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 prostatic acid phosphatase (mayo) CPT 84066 | $22.50 | $90.00 | $9.46 – $15.65 | 8 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.49 – $9.09 | 8 |
| Ghs protoporphyrins fract CPT 84202 | $35.00 | $140.00 | $14.05 – $23.25 | 8 |
| Ghs pr without cont pulse ox CPT 94625 | $70.00 | $280.00 | $61.89 – $102.41 | 8 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $11.99 – $19.85 | 8 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $75.00 | $300.00 | not published | 0 |
| Ghs quinidine CPT 80194 | not published | not published | $14.29 – $23.65 | 8 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $346.53 – $573.42 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | $43.75 | $175.00 | $139.58 – $230.97 | 8 |
| Ghs removal pharyngeal foreign body CPT 42809 | $235.00 | $940.00 | $430.00 – $775.52 | 8 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $658.00 – $2,791.51 | 8 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $813.00 – $5,680.26 | 8 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $13.92 – $25.74 | 8 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.22 – $6.98 | 8 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $35.00 | $140.00 | $12.94 – $22.53 | 8 |
| Ghs sedimentation rate CPT 85651 | $3.75 | $15.00 | $3.83 – $6.92 | 8 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.05 – $19.94 | 8 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.63 – $15.94 | 8 |
| Ghs sensitivity (per antimicro) CPT 87184 | $17.50 | $70.00 | $7.32 – $12.12 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $187.50 | $750.00 | $426.48 – $705.72 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $187.50 | $750.00 | $426.48 – $705.72 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $112.50 | $450.00 | $426.48 – $705.72 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $426.48 – $705.72 | 8 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $150.00 | $600.00 | $210.49 – $348.31 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $162.50 | $650.00 | $210.49 – $348.31 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $162.50 | $650.00 | $210.49 – $348.31 | 8 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $212.50 | $850.00 | $210.49 – $348.31 | 8 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $210.49 – $348.31 | 8 |
| Ghs sleep study unattended CPT 95800 | $450.00 | $1,800.00 | $226.53 – $374.85 | 8 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $226.53 – $374.85 | 8 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $47.57 – $78.72 | 8 |
| Ghs sphenopalatine ganglion block CPT 64505 | $200.00 | $800.00 | $322.03 – $532.87 | 8 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $139.58 – $230.97 | 8 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $102.36 – $169.39 | 8 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $39.19 – $64.84 | 8 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $139.58 – $230.97 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $71.21 – $117.84 | 8 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $49.13 – $81.29 | 8 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $430.00 – $1,283.05 | 8 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $426.48 – $705.72 | 8 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $430.00 – $2,693.58 | 8 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.15 – $11.83 | 8 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $131.25 | $525.00 | $258.78 – $428.22 | 8 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $258.78 – $428.22 | 8 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $23.79 – $39.37 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | $32.50 | $130.00 | $14.40 – $23.83 | 8 |
| Ghs vaginal delivery only CPT 59409 | $1,300.00 | $5,200.00 | $2,414.00 – $5,619.72 | 8 |
| Ghs windowing of cast CPT 29730 | not published | not published | $170.48 – $282.10 | 8 |
| Giardia ag if CPT 87269 | not published | not published | $12.94 – $22.05 | 8 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.41 – $23.85 | 8 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $101.64 – $414.22 | 8 |
| Gi inhouse confirmation CPT 87045 | $50.00 | $200.00 | $9.24 – $15.29 | 8 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,478.30 – $5,755.71 | 8 |
| Gi protein loss CPT 78282 | not published | not published | $94.43 – $694.01 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $951.53 – $1,574.55 | 8 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $975.63 – $1,614.43 | 8 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $951.53 – $1,574.55 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $951.53 – $1,574.55 | 8 |
| Gjb2 gene full sequence CPT 81252 | $72.50 | $290.00 | $99.00 – $163.81 | 8 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $51.39 – $99.66 | 8 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $34.26 – $56.70 | 8 |
| Glassia injection HCPCS J0257 | $477.10 | $1,908.40 | $5.52 – $9.14 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $39.19 – $64.84 | 8 |
| Glaucoma surgery CPT 66150 | not published | not published | $813.00 – $7,175.71 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $813.00 – $7,175.71 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $576.00 – $4,006.43 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $813.00 – $4,006.43 | 8 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $192.08 | $768.32 | $178.62 – $295.56 | 8 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $106.45 | $425.80 | $145.86 – $241.36 | 8 |
| Glucagon plasma - sendout CPT 82943 | $25.00 | $100.00 | $13.99 – $23.15 | 8 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $45.10 – $74.63 | 8 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $49.44 – $81.81 | 8 |
| Glucagon tolerance test CPT 82946 | not published | not published | $16.29 – $28.79 | 8 |
| Glucose 1 hr post dose CPT 82950 | $20.00 | $80.00 | $4.65 – $7.70 | 8 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.92 – $9.80 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $2.53 – $5.31 | 8 |
| Glucose blood quantitative CPT 82947 | $20.00 | $80.00 | $3.85 – $6.37 | 8 |
| Glucose body fluid CPT 82945 | $20.00 | $80.00 | $3.85 – $6.37 | 8 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $61.89 – $102.41 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $35.00 | $140.00 | $12.60 – $20.85 | 8 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.00 | $80.00 | $3.84 – $6.35 | 8 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $21.10 | $84.41 | $0.92 – $0.92 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $370.81 | $1,483.26 | $10.81 – $17.88 | 8 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $40.00 | $160.00 | $18.19 – $30.10 | 8 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $145.29 – $240.42 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $50.00 | $200.00 | $18.13 – $30.00 | 8 |
| Gonioscopy CPT 92020 | not published | not published | $139.58 – $230.97 | 8 |
| Goniotomy CPT 65820 | not published | not published | $430.00 – $7,175.71 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $2,285.14 | $9,140.58 | $718.26 – $1,188.54 | 8 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $41.89 | $167.55 | $61.88 – $216.04 | 8 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $130.56 – $216.04 | 8 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $658.00 – $5,680.26 | 8 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $89.20 – $216.04 | 8 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $130.56 – $216.04 | 8 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $237.81 | $951.24 | $130.56 – $216.04 | 8 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $93.51 – $216.04 | 8 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $196.44 | $785.75 | $130.56 – $216.04 | 8 |
| Granisetron hcl injection HCPCS J1626 | $40.33 | $161.33 | $0.60 – $0.60 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $4,750.00 – $12,596.95 | 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.