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 |
|---|---|---|---|---|
| Dilate urethra stricture CPT 53605 | not published | not published | $576.00 – $6,119.44 | 8 |
| Dilate urethra stricture CPT 53621 | not published | not published | $262.12 – $433.74 | 8 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $134.99 – $223.38 | 8 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $430.00 – $2,077.40 | 8 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $430.00 – $5,619.72 | 8 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $430.00 – $2,077.40 | 8 |
| Dilation of salivary duct CPT 42660 | not published | not published | $565.82 – $936.29 | 8 |
| Dilation of urethra CPT 53661 | not published | not published | $139.58 – $230.97 | 8 |
| Dilation of urethra CPT 53665 | not published | not published | $430.00 – $3,628.95 | 8 |
| Dilation of vagina CPT 57400 | not published | not published | $576.00 – $5,619.72 | 8 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $430.00 – $2,693.58 | 8 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $731.54 – $1,210.52 | 8 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $2,414.00 – $6,119.44 | 8 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,217.00 – $6,119.44 | 8 |
| Dimecaprol injection HCPCS J0470 | $107.90 | $431.60 | not published | 0 |
| Dimenhydrinate injection HCPCS J1240 | $24.68 | $98.70 | $17.08 – $17.08 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $105.39 | $421.57 | $733.12 – $1,213.13 | 8 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $19.27 | $77.07 | $1.83 – $1.83 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $91.33 | $365.32 | not published | 0 |
| Dipyridamole injection HCPCS J1245 | $18.57 | $74.26 | $7.83 – $7.83 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $39.19 – $64.84 | 8 |
| Disability dlco CPT 94727 | $101.25 | $405.00 | $226.53 – $374.85 | 8 |
| Disaccharidases CPT 82657 | $50.00 | $200.00 | $19.51 – $35.92 | 8 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $658.00 – $3,581.90 | 8 |
| Disarticulation shoulder CPT 23920 | not published | not published | $5,474.00 – $22,288.23 | 8 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $82.95 – $3,389.97 | 8 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,032.00 – $3,089.94 | 8 |
| Dissect brain w/scope CPT 62161 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,474.00 – $9,660.07 | 8 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $2,954.00 – $3,217.00 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $25.44 – $161.55 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,875.00 | $7,500.00 | $2,414.00 – $2,648.00 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $111.13 – $451.98 | 8 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $269.06 – $445.22 | 8 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $134.12 – $221.94 | 8 |
| Dna antibody native/double stranded CPT 86225 | $35.00 | $140.00 | $13.45 – $22.26 | 8 |
| Dna gardnerella CPT 87510 | $17.50 | $70.00 | $19.63 – $32.48 | 8 |
| Dna probe chlamydia CPT 87490 | not published | not published | $21.67 – $36.86 | 8 |
| Dna probe gc CPT 87590 | not published | not published | $21.67 – $43.55 | 8 |
| Dna trichomonas CPT 87660 | $17.50 | $70.00 | $19.63 – $32.48 | 8 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $6.47 | $25.89 | $15.31 – $15.31 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $712.02 | $2,848.06 | $1.75 – $1.75 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $7.71 | $30.85 | $1.59 – $1.59 | 1 |
| Doppler echo complete CPT 93320 | $375.00 | $1,500.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $750.00 | $3,000.00 | $1,032.00 – $1,032.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $231.25 | $925.00 | $160.97 – $374.85 | 8 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $187.50 | $750.00 | $113.12 – $230.97 | 8 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $107.94 – $107.94 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $1,517.70 | $6,070.81 | $238.59 – $394.81 | 8 |
| Double transfer toe-hand CPT 26554 | not published | not published | $4,750.00 – $12,596.95 | 8 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $409.84 | $1,639.36 | $6.59 – $6.59 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $178.92 | $715.68 | $106.19 – $175.72 | 8 |
| Dpyd gene common variants CPT 81232 | $100.00 | $400.00 | $171.14 – $283.19 | 8 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $557.50 | $2,230.00 | $742.91 – $1,229.33 | 8 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $557.50 | $2,230.00 | $742.91 – $1,229.33 | 8 |
| Drainage external ear complex 69005 CPT 69005 | $600.00 | $2,400.00 | $1,732.71 – $2,867.21 | 8 |
| Drainage external ear simple 69000 CPT 69000 | $557.50 | $2,230.00 | $742.91 – $1,229.33 | 8 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $430.00 – $5,042.65 | 8 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $576.00 – $5,042.65 | 8 |
| Drainage mouth roof lesion CPT 42000 | $130.00 | $520.00 | $248.48 – $411.18 | 8 |
| Drainage of abdomen CPT 48000 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | $600.00 | $2,400.00 | $576.00 – $2,867.21 | 8 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $430.00 – $5,042.65 | 8 |
| Drainage of bone lesion CPT 26992 | not published | not published | $3,217.00 – $5,680.26 | 8 |
| Drainage of bone lesion CPT 27303 | not published | not published | $3,217.00 – $5,680.26 | 8 |
| Drainage of eye CPT 65800 | not published | not published | $430.00 – $4,006.43 | 8 |
| Drainage of eye CPT 65810 | not published | not published | $658.00 – $4,006.43 | 8 |
| Drainage of eye CPT 65815 | not published | not published | $576.00 – $4,006.43 | 8 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $576.00 – $2,791.51 | 8 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $430.00 – $1,229.33 | 8 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $248.48 – $411.18 | 8 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $430.00 – $2,693.58 | 8 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $430.00 – $2,693.58 | 8 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $430.00 – $5,755.71 | 8 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $430.00 – $936.29 | 8 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $430.00 – $936.29 | 8 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $430.00 – $10,276.96 | 8 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $430.00 – $5,755.71 | 8 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $430.00 – $2,693.58 | 8 |
| Drainage of nose lesion int 30000 CPT 30000 | $130.00 | $520.00 | $248.48 – $411.18 | 8 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $565.82 – $936.29 | 8 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $430.00 – $2,791.51 | 8 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $430.00 – $5,680.26 | 8 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $576.00 – $6,119.44 | 8 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $430.00 – $6,119.44 | 8 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $576.00 – $6,119.44 | 8 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $576.00 – $2,077.40 | 8 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $576.00 – $4,818.61 | 8 |
| Drainage of salivary gland CPT 42305 | not published | not published | $576.00 – $5,755.71 | 8 |
| Drainage of salivary gland CPT 42320 | not published | not published | $430.00 – $936.29 | 8 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,728.00 – $2,648.00 | 2 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,728.00 – $2,648.00 | 2 |
| Drainage of throat abscess CPT 42725 | not published | not published | $576.00 – $10,276.96 | 8 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $576.00 – $6,119.44 | 8 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,193.05 – $3,628.95 | 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.