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 |
|---|---|---|---|---|
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $12.55 | $50.19 | $0.23 – $0.23 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $35.62 | $142.46 | $29.75 – $29.75 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $37.50 | $150.00 | $20.63 – $34.13 | 8 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.03 – $34.80 | 8 |
| Galactose transferase test CPT 82776 | not published | not published | $9.06 – $19.02 | 8 |
| Galectin-3 CPT 82777 | not published | not published | $21.36 – $71.68 | 8 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,728.00 – $10,495.17 | 8 |
| Galsulfase injection HCPCS J1458 | not published | not published | $498.07 – $824.19 | 8 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $166.90 – $276.17 | 8 |
| Gamma globulin 1 cc inj HCPCS J1460 | $101.98 | $407.91 | $48.00 – $79.43 | 8 |
| Gammaglobulin iga CPT 82784 | $46.25 | $185.00 | $9.10 – $15.07 | 8 |
| Gammaglobulin ige CPT 82785 | $46.25 | $185.00 | $16.11 – $26.67 | 8 |
| Gamma glutamyltransferase CPT 82977 | $31.25 | $125.00 | $7.05 – $11.66 | 8 |
| Gammagraft HCPCS Q4111 | not published | not published | $14.43 – $216.04 | 8 |
| Gammaplex injection HCPCS J1557 | not published | not published | $62.35 – $103.17 | 8 |
| Gamunex-c/gammaked HCPCS J1561 | $55.70 | $222.80 | $47.94 – $79.32 | 8 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $153.00 | $612.02 | $64.67 – $64.67 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $34.35 – $56.85 | 8 |
| Gardner vag dna quant CPT 87512 | not published | not published | $40.88 – $67.65 | 8 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.88 – $10.87 | 8 |
| Gastric emptying imag study CPT 78265 | not published | not published | $412.70 – $694.01 | 8 |
| Gastric emptying imag study CPT 78266 | not published | not published | $547.57 – $942.61 | 8 |
| Gastric motility studies CPT 91020 | not published | not published | $391.49 – $647.81 | 8 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $350.75 – $694.01 | 8 |
| Gastrin test CPT 82938 | not published | not published | $17.32 – $28.66 | 8 |
| Gastroduodenostomy CPT 43810 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $345.72 – $694.01 | 8 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $391.49 – $647.81 | 8 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $951.53 – $1,574.55 | 8 |
| Gated heart multiple CPT 78473 | $433.75 | $1,735.00 | $357.95 – $694.01 | 8 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $0.50 | $2.02 | not published | 0 |
| Gauze <= 16 sq in w/border HCPCS A6219 | $4.30 | $17.20 | not published | 0 |
| Gba gene CPT 81251 | not published | not published | $46.26 – $76.54 | 8 |
| Gel-one HCPCS J7326 | not published | not published | $518.14 – $857.40 | 8 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $138.20 | $552.79 | $0.68 – $1.13 | 8 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $294.48 | $1,177.92 | $6.66 – $6.66 | 1 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $7,966.40 | $31,865.58 | $231.65 – $383.32 | 8 |
| General health panel CPT 80050 | $78.75 | $315.00 | $36.06 – $49.49 | 2 |
| Generator emblem MRI sicd subq HCPCS C1722 | $15,964.57 | $63,858.29 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,397.14 – $3,966.67 | 8 |
| Genioplasty augmentation CPT 21120 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,284.00 – $5,755.71 | 8 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $1,284.00 – $5,755.71 | 8 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,288.56 – $3,786.99 | 8 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,925.54 – $8,150.54 | 8 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,653.04 – $4,390.12 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $17.94 | $71.76 | $4.17 – $4.17 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | $40.00 | $160.00 | $16.04 – $26.54 | 8 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.65 – $9.35 | 8 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $900.92 – $1,490.79 | 8 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Ghs abscess perianal iandd CPT 46050 | $250.00 | $1,000.00 | $430.00 – $1,614.43 | 8 |
| Ghs abscess postoperative iandd complex CPT 10180 | $975.00 | $3,900.00 | $576.00 – $5,042.65 | 8 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $8.30 – $15.89 | 8 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $34.00 | $136.00 | $16.75 – $27.72 | 8 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $100.11 – $165.66 | 8 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $139.58 – $230.97 | 8 |
| Ghs antibodies (torch) igm CPT 86694 | $35.00 | $140.00 | $14.09 – $23.31 | 8 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $262.12 – $433.74 | 8 |
| Ghs bladder cath - complex-foley CPT 51703 | $93.75 | $375.00 | $134.99 – $223.38 | 8 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.72 – $7.81 | 8 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 8 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $430.00 – $5,481.46 | 8 |
| Ghs change cysto/gastrost CPT 43762 | $131.25 | $525.00 | $262.12 – $433.74 | 8 |
| Ghs chemo >8 hrs CPT 96416 | $237.50 | $950.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $187.50 | $750.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $37.50 | $150.00 | $34.35 – $56.85 | 8 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $131.25 | $525.00 | $258.78 – $428.22 | 8 |
| Ghs closed reduction ankle dislocation CPT 27840 | $131.25 | $525.00 | $258.78 – $428.22 | 8 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,075.00 | $4,300.00 | $430.00 – $2,791.51 | 8 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $131.25 | $525.00 | $258.78 – $428.22 | 8 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,075.00 | $4,300.00 | $430.00 – $2,791.51 | 8 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $576.00 – $6,151.98 | 8 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $258.78 – $428.22 | 8 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,075.00 | $4,300.00 | $430.00 – $2,791.51 | 8 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $576.00 – $2,791.51 | 8 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $258.78 – $428.22 | 8 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $131.25 | $525.00 | $258.78 – $428.22 | 8 |
| Ghs community re-entry 15 minutes CPT 97537 | $32.50 | $130.00 | $32.00 – $52.96 | 8 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $468.66 – $775.52 | 8 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $139.58 – $230.97 | 8 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $235.00 | $940.00 | $468.66 – $775.52 | 8 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $139.58 – $230.97 | 8 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $248.48 – $411.18 | 8 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $468.66 – $775.52 | 8 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $139.58 – $230.97 | 8 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $14.89 – $24.64 | 8 |
| Ghs dislocation elbow closed treatment CPT 24600 | $131.25 | $525.00 | $258.78 – $428.22 | 8 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $430.00 – $1,574.55 | 8 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $293.43 – $485.55 | 8 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $740.55 – $1,225.43 | 8 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $226.53 – $374.85 | 8 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $426.48 – $705.72 | 8 |
| Ghs excision ingrown nail CPT 11765 | $112.50 | $450.00 | $426.48 – $705.72 | 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.