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 |
|---|---|---|---|---|
| Ghs eye exam CPT 92002 | not published | not published | $139.68 – $231.13 | 8 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $332.99 – $551.02 | 8 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.98 – $7.86 | 8 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $576.00 – $2,867.21 | 8 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $658.00 – $5,042.65 | 8 |
| Ghs fb removal - incisional CPT 10121 | $597.50 | $2,390.00 | $576.00 – $2,867.21 | 8 |
| Ghs fb removal - non-incisional CPT 20520 | $450.00 | $1,800.00 | $430.00 – $2,867.21 | 8 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.83 – $11.31 | 8 |
| Ghs fish cytogen CPT 88271 | $31.25 | $125.00 | $20.97 – $34.70 | 8 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $43.75 | $175.00 | $43.38 – $82.93 | 8 |
| Ghs flow volume loop CPT 94375 | $112.50 | $450.00 | $226.53 – $374.85 | 8 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $226.53 – $374.85 | 8 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $34.35 – $56.85 | 8 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $18.59 – $37.21 | 8 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.16 – $25.09 | 8 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.14 – $15.34 | 8 |
| Ghs histoplasma antigen CPT 87385 | $35.00 | $140.00 | $12.94 – $21.46 | 8 |
| Ghs HIV antibody CPT 86703 | $12.00 | $48.00 | $13.42 – $22.21 | 8 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $69.55 – $171.95 | 8 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,150.00 | $4,600.00 | $576.00 – $3,628.95 | 8 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $300.00 | $1,200.00 | $658.00 – $2,077.40 | 8 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $200.00 | $800.00 | $742.91 – $1,229.33 | 8 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $112.50 | $450.00 | $742.91 – $1,229.33 | 8 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $24.20 – $48.47 | 8 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $262.12 – $433.74 | 8 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $209.41 – $346.52 | 8 |
| Ghs inf midline insertion CPT 36140 | $200.00 | $800.00 | $1,032.00 – $2,414.00 | 2 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $12.60 – $20.85 | 8 |
| Ghs init tx 1st degree burn CPT 16000 | $105.00 | $420.00 | $210.49 – $348.31 | 8 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Ghs inj tendon origin/insertion CPT 20551 | $175.00 | $700.00 | $322.03 – $532.87 | 8 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $200.00 | $800.00 | $1,032.00 – $2,414.00 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Ghs insertion of needle - bone CPT 36680 | $225.00 | $900.00 | $468.66 – $775.52 | 8 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $187.50 | $750.00 | $426.48 – $705.72 | 8 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $576.00 – $1,283.05 | 8 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $576.00 – $3,581.90 | 8 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $262.12 – $433.74 | 8 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $37.50 | $150.00 | $49.13 – $81.29 | 8 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $346.53 – $573.42 | 8 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $235.00 | $940.00 | $468.66 – $775.52 | 8 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $112.50 | $450.00 | $426.48 – $705.72 | 8 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $112.50 | $450.00 | $426.48 – $705.72 | 8 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $112.50 | $450.00 | $426.48 – $705.72 | 8 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $125.00 | $500.00 | $426.48 – $705.72 | 8 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $137.50 | $550.00 | $426.48 – $705.72 | 8 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $150.00 | $600.00 | $426.48 – $705.72 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $162.50 | $650.00 | $426.48 – $705.72 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $162.50 | $650.00 | $576.00 – $1,283.05 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $162.50 | $650.00 | $426.48 – $705.72 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $325.00 | $1,300.00 | $576.00 – $1,283.05 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $187.50 | $750.00 | $426.48 – $705.72 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $576.00 – $1,283.05 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $426.48 – $705.72 | 8 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $576.00 – $3,581.90 | 8 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $426.48 – $705.72 | 8 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $18.75 | $75.00 | $8.42 – $13.93 | 8 |
| Ghs mbp CPT 83873 | $31.25 | $125.00 | $16.84 – $27.86 | 8 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $66.25 | $265.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $66.25 | $265.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $33.75 | $135.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $85.00 | $340.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $62.50 | $250.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $47.50 | $190.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $187.50 | $750.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $325.00 | $1,300.00 | $775.37 – $1,283.05 | 8 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Ghs nerve blk intercostal, single level CPT 64420 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 8 |
| Ghs nerve block axillary nerve CPT 64417 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $430.00 – $1,535.46 | 8 |
| Ghs nerve block celiac plexus CPT 64530 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Ghs nerve block interscaline CPT 64510 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $430.00 – $1,225.43 | 8 |
| Ghs nerve block suprascapular CPT 64418 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 8 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $468.66 – $775.52 | 8 |
| Ghs o2 saturation CPT 82810 | $26.25 | $105.00 | $9.43 – $15.83 | 8 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $61.89 – $102.41 | 8 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $49.13 – $81.29 | 8 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $576.00 – $1,089.01 | 8 |
| Ghs opcc repair cvp w subq port CPT 36576 | $625.00 | $2,500.00 | $576.00 – $2,732.77 | 8 |
| Ghs oscillating trac CPT 92545 | not published | not published | $226.53 – $374.85 | 8 |
| Ghs ot dds rom CPT 95851 | not published | not published | $7.01 – $11.60 | 8 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $40.55 – $67.10 | 8 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $32.50 | $130.00 | $61.05 – $101.02 | 8 |
| Ghs ot work hardening-additional hours CPT 97546 | $37.50 | $150.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $693.41 – $1,147.41 | 8 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $162.50 | $650.00 | $1,032.00 – $2,414.00 | 2 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $162.50 | $650.00 | $1,032.00 – $2,414.00 | 2 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $50.00 | $200.00 | $26.12 – $26.83 | 2 |
| Ghs peritonsillar abscess i andd CPT 42700 | $130.00 | $520.00 | $248.48 – $411.18 | 8 |
| Ghs phenylketonurid CPT 84030 | $4.75 | $19.00 | $5.38 – $8.91 | 8 |
| Ghs picc line insert < 5 CPT 36568 | $625.00 | $2,500.00 | $430.00 – $2,732.77 | 8 |
| Ghs plngl fx pm cl CPT 26725 | $131.25 | $525.00 | $258.78 – $428.22 | 8 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.22 – $6.98 | 8 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,700.00 | $6,800.00 | not published | 0 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $139.58 – $230.97 | 8 |
| Ghs ppd (tb intradermal) CPT 86580 | $18.75 | $75.00 | $6.25 – $50.21 | 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.