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $125.00 | $500.00 | $38.40 – $151.08 | 8 |
| X-ray foot 2 views (both sides) CPT 73620 | $125.00 | $500.00 | $28.94 – $151.08 | 8 |
| X-ray forearm 2 views (both sides) CPT 73090 | $125.00 | $500.00 | $27.26 – $151.08 | 8 |
| X-ray hand 2 views (both sides) CPT 73120 | $112.50 | $450.00 | $27.81 – $181.49 | 8 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $15.57 – $151.08 | 8 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $125.00 | $500.00 | $30.05 – $151.08 | 8 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $175.00 | $700.00 | $58.44 – $181.49 | 8 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $127.50 | $510.00 | $43.97 – $181.49 | 8 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $127.50 | $510.00 | $52.88 – $181.49 | 8 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $175.00 | $700.00 | $63.45 – $181.49 | 8 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $87.50 | $350.00 | $31.71 – $151.08 | 8 |
| X-ray humerus >= 2 views left CPT 73060 | $125.00 | $500.00 | $32.27 – $151.08 | 8 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $33.39 – $181.49 | 8 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $125.00 | $500.00 | $35.61 – $151.08 | 8 |
| X-ray knee 3 views (both sides) CPT 73562 | $137.50 | $550.00 | $41.18 – $151.08 | 8 |
| X-ray knee ap standing bilateral CPT 73565 | $187.50 | $750.00 | $42.30 – $151.08 | 8 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $125.00 | $500.00 | $31.16 – $151.08 | 8 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $112.50 | $450.00 | $45.63 – $181.49 | 8 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $150.00 | $600.00 | $51.77 – $181.49 | 8 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $175.00 | $700.00 | $71.81 – $181.49 | 8 |
| X-ray male genital tract CPT 74440 | not published | not published | $98.54 – $414.22 | 8 |
| X-ray mandible complete > 4 views CPT 70110 | $175.00 | $700.00 | $39.51 – $181.49 | 8 |
| X-ray mandible ltd <4 views CPT 70100 | $87.50 | $350.00 | $37.28 – $151.08 | 8 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $30.60 – $30.60 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $125.00 | $500.00 | $37.28 – $151.08 | 8 |
| X-ray neck soft tissue CPT 70360 | $125.00 | $500.00 | $31.16 – $151.08 | 8 |
| X-ray nose to rectum for foreign body child CPT 76010 | $87.50 | $350.00 | $26.70 – $151.08 | 8 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $84.62 – $414.22 | 8 |
| X-ray optic foramina CPT 70190 | not published | not published | $38.40 – $151.08 | 8 |
| X-ray pelvis 1-2 views CPT 72170 | $112.50 | $450.00 | $36.17 – $181.49 | 8 |
| X-ray pelvis complete > 3 views CPT 72190 | $127.50 | $510.00 | $42.86 – $181.49 | 8 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $231.25 | $925.00 | $164.97 – $605.65 | 8 |
| X-ray ribs 2 views left CPT 71100 | $125.00 | $500.00 | $33.95 – $151.08 | 8 |
| X-ray ribs 3 views bilateral CPT 71110 | $175.00 | $700.00 | $37.28 – $181.49 | 8 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $175.00 | $700.00 | $35.61 – $181.49 | 8 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $175.00 | $700.00 | $48.98 – $181.49 | 8 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $127.50 | $510.00 | $36.72 – $181.49 | 8 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $125.00 | $500.00 | $30.60 – $151.08 | 8 |
| X-ray scapula complete (both sides) CPT 73010 | $127.50 | $510.00 | $32.82 – $181.49 | 8 |
| X-ray sella turcica CPT 70240 | not published | not published | $31.71 – $151.08 | 8 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $87.50 | $350.00 | $23.91 – $151.08 | 8 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $125.00 | $500.00 | $38.96 – $151.08 | 8 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $325.00 | $1,300.00 | $45.63 – $948.59 | 8 |
| X-ray skull < 4 views CPT 70250 | $127.50 | $510.00 | $36.72 – $181.49 | 8 |
| X-ray skull > 4 views complete CPT 70260 | $175.00 | $700.00 | $43.97 – $181.49 | 8 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $95.19 – $181.49 | 8 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $175.00 | $700.00 | $124.92 – $304.50 | 8 |
| X-ray small intestine follow-through study CPT 74248 | $275.00 | $1,100.00 | $153.21 – $153.21 | 1 |
| X-ray spine single view CPT 72020 | $87.50 | $350.00 | $22.80 – $151.08 | 8 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $125.00 | $500.00 | $38.96 – $151.08 | 8 |
| X-ray sternum > 2 views CPT 71120 | $125.00 | $500.00 | $30.60 – $151.08 | 8 |
| X-ray surgical specimen CPT 76098 | $325.00 | $1,300.00 | $13.89 – $948.59 | 8 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $175.00 | $700.00 | $124.92 – $304.50 | 8 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $125.00 | $500.00 | $53.99 – $151.08 | 8 |
| X-ray thoracic spine 2 views CPT 72070 | $127.50 | $510.00 | $35.61 – $181.49 | 8 |
| X-ray thoracic spine 3 views CPT 72072 | $150.00 | $600.00 | $37.28 – $181.49 | 8 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $125.00 | $500.00 | $31.16 – $151.08 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $87.50 | $350.00 | $40.07 – $151.08 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $127.50 | $510.00 | $72.36 – $181.49 | 8 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $125.00 | $500.00 | $31.71 – $151.08 | 8 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $125.00 | $500.00 | $33.95 – $151.08 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $200.00 | $800.00 | $124.92 – $304.50 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $175.00 | $700.00 | $122.48 – $304.50 | 8 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $124.92 – $124.92 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $196.55 – $196.55 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $125.00 | $500.00 | $32.27 – $151.08 | 8 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $175.00 | $700.00 | $93.53 – $304.50 | 8 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.64 – $20.91 | 8 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.64 – $2.71 | 8 |
| Yersinia antibody CPT 86793 | not published | not published | $12.91 – $21.37 | 8 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $130.56 – $216.04 | 8 |
| Ziconotide injection HCPCS J2278 | $793.71 | $3,174.82 | $9.93 – $16.43 | 8 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $15.08 | $60.32 | $1.48 – $2.45 | 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.