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 |
|---|---|---|---|---|
| Cftr gene intron poly t CPT 81224 | not published | not published | $101.63 – $273.38 | 8 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $88.40 – $157.50 | 8 |
| Change cystostomy tube; complex 51710 CPT 51710 | $400.00 | $1,600.00 | $430.00 – $1,210.52 | 8 |
| Change cystostomy tube simple CPT 51705 | $131.25 | $525.00 | $262.12 – $433.74 | 8 |
| Change gastric port open CPT 43888 | not published | not published | $576.00 – $6,151.98 | 8 |
| Change g-tube to g-j perc CPT 49446 | $1,100.00 | $4,400.00 | $430.00 – $3,331.27 | 8 |
| Change nephroureteral cath CPT 50387 | $1,150.00 | $4,600.00 | $576.00 – $3,628.95 | 8 |
| Change of ureter tube/stent CPT 50688 | $1,150.00 | $4,600.00 | $430.00 – $3,628.95 | 8 |
| Change of windpipe airway 31502 CPT 31502 | $130.00 | $520.00 | $248.48 – $411.18 | 8 |
| Change stent via transureth CPT 50385 | not published | not published | $926.00 – $3,628.95 | 8 |
| Change ureter stent percut CPT 50382 | not published | not published | $576.00 – $3,628.95 | 8 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $32.52 – $295.77 | 8 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $210.49 – $348.31 | 8 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $426.48 – $705.72 | 8 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $426.48 – $705.72 | 8 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $775.37 – $1,283.05 | 8 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $740.55 – $1,225.43 | 8 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $740.55 – $1,225.43 | 8 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $740.55 – $1,225.43 | 8 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $430.00 – $2,077.40 | 8 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $322.03 – $532.87 | 8 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $332.99 – $551.02 | 8 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $322.03 – $532.87 | 8 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $322.03 – $532.87 | 8 |
| Chemodenerv musc migraine 64615 CPT 64615 | $200.00 | $800.00 | $322.03 – $532.87 | 8 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $200.00 | $800.00 | $322.03 – $532.87 | 8 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $322.03 – $532.87 | 8 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $740.55 – $1,225.43 | 8 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $740.55 – $1,225.43 | 8 |
| Chemo extend IV infus w/pump HCPCS G0498 | $237.50 | $950.00 | not published | 0 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $49.13 – $81.29 | 8 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.65 – $25.90 | 8 |
| Chest 2 vws w oblique CPT 71048 | $175.00 | $700.00 | $109.68 – $181.49 | 8 |
| Chest apical lordotic proj CPT 71047 | $137.50 | $550.00 | $91.30 – $151.08 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $750.00 | $3,000.00 | $184.02 – $304.50 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $700.00 | $2,800.00 | $184.02 – $304.50 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $625.00 | $2,500.00 | $109.68 – $181.49 | 8 |
| Chest X-ray CPT 71046 | $137.50 | $550.00 | $91.30 – $151.08 | 8 |
| Chest X-ray (single view) CPT 71045 | $125.00 | $500.00 | $91.30 – $151.08 | 8 |
| Chg pr pul rehab for copd patients CPT 94626 | $70.00 | $280.00 | $61.89 – $102.41 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $184.02 – $304.50 | 8 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $203.10 – $336.09 | 8 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $255.31 – $422.48 | 8 |
| Chlamydia culture CPT 87110 | $31.25 | $125.00 | $19.19 – $31.75 | 8 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.73 – $19.41 | 8 |
| Chlamydia type CPT 87140 | $22.50 | $90.00 | $5.45 – $9.02 | 8 |
| Chlnggrphy intraop addl s&i CPT 74301 | $187.50 | $750.00 | not published | 0 |
| Chloramphenicol sodium injec HCPCS J0720 | $83.56 | $334.23 | not published | 0 |
| Chloride CPT 82435 | $20.00 | $80.00 | $4.50 – $7.45 | 8 |
