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 |
|---|---|---|---|---|
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $199.44 | $797.76 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $68.75 | $275.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $62.50 | $250.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $243.75 | $975.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $187.50 | $750.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $62.50 | $250.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $62.50 | $250.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $28.75 | $115.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $11.25 | $45.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $16.25 | $65.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | not published | not published | $49.13 – $81.29 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $49.13 – $81.29 | 8 |
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $49.13 – $81.29 | 8 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $5,141.38 | $20,565.52 | $41.27 – $68.30 | 8 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $640.82 – $2,247.54 | 8 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $226.53 – $374.85 | 8 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $226.53 – $374.85 | 8 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $226.53 – $374.85 | 8 |
| _afb id by dna probe rflx ast CPT 87149 | $17.50 | $70.00 | $19.63 – $32.48 | 8 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $6.11 – $11.84 | 8 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $93.75 | $375.00 | $112.94 – $186.88 | 8 |
| Aflibercept injection HCPCS J0178 | $28,307.80 | $113,231.20 | $755.36 – $1,249.92 | 8 |
| After cataract laser surgery CPT 66821 | not published | not published | $576.00 – $954.81 | 8 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $3,508.71 | $14,034.84 | $225.32 – $372.85 | 8 |
| Air conduction bilat CPT 92552 | not published | not published | $139.58 – $230.97 | 8 |
| Air injection into abdomen 49400 CPT 49400 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Albumin body fluid quantitative each specimen CPT 82042 | $17.50 | $70.00 | $5.59 – $12.60 | 8 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $8.71 | $34.85 | $51.96 – $85.98 | 8 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $13.86 | $55.42 | $20.79 – $34.39 | 8 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $3.77 | $15.09 | $51.96 – $85.98 | 8 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $7.73 | $30.92 | $10.39 – $17.20 | 8 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.23 – $54.98 | 8 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $22.50 | $90.00 | $5.66 – $9.36 | 8 |
| Albumin serum plasma or whole blood CPT 82040 | $20.00 | $80.00 | $4.85 – $8.02 | 8 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.38 – $0.38 | 1 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.34 – $0.34 | 1 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.09 – $0.09 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $52.50 | $210.00 | $16.91 – $27.98 | 8 |
| Aldesleukin injection HCPCS J9015 | $4,349.53 | $17,398.11 | not published | 0 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $78.63 | $314.53 | $2,378.86 – $3,936.42 | 8 |
| Alkaline phosphatase CPT 84075 | $22.50 | $90.00 | $5.07 – $8.39 | 8 |
| Allergen alpha lactalbumin ige CPT 86008 | $20.75 | $83.00 | $17.55 – $29.05 | 8 |
| Allergen egg white ige CPT 86003 | $22.50 | $90.00 | $5.11 – $8.46 | 8 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $7.00 | $28.00 | $7.80 – $12.91 | 8 |
| Allergy injections; 2 or more 95117 CPT 95117 | $43.75 | $175.00 | $49.13 – $81.29 | 8 |
| Allergy injection; single 95115 CPT 95115 | $26.25 | $105.00 | $49.13 – $81.29 | 8 |
| Allergy Skin Testing CPT 95004 | $25.00 | $100.00 | not published | 0 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $4,150.00 – $22,288.23 | 8 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $130.56 – $216.04 | 8 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $130.56 – $216.04 | 8 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $62.36 – $216.04 | 8 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $281.22 | $1,124.88 | $130.56 – $216.04 | 8 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $130.56 – $216.04 | 8 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $130.56 – $216.04 | 8 |
| Alloskin HCPCS Q4115 | not published | not published | $31.40 – $216.04 | 8 |
| All tstg perq&iq drugs/biol CPT 95018 | $25.00 | $100.00 | $39.19 – $64.84 | 8 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $279.81 | $1,119.23 | $5.34 – $8.84 | 8 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $53.75 | $215.00 | $63.06 – $104.34 | 8 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $16.64 – $27.54 | 8 |
| Alpha-fetoprotein tumor marker CPT 82105 | $25.00 | $100.00 | $16.42 – $27.17 | 8 |
| Alprostadil for injection HCPCS J0270 | $220.40 | $881.62 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $6,499.79 | $25,999.15 | $92.46 – $153.00 | 8 |
| Alt/sgpt CPT 84460 | $22.50 | $90.00 | $5.19 – $8.59 | 8 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.57 – $7.55 | 8 |
| Aluminum - quest CPT 82108 | $43.75 | $175.00 | $24.94 – $41.28 | 8 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $2,414.00 – $5,755.71 | 8 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $99.74 – $165.05 | 8 |
| Amantadine (symmetrel)-sendout CPT 80375 | $75.00 | $300.00 | $26.59 – $161.55 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $139.58 – $230.97 | 8 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $23.13 | $92.54 | $1.59 – $1.59 | 1 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.58 – $22.47 | 8 |
| Amino acid single qual CPT 82127 | not published | not published | $13.88 – $22.97 | 8 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $18.21 – $31.77 | 8 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.76 – $2.90 | 8 |
| Aminolevulinic acid delta CPT 82135 | $25.00 | $100.00 | $16.10 – $26.65 | 8 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $383.86 – $635.19 | 8 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $16.11 | $64.45 | $26.62 – $26.62 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $5.41 | $21.65 | $4.89 – $4.89 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $20.68 | $82.73 | not published | 0 |
| Amitriptyline (elavil) -sendout CPT 80335 | $26.50 | $106.00 | $29.23 – $161.55 | 2 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $675.85 | $2,703.39 | $22.07 – $36.51 | 8 |
| Ammonia CPT 82140 | $40.00 | $160.00 | $14.26 – $23.60 | 8 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $250.00 | $1,000.00 | $966.29 – $1,598.96 | 8 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $319.70 – $529.02 | 8 |
| Amniotic fluid scan CPT 82143 | not published | not published | $7.42 – $15.15 | 8 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $813.00 – $5,680.26 | 8 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $25.38 – $161.55 | 2 |
| Amphetamines 5 or more CPT 80326 | $35.00 | $140.00 | $25.38 – $25.38 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $81.58 | $326.33 | $94.74 – $94.74 | 1 |
| Amphotericin b lipid complex HCPCS J0287 | $24.32 | $97.29 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $220.09 | $880.37 | $21.03 – $34.80 | 8 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $87.36 | $349.45 | $1.78 – $1.78 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $49.89 | $199.56 | $3.92 – $3.92 | 1 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $257.47 – $426.04 | 8 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $576.00 – $5,680.26 | 8 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,432.70 – $5,680.26 | 8 |
| Amputate hand at wrist CPT 25922 | not published | not published | $658.00 – $2,791.51 | 8 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $658.00 – $5,680.26 | 8 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,432.70 – $5,680.26 | 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.