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 |
|---|---|---|---|---|
| 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 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.51 – $17.40 | 8 |
| Dark field exam without collj CPT 87166 | not published | not published | $11.06 – $18.31 | 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 |
| Debridement bone <= 20 sq cm CPT 11044 | $850.00 | $3,400.00 | $576.00 – $2,867.21 | 8 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $300.00 | $1,200.00 | $1,032.00 – $2,414.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $300.00 | $1,200.00 | $1,032.00 – $2,414.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $360.00 | $1,440.00 | $426.48 – $705.72 | 8 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $61.89 – $102.41 | 8 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $61.89 – $102.41 | 8 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $576.00 – $1,229.33 | 8 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $576.00 – $5,042.65 | 8 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $300.00 | $1,200.00 | $1,032.00 – $2,414.00 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $210.49 – $348.31 | 8 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $576.00 – $1,229.33 | 8 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $325.00 | $1,300.00 | $576.00 – $1,283.05 | 8 |
| Decalcification CPT 88311 | $33.75 | $135.00 | $6.82 – $10.36 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,157.57 | $4,630.28 | $2.89 – $2.89 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $150.00 | $600.00 | $346.53 – $573.42 | 8 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $658.00 – $5,680.26 | 8 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $658.00 – $2,791.51 | 8 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $658.00 – $2,791.51 | 8 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $813.00 – $5,680.26 | 8 |
| Decompress fingers/hand CPT 26035 | not published | not published | $813.00 – $5,680.26 | 8 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $658.00 – $5,680.26 | 8 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $658.00 – $5,680.26 | 8 |
| Decompression fasct forearm CPT 24495 | not published | not published | $576.00 – $12,596.95 | 8 |
| Decompression of leg CPT 27892 | not published | not published | $658.00 – $5,680.26 | 8 |
| Decompression of leg CPT 27893 | not published | not published | $658.00 – $12,596.95 | 8 |
| Decompression of leg CPT 27894 | not published | not published | $658.00 – $5,680.26 | 8 |
| Decompression of lower leg CPT 27600 | not published | not published | $658.00 – $5,680.26 | 8 |
| Decompression of lower leg CPT 27601 | not published | not published | $658.00 – $5,680.26 | 8 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $926.00 – $5,680.26 | 8 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $658.00 – $5,680.26 | 8 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $658.00 – $2,791.51 | 8 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $658.00 – $12,596.95 | 8 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $813.00 – $3,389.97 | 8 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $430.00 – $3,389.97 | 8 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $813.00 – $6,824.99 | 8 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,728.00 – $12,596.95 | 8 |
| Decompress small bowel CPT 44021 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,728.00 – $12,596.95 | 8 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,728.00 – $12,596.95 | 8 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $658.00 – $5,042.65 | 8 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $74.94 | $299.74 | $13.94 – $13.94 | 1 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $769.59 | $3,078.36 | $4.35 – $7.21 | 8 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $658.00 – $14,189.18 | 8 |
| Delay flap arms/legs CPT 15610 | not published | not published | $658.00 – $3,581.90 | 8 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $658.00 – $3,581.90 | 8 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $813.00 – $3,581.90 | 8 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $658.00 – $6,151.98 | 8 |
| Delivery of placenta 59414 CPT 59414 | $425.00 | $1,700.00 | $3,383.00 – $5,619.72 | 8 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $2,000.00 | $8,000.00 | $2,648.00 – $4,150.00 | 2 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $139.68 – $231.13 | 8 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $50.00 | $200.00 | not published | 0 |
| Denervation of hip joint CPT 27035 | not published | not published | $813.00 – $5,680.26 | 8 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $1,424.71 | $5,698.83 | $28.76 – $47.60 | 8 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $43.75 | $175.00 | $139.58 – $230.97 | 8 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $2.07 | $8.28 | not published | 0 |
| Depo-estradiol cypionate inj HCPCS J1000 | $69.99 | $279.98 | $79.45 – $79.45 | 1 |
| Dermabrasion other than face CPT 15782 | not published | not published | $430.00 – $5,042.65 | 8 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $430.00 – $1,229.33 | 8 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $426.48 – $705.72 | 8 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,047.38 – $5,042.65 | 8 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $658.00 – $6,151.98 | 8 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $2,164.62 – $3,581.90 | 8 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $87.77 – $216.04 | 8 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $576.00 – $6,151.98 | 8 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $576.00 – $3,581.90 | 8 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $89.34 – $216.04 | 8 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $130.56 – $216.04 | 8 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $4,107.74 – $6,797.28 | 8 |
| Design mlc device for imrt CPT 77338 | $350.00 | $1,400.00 | $361.98 – $650.02 | 8 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $111.80 | $447.18 | $11.24 – $11.24 | 1 |
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.