| Chloride 24 hour urine CPT 82436 | $22.50 | $90.00 | $5.43 – $9.32 | 8 |
| Chloroprocaine hcl injection HCPCS J2401 | $13.64 | $54.57 | $0.06 – $0.06 | 1 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | $731.29 | $2,925.17 | $0.57 – $0.94 | 8 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $210.14 | $840.57 | $128.85 – $128.85 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $51.88 | $207.51 | $60.79 – $60.79 | 1 |
| Cholangiogram percutaneous compl CPT 47532 | $1,750.00 | $7,000.00 | $1,728.00 – $6,215.65 | 8 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $275.00 | $1,100.00 | not published | 0 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $2,648.00 – $9,500.00 | 2 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $2,648.00 – $7,125.00 | 2 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,750.00 | $7,000.00 | $3,756.25 – $6,215.65 | 8 |
| Cholesterol CPT 82465 | $20.00 | $80.00 | $4.26 – $7.05 | 8 |
| Cholesterol body fluid CPT 84999 | $31.25 | $125.00 | $6.07 – $15.49 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $66.50 | $266.00 | $13.11 – $21.69 | 8 |
| Cholinesterase CPT 82480 | not published | not published | $7.70 – $12.75 | 8 |
| Cholinesterase challenge CPT 95857 | not published | not published | $226.53 – $374.85 | 8 |
| Chorion biopsy CPT 59015 | not published | not published | $966.29 – $1,598.96 | 8 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $247.10 | $988.41 | $44.07 – $44.07 | 1 |
| Chrom analysis CPT 88273 | $21.25 | $85.00 | $34.08 – $56.39 | 8 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $21.18 – $63.18 | 8 |
| Chromatography CPT 83021 | $40.00 | $160.00 | $17.68 – $29.26 | 8 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.64 – $19.26 | 8 |
| Chromo high res and frag x - sendout CPT 81243 | $62.50 | $250.00 | $55.84 – $92.40 | 8 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $170.01 – $281.33 | 8 |
| Chromosome analysis 100 CPT 88249 | $107.50 | $430.00 | $169.53 – $280.54 | 8 |
| Chromosome analysis 15-20 cell count CPT 88262 | $100.00 | $400.00 | $122.85 – $203.29 | 8 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $160.81 – $280.54 | 8 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $147.13 – $243.47 | 8 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $190.92 – $428.23 | 8 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $169.53 – $280.54 | 8 |
| Chromosome analys placenta CPT 88267 | not published | not published | $184.61 – $305.48 | 8 |
| Chromosome banding study CPT 88283 | not published | not published | $67.16 – $111.13 | 8 |
| Chromosome count additional CPT 88285 | not published | not published | $20.52 – $43.59 | 8 |
| Chromosome karyotype study CPT 88280 | $28.25 | $113.00 | $27.11 – $54.22 | 8 |
| Chromosome study additional CPT 88289 | not published | not published | $33.71 – $55.78 | 8 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.20 – $20.19 | 8 |
| Chylomicron screen, bf - sendout CPT 82664 | $50.00 | $200.00 | $37.11 – $99.63 | 8 |
| Cidofovir injection HCPCS J0740 | $198.45 | $793.78 | $534.82 – $885.00 | 8 |
| Cilastatin sodium injection HCPCS J0743 | $76.82 | $307.29 | $13.96 – $13.96 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $576.00 – $4,127.37 | 8 |
| Ciltacabtagene car-pos t HCPCS Q2056 | $318,456.66 | $1,273,826.62 | $553,985.70 – $916,707.69 | 8 |
| Cine/video x-rays CPT 76120 | not published | not published | $100.77 – $181.49 | 8 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $3.08 | $12.33 | $3.73 – $3.73 | 1 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $417.50 | $1,670.01 | not published | 0 |
| Circum 28 days or older CPT 54161 | not published | not published | $576.00 – $3,628.95 | 8 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $576.00 – $1,210.52 | 8 |
| Circumcision (newborn) CPT 54150 | not published | not published | $430.00 – $3,628.95 | 8 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $774.71 | $3,098.84 | $7.57 – $7.57 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $261.30 – $533.81 | 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.