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 |
|---|---|---|---|---|
| Desoxycorticosterone CPT 82633 | not published | not published | $30.33 – $50.19 | 8 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $210.49 – $348.31 | 8 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $210.49 – $348.31 | 8 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $210.49 – $348.31 | 8 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $210.49 – $348.31 | 8 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $210.49 – $348.31 | 8 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $210.49 – $348.31 | 8 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $210.49 – $348.31 | 8 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $210.49 – $348.31 | 8 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $210.49 – $348.31 | 8 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $210.49 – $348.31 | 8 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,125.00 | $4,500.00 | $430.00 – $3,389.97 | 8 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $450.00 | $1,800.00 | $1,032.00 – $2,414.00 | 2 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $926.00 – $2,077.40 | 8 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $210.49 – $348.31 | 8 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $658.00 – $3,581.90 | 8 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $2,164.62 – $3,581.90 | 8 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $210.49 – $348.31 | 8 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $430.00 – $1,283.05 | 8 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $426.48 – $705.72 | 8 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $430.00 – $3,581.90 | 8 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $2,164.62 – $3,581.90 | 8 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $430.00 – $4,818.61 | 8 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $426.48 – $705.72 | 8 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $210.49 – $348.31 | 8 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $576.00 – $1,535.46 | 8 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $450.00 | $1,800.00 | $1,032.00 – $2,414.00 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,125.00 | $4,500.00 | $926.00 – $3,389.97 | 8 |
| Destruction ciliary body CPT 66700 | not published | not published | $576.00 – $4,006.43 | 8 |
| Destruction ciliary body CPT 66720 | not published | not published | $576.00 – $4,127.37 | 8 |
| Destruction ciliary body CPT 66740 | not published | not published | $576.00 – $4,127.37 | 8 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $210.49 – $348.31 | 8 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $430.00 – $4,818.61 | 8 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $430.00 – $4,127.37 | 8 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $426.48 – $705.72 | 8 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $426.48 – $705.72 | 8 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $426.48 – $705.72 | 8 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $426.48 – $705.72 | 8 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $426.48 – $705.72 | 8 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $430.00 – $3,581.90 | 8 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $426.48 – $705.72 | 8 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,728.00 – $4,818.61 | 8 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $430.00 – $5,619.72 | 8 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $2,414.00 – $5,619.72 | 8 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $2,164.62 – $3,581.90 | 8 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $21.67 – $48.65 | 8 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $42.75 – $70.75 | 8 |
| Device intraute mirena HCPCS J7298 | $333.54 | $1,334.17 | not published | 0 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $87.50 | $350.00 | $27.26 – $151.08 | 8 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.14 – $0.14 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $23.56 | $94.23 | $0.23 – $0.23 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $200.31 – $331.47 | 8 |
| Dexamethasone panel CPT 80420 | not published | not published | $77.14 – $262.25 | 8 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $315.79 | $1,263.16 | $61.74 – $102.16 | 8 |
| Dextran 40 infusion HCPCS J7100 | $3.43 | $13.70 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $2.29 | $9.16 | $2.34 – $2.34 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $2.34 | $9.38 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $3.13 | $12.52 | $3.39 – $3.39 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $2.81 | $11.24 | $6.79 – $6.79 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $32.50 | $130.00 | $21.76 – $36.01 | 8 |
| Diabetes (HbA1c) Test CPT 83036 | $59.75 | $239.00 | $9.51 – $15.73 | 8 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $15.45 – $25.56 | 8 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $576.00 – $3,089.94 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $658.00 – $10,495.17 | 8 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $430.00 – $775.52 | 8 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $813.00 – $2,077.40 | 8 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $139.58 – $230.97 | 8 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $70.00 | $280.00 | $153.06 – $153.06 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $50.00 | $200.00 | $119.55 – $119.55 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $209.41 – $346.52 | 8 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $209.41 – $346.52 | 8 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $125.00 | $500.00 | $109.62 – $181.39 | 8 |
| Diagnostic Mammogram (one breast) CPT 77065 | $68.75 | $275.00 | $86.89 – $143.78 | 8 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $75.43 – $151.08 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Dialysis one evaluation CPT 90945 | $405.00 | $1,620.00 | $437.76 – $724.38 | 8 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.66 – $12.67 | 8 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.77 | $3.09 | $0.15 – $0.15 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $45.64 | $182.56 | $11.01 – $11.01 | 1 |
| Dicyclomine injection HCPCS J0500 | $90.06 | $360.22 | $41.07 – $41.07 | 1 |
| Diffusing capacity CPT 94729 | $112.50 | $450.00 | not published | 0 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $145.78 | $583.11 | $14.49 – $14.49 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $3,340.91 | $13,363.63 | $5,059.70 – $8,372.53 | 8 |
| Digoxin total therapeutic drug level CPT 80162 | $35.00 | $140.00 | $13.00 – $21.51 | 8 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $182.72 | $730.88 | $95.17 – $95.17 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Dilate esophagus CPT 43453 | not published | not published | $430.00 – $3,331.27 | 8 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $430.00 – $1,574.55 | 8 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $576.00 – $2,648.00 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $576.00 – $2,648.00 | 2 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $658.00 – $2,648.00 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $468.66 – $775.52 | 8 |
| Dilate urethra stricture CPT 53600 | not published | not published | $262.12 – $433.74 | 8 |
| Dilate urethra stricture CPT 53601 | not published | not published | $139.58 – $230.97 | 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.