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 |
|---|---|---|---|---|
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $700.00 | $2,800.00 | $184.02 – $304.50 | 8 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $750.00 | $3,000.00 | $184.02 – $304.50 | 8 |
| Cta neck without &/or w/contrast CPT 70498 | $875.00 | $3,500.00 | $184.02 – $304.50 | 8 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,375.00 | $5,500.00 | $366.01 – $605.65 | 8 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,100.00 | $4,400.00 | $184.02 – $304.50 | 8 |
| CT Angiogram of the Head CPT 70496 | $875.00 | $3,500.00 | $184.02 – $304.50 | 8 |
| CT angio hrt w/3d image CPT 75574 | $1,150.00 | $4,600.00 | $293.86 – $605.65 | 8 |
| CT angio pelvis CPT 72191 | $750.00 | $3,000.00 | $184.02 – $304.50 | 8 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $750.00 | $3,000.00 | $184.02 – $304.50 | 8 |
| CT bone density axial CPT 77078 | not published | not published | $75.43 – $151.08 | 8 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $184.02 – $304.50 | 8 |
| CT colonography dx CPT 74261 | not published | not published | $109.68 – $181.49 | 8 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $184.02 – $304.50 | 8 |
| CT colonography screening CPT 74263 | not published | not published | $250.32 – $414.22 | 8 |
| CT guidance for needle placement CPT 77012 | $625.00 | $2,500.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $175.00 | $700.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $258.78 – $428.22 | 8 |
| CT guid parench tis ablat CPT 77013 | $250.00 | $1,000.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $18.75 | $75.00 | $15.76 – $151.08 | 8 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $293.86 – $605.65 | 8 |
| CT hrt w/3d image CPT 75572 | $175.00 | $700.00 | $293.86 – $605.65 | 8 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $75.43 – $151.08 | 8 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $700.00 | $2,800.00 | $184.02 – $304.50 | 8 |
| CT lower extremity without contrast (both sides) CPT 73700 | $625.00 | $2,500.00 | $109.68 – $181.49 | 8 |
| CT lwr extremity w/o&w/dye CPT 73702 | $750.00 | $3,000.00 | $184.02 – $304.50 | 8 |
| CT neck soft tissue w/contrast CPT 70491 | $700.00 | $2,800.00 | $184.02 – $304.50 | 8 |
| CT neck soft tissue without contrast CPT 70490 | $625.00 | $2,500.00 | $109.68 – $181.49 | 8 |
| CT neck soft tissue without & w/contrast CPT 70492 | $750.00 | $3,000.00 | $184.02 – $304.50 | 8 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $750.00 | $3,000.00 | $184.02 – $304.50 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $700.00 | $2,800.00 | $184.02 – $304.50 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $625.00 | $2,500.00 | $109.68 – $181.49 | 8 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $130.00 | $520.00 | $248.48 – $411.18 | 8 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,575.00 | $6,300.00 | $366.01 – $605.65 | 8 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,525.00 | $6,100.00 | $366.01 – $605.65 | 8 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,300.00 | $5,200.00 | $238.17 – $414.22 | 8 |
| CT thoracic spine w/contrast CPT 72129 | $700.00 | $2,800.00 | $184.02 – $304.50 | 8 |
| CT thoracic spine without contrast CPT 72128 | $625.00 | $2,500.00 | $109.68 – $181.49 | 8 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $127.50 | $510.00 | $109.68 – $181.49 | 8 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $184.02 – $304.50 | 8 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $700.00 | $2,800.00 | $366.01 – $605.65 | 8 |
| CT upper extremity without contrast (both sides) CPT 73200 | $625.00 | $2,500.00 | $109.68 – $181.49 | 8 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $184.02 – $304.50 | 8 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $54.32 – $295.77 | 8 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $54.32 – $295.77 | 8 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $576.00 – $6,151.98 | 8 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $576.00 – $3,581.90 | 8 |
| Culture aerobic additional method definitive id each CPT 87077 | $28.75 | $115.00 | $7.91 – $13.09 | 8 |
| Culture afb any source CPT 87116 | $50.00 | $200.00 | $10.57 – $17.50 | 8 |
