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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52235 | not published | not published | $658.00 – $6,119.44 | 8 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $658.00 – $9,308.20 | 8 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $576.00 – $3,628.95 | 8 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $430.00 – $3,628.95 | 8 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $658.00 – $3,628.95 | 8 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $576.00 – $6,119.44 | 8 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $576.00 – $3,628.95 | 8 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $576.00 – $1,210.52 | 8 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $576.00 – $3,628.95 | 8 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $576.00 – $6,119.44 | 8 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $658.00 – $6,119.44 | 8 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $576.00 – $9,308.20 | 8 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $576.00 – $3,628.95 | 8 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $576.00 – $3,628.95 | 8 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $926.00 – $6,119.44 | 8 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $576.00 – $6,119.44 | 8 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $430.00 – $1,210.52 | 8 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $926.00 – $3,628.95 | 8 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $576.00 – $1,210.52 | 8 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $1,728.00 – $6,119.44 | 8 |
| Cystoscopy inject material CPT 52327 | not published | not published | $576.00 – $9,308.20 | 8 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $1,728.00 – $9,308.20 | 8 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $576.00 – $6,119.44 | 8 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $576.00 – $3,628.95 | 8 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $576.00 – $3,628.95 | 8 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $813.00 – $9,308.20 | 8 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $576.00 – $3,628.95 | 8 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $813.00 – $3,628.95 | 8 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $813.00 – $6,119.44 | 8 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,383.00 – $6,119.44 | 8 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $658.00 – $6,119.44 | 8 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $658.00 – $6,119.44 | 8 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $813.00 – $9,308.20 | 8 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $813.00 – $9,308.20 | 8 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $1,728.00 – $9,308.20 | 8 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $813.00 – $9,308.20 | 8 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $658.00 – $9,308.20 | 8 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $813.00 – $6,119.44 | 8 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $658.00 – $6,119.44 | 8 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $658.00 – $6,119.44 | 8 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $576.00 – $3,628.95 | 8 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $576.00 – $3,628.95 | 8 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,032.00 – $4,150.00 | 2 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $2,648.00 – $3,217.00 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $658.00 – $6,119.44 | 8 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $658.00 – $6,119.44 | 8 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $658.00 – $6,119.44 | 8 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $9.64 | $38.57 | $1.54 – $1.54 | 1 |
| Cytogenetics 25-99 CPT 88274 | $43.75 | $175.00 | $37.60 – $68.66 | 8 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $28.93 – $65.93 | 8 |
| Cytogenomic neo microra alys CPT 81277 | $725.00 | $2,900.00 | $1,135.64 – $1,879.20 | 8 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $490.33 – $1,458.00 | 8 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $35.00 | $140.00 | $14.09 – $23.31 | 8 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $40.00 | $160.00 | $16.50 – $27.30 | 8 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $12.94 – $21.74 | 8 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $82.34 | $329.37 | $1,770.66 – $2,930.00 | 8 |
| Cyto/molecular report CPT 88291 | $75.00 | $300.00 | $25.56 – $32.29 | 2 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $23.08 – $41.10 | 8 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $6.47 – $23.73 | 8 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $17.81 – $50.21 | 8 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $56.25 | $225.00 | $32.52 – $90.47 | 8 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $43.75 | $175.00 | $26.05 – $43.11 | 8 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $37.50 | $150.00 | $19.83 – $32.82 | 8 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $27.50 | $110.00 | $17.81 – $64.84 | 8 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $27.50 | $110.00 | $17.81 – $64.84 | 8 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $50.00 | $200.00 | $5.97 – $13.25 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $81.25 | $325.00 | $15.90 – $295.77 | 8 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $131.25 | $525.00 | $32.52 – $90.47 | 8 |
| Cytopath smear other source CPT 88160 | $18.75 | $75.00 | $17.81 – $50.21 | 8 |
| Cytopath smear other source CPT 88162 | not published | not published | $17.81 – $90.47 | 8 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $17.81 – $50.21 | 8 |
| Cytopath tbs c/v manual CPT 88164 | $40.00 | $160.00 | $11.41 – $30.03 | 8 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $42.75 – $127.41 | 8 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.06 – $48.08 | 8 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $250.00 | $1,000.00 | $67.70 – $295.77 | 8 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $45.38 | $181.50 | $7.27 – $7.27 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,800.05 | $7,200.22 | $321.44 – $531.91 | 8 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $1,182.39 | $4,729.57 | $15.29 – $25.29 | 8 |
| Dalteparin sodium HCPCS J1645 | $150.35 | $601.38 | $32.91 – $32.91 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $315.32 | $1,261.27 | $0.04 – $0.04 | 1 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | $89.74 | $358.94 | $0.66 – $0.66 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $883.98 | $3,535.91 | $54.40 – $90.02 | 8 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,648.39 | $6,593.57 | $2.86 – $4.74 | 8 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.86 – $4.74 | 8 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $7,896.76 | $31,587.06 | $250.71 – $414.86 | 8 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $95.78 | $383.13 | $53.86 – $53.86 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $210.49 – $348.31 | 8 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $658.00 – $5,619.72 | 8 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $576.00 – $5,619.72 | 8 |
| Dch glucoscan CPT 82948 | not published | not published | $3.43 – $8.16 | 8 |
| Dch validity tests CPT 81002 | $30.00 | $120.00 | $2.76 – $5.64 | 8 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,728.00 – $3,389.97 | 8 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,478.30 – $5,755.71 | 8 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $430.00 – $3,389.97 | 8 |
| D&c of cervical stump CPT 57558 | not published | not published | $658.00 – $5,619.72 | 8 |
| Deamidated gliadin antibody iga CPT 86258 | $35.00 | $140.00 | $11.80 – $19.52 | 8 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $426.48 – $705.72 | 8 |
| Debridement (>20 cm) charge pt CPT 97598 | $131.25 | $525.00 | $1,032.00 – $2,414.00 | 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.