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 |
|---|---|---|---|---|
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $226.53 – $374.85 | 8 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $226.53 – $374.85 | 8 |
| Homocysteine CPT 83090 | $31.25 | $125.00 | $17.54 – $29.03 | 8 |
| Homogenization tissue CPT 87176 | $22.50 | $90.00 | $5.76 – $9.53 | 8 |
| Homovanillic acid (hva) CPT 83150 | $19.50 | $78.00 | $20.90 – $36.30 | 8 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $119.65 – $198.00 | 8 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $119.65 – $198.00 | 8 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $119.65 – $198.00 | 8 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $119.65 – $198.00 | 8 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $119.65 – $198.00 | 8 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $119.65 – $198.00 | 8 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $119.65 – $198.00 | 8 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $119.65 – $198.00 | 8 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $15.49 – $56.85 | 8 |
| Hpv low-risk types CPT 87623 | not published | not published | $34.35 – $56.85 | 8 |
| Hpv types 16 & 18 only CPT 87625 | $41.25 | $165.00 | $37.91 – $65.69 | 8 |
| H pylori ag ia CPT 87339 | not published | not published | $12.94 – $25.92 | 8 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $65.95 – $109.12 | 8 |
| H pylori (c-13) breath CPT 83013 | $62.50 | $250.00 | $65.95 – $109.12 | 8 |
| H pylori drug admin CPT 83014 | not published | not published | $7.69 – $12.73 | 8 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $1,117.78 – $2,112.40 | 8 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $722.52 – $2,946.59 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $572.62 – $947.54 | 8 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $572.62 – $947.54 | 8 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $2,164.62 – $3,581.90 | 8 |
| Hsv dna dir probe CPT 87528 | not published | not published | $19.63 – $32.48 | 8 |
| Htt gene charac alleles CPT 81274 | not published | not published | $269.06 – $445.22 | 8 |
| Htt gene detc abnor alleles CPT 81271 | $68.75 | $275.00 | $134.12 – $221.94 | 8 |
| Human epididymis protein 4 (he4) CPT 86305 | $43.75 | $175.00 | $20.37 – $33.71 | 8 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $1,631.10 | $6,524.41 | not published | 0 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $72.60 | $290.40 | not published | 0 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $109.35 | $437.40 | $0.73 – $0.73 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $40.30 | $161.19 | $8.30 – $8.30 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $88.75 | $355.00 | $49.13 – $81.29 | 8 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $175.00 | $700.00 | not published | 0 |
| Hydrocolld drg filler paste HCPCS A6240 | $7.08 | $28.30 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $159.14 | $636.55 | $40.10 – $40.10 | 1 |
| Hydrogel drsg gel filler HCPCS A6248 | $12.94 | $51.78 | not published | 0 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $5.46 – $5.46 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $46.71 | $186.83 | $29.30 – $29.30 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $31.25 | $125.00 | $17.52 – $29.00 | 8 |
| Hymenotomy CPT 56442 | not published | not published | $430.00 – $5,619.72 | 8 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.25 – $28.54 | 8 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $430.00 – $10,276.96 | 8 |
| Hyoscyamine sulfate inj HCPCS J1980 | $185.16 | $740.64 | not published | 0 |
| Hyperbaric oxygen therapy CPT 99183 | $191.25 | $765.00 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $9.97 – $16.49 | 8 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $730.68 – $1,209.10 | 8 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $241.12 – $669.58 | 8 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $478.79 – $959.23 | 8 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $579.68 – $959.23 | 8 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $579.68 – $959.23 | 8 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $39.71 | $158.83 | $17.77 – $29.40 | 8 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $4,175.00 – $4,175.00 | 1 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $4,175.00 – $4,175.00 | 1 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $2,648.00 – $10,750.00 | 2 |
| Hysterosalpingography s&i CPT 74740 | $300.00 | $1,200.00 | $87.41 – $414.22 | 8 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $1,728.00 – $8,684.36 | 8 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $658.00 – $5,619.72 | 8 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $430.00 – $5,619.72 | 8 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $576.00 – $8,684.36 | 8 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $658.00 – $5,619.72 | 8 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $658.00 – $8,684.36 | 8 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $658.00 – $8,684.36 | 8 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $658.00 – $8,684.36 | 8 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $134.19 | $536.77 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $2,700.00 | $10,800.00 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $12.94 – $21.74 | 8 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $37.50 | $150.00 | $34.35 – $56.85 | 8 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $13.98 – $29.31 | 8 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $44.33 – $73.35 | 8 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $135.76 | $543.03 | $58.02 – $58.02 | 1 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,397.14 – $3,966.67 | 8 |
| Ibuprofen injection HCPCS J1741 | $20.07 | $80.28 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $43.40 | $173.61 | not published | 0 |
| Icatibant injection HCPCS J1744 | $3,139.64 | $12,558.56 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $15,142.09 | $60,568.37 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $21,397.39 | $85,589.57 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $7,365.92 | $29,463.70 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $3,781.58 | $15,126.32 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $226.53 – $374.85 | 8 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $39.19 – $64.84 | 8 |
| Icut allergy test drug/bug CPT 95024 | $35.00 | $140.00 | $61.89 – $102.41 | 8 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $430.00 – $5,755.71 | 8 |
| Idarubicin hcl injection HCPCS J9211 | $52.48 | $209.91 | $91.55 – $91.55 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,732.71 – $2,867.21 | 8 |
| Idecabtagene vicleucel car HCPCS Q2055 | $304,031.68 | $1,216,126.72 | $545,614.26 – $902,855.05 | 8 |
| Identify sperm tissue CPT 89264 | not published | not published | $54.32 – $90.47 | 8 |
| Idet 1 or more levels CPT 22527 | not published | not published | $1,728.00 – $4,175.00 | 3 |
| Idet single level CPT 22526 | not published | not published | $1,728.00 – $4,175.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $430.00 – $5,680.26 | 8 |
| Idh1 common variants CPT 81120 | $120.00 | $480.00 | $189.19 – $313.06 | 8 |
| Idh2 common variants CPT 81121 | $185.00 | $740.00 | $289.58 – $479.18 | 8 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $576.00 – $4,818.61 | 8 |
| I&d lacrimal gland CPT 68400 | not published | not published | $430.00 – $1,730.60 | 8 |
| I&d lacrimal sac CPT 68420 | not published | not published | $926.00 – $4,127.37 | 8 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $430.00 – $5,042.65 | 8 |
| Idursulfase injection HCPCS J1743 | not published | not published | $546.73 – $904.70 | 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.