| Culture anaerobic additional method definitive id each CPT 87076 | $37.50 | $150.00 | $7.91 – $13.09 | 8 |
| Culture anaerobic except blood CPT 87075 | $78.75 | $315.00 | $9.27 – $15.34 | 8 |
| Culture bact stool aero addl path ea CPT 87046 | $32.50 | $130.00 | $9.24 – $15.29 | 8 |
| Culture body fluid CPT 87070 | $66.50 | $266.00 | $8.44 – $13.96 | 8 |
| Culture fungi definitive id mold CPT 87107 | $40.00 | $160.00 | $10.10 – $16.72 | 8 |
| Culture fungi definitive id yeast CPT 87106 | $31.25 | $125.00 | $10.10 – $16.72 | 8 |
| Culture fungi other (except blood) CPT 87102 | $46.25 | $185.00 | $8.23 – $13.62 | 8 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $7.55 – $12.49 | 8 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $35.00 | $140.00 | $11.82 – $23.67 | 8 |
| Culture mycoplasma any source CPT 87109 | $40.00 | $160.00 | $15.07 – $24.93 | 8 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.68 – $16.02 | 8 |
| Culture screening strep group a CPT 87081 | $31.25 | $125.00 | $6.49 – $10.74 | 8 |
| Culture typing added method CPT 87158 | $20.00 | $80.00 | $5.65 – $12.54 | 8 |
| Culture typing immunologic CPT 87147 | $22.50 | $90.00 | $5.07 – $8.39 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $136.25 | $545.00 | $213.48 – $353.26 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $27.50 | $110.00 | $34.35 – $56.85 | 8 |
| Culture urine each isolate CPT 87088 | $21.00 | $84.00 | $7.92 – $13.11 | 8 |
| Culture virus isolation CPT 87250 | not published | not published | $19.15 – $31.69 | 8 |
| Curette/treat cornea CPT 65435 | not published | not published | $430.00 – $1,730.60 | 8 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,414.00 – $4,127.37 | 8 |
| Cv line/pic reposition CPT 36597 | $625.00 | $2,500.00 | $430.00 – $2,732.77 | 8 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.02 – $23.20 | 8 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $26.47 | $105.87 | $2.25 – $2.25 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $35.00 | $140.00 | $12.68 – $20.98 | 8 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $145.21 | $580.86 | $0.47 – $0.78 | 8 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $18.93 | $75.70 | $1.94 – $1.94 | 1 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $38.24 | $152.96 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $40.00 | $160.00 | $17.67 – $29.24 | 8 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.79 | $11.15 | $1.61 – $1.61 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | $4.58 | $18.32 | $4.43 – $4.43 | 1 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $231.04 – $472.00 | 8 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $138.63 – $283.19 | 8 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $357.57 – $730.47 | 8 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $171.14 – $283.19 | 8 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $171.14 – $283.19 | 8 |
| Cystatin c CPT 82610 | $43.75 | $175.00 | $14.69 – $30.00 | 8 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $362.93 – $808.38 | 8 |
| Cystine urine quantitative CPT 82131 | $50.00 | $200.00 | $18.23 – $37.23 | 8 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $658.00 – $6,119.44 | 8 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $231.25 | $925.00 | $33.95 – $605.65 | 8 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $5,474.00 – $16,433.99 | 8 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $9,931.40 – $16,433.99 | 8 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $3,383.00 – $16,433.99 | 8 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $731.54 – $1,210.52 | 8 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $4,175.00 – $5,580.00 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $3,217.00 – $16,433.99 | 8 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $3,383.00 – $9,308.20 | 8 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $576.00 – $6,119.44 | 8 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $813.00 – $6,119.44 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $576.00 – $6,119.44 | 8 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $576.00 – $6,119.44 | 8 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $576.00 – $6,119.44 | 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.