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 |
|---|---|---|---|---|
| Incision of tibia & fibula CPT 27709 | not published | not published | $576.00 – $22,288.23 | 8 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $658.00 – $2,791.51 | 8 |
| Incision of tongue fold CPT 41010 | not published | not published | $430.00 – $2,693.58 | 8 |
| Incision of tongue nerve CPT 64740 | not published | not published | $576.00 – $3,389.97 | 8 |
| Incision of urethra CPT 53000 | not published | not published | $430.00 – $3,628.95 | 8 |
| Incision of urethra CPT 53010 | not published | not published | $430.00 – $9,308.20 | 8 |
| Incision of urethra CPT 53020 | not published | not published | $430.00 – $3,628.95 | 8 |
| Incision of urethra CPT 53025 | not published | not published | $2,193.05 – $3,628.95 | 8 |
| Incision of vagus nerve CPT 64760 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Incision of windpipe CPT 31601 | not published | not published | $3,383.00 – $10,276.96 | 8 |
| Incision of windpipe CPT 31610 | not published | not published | $3,383.00 – $10,276.96 | 8 |
| Incision of wrist capsule CPT 25085 | not published | not published | $658.00 – $5,680.26 | 8 |
| Incision secondary cataract CPT 66820 | not published | not published | $430.00 – $4,006.43 | 8 |
| Incision tendon sheath CPT 26055 | $1,075.00 | $4,300.00 | $576.00 – $2,791.51 | 8 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,686.97 – $2,791.51 | 8 |
| Incisn windpipe CPT 31600 | not published | not published | $576.00 – $5,755.71 | 8 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Incobotulinumtoxin a HCPCS J0588 | $783.07 | $3,132.28 | $5.45 – $9.02 | 8 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $2,414.00 – $2,648.00 | 2 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $2,954.00 – $3,217.00 | 2 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $2,648.00 – $3,217.00 | 2 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $576.00 – $3,217.00 | 3 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $2,648.00 – $3,217.00 | 2 |
| Induced abortion d&c CPT 59840 | not published | not published | $926.00 – $5,619.72 | 8 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $926.00 – $5,619.72 | 8 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $68.75 | $275.00 | $68.73 – $113.72 | 8 |
| Infect ag drug suscept pheno predict CPT 87900 | $100.00 | $400.00 | $127.61 – $211.17 | 8 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $12.94 – $24.30 | 8 |
| Infect ag eia influenza a or b ea CPT 87400 | $35.00 | $140.00 | $12.94 – $22.89 | 8 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $252.04 – $417.07 | 8 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $200.00 | $800.00 | $252.04 – $417.07 | 8 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $150.00 | $600.00 | $126.03 – $208.54 | 8 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $200.00 | $800.00 | $252.04 – $417.07 | 8 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $43.75 | $175.00 | $26.01 – $53.09 | 8 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $12.94 – $57.17 | 8 |
| Infect ag ia optc obs influenza CPT 87804 | $31.25 | $125.00 | $12.94 – $26.81 | 8 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.73 – $19.41 | 8 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $17.73 – $29.74 | 8 |
| Infect ag if influenza a CPT 87276 | $14.00 | $56.00 | $12.94 – $26.03 | 8 |
| Infect ag if influenza b CPT 87275 | $10.75 | $43.00 | $11.99 – $19.85 | 8 |
| Infect ag if legionella pneumophila CPT 87278 | $31.25 | $125.00 | $12.94 – $25.27 | 8 |
| Infect ag if nos ea CPT 87299 | not published | not published | $12.94 – $26.08 | 8 |
| Infect ag if pneumocystis carinii CPT 87281 | $35.00 | $140.00 | $11.73 – $19.41 | 8 |
| Infect ag if varicella zoster CPT 87290 | $35.00 | $140.00 | $12.94 – $21.74 | 8 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $37.76 – $86.62 | 8 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $34.35 – $56.85 | 8 |
| Infect ag na herpes simplex quant CPT 87530 | $43.75 | $175.00 | $41.94 – $69.40 | 8 |
| Infect ag na hpv high-risk types CPT 87624 | $68.75 | $275.00 | $34.35 – $56.85 | 8 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $37.50 | $150.00 | $91.93 – $155.20 | 8 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $50.23 – $83.12 | 8 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $27.50 | $110.00 | $50.23 – $83.12 | 8 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $408.03 – $675.18 | 8 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $200.00 | $800.00 | $478.40 – $791.63 | 8 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $43.75 | $175.00 | $25.52 – $42.23 | 8 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $40.51 – $67.04 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $35.00 | $140.00 | $11.73 – $19.41 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $35.00 | $140.00 | $12.94 – $21.74 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $35.00 | $140.00 | $12.94 – $22.39 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $35.00 | $140.00 | $11.73 – $19.41 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $35.00 | $140.00 | $14.08 – $23.30 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $30.75 | $123.00 | $10.11 – $16.73 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $27.50 | $110.00 | $10.11 – $16.73 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $45.00 | $180.00 | $23.57 – $39.01 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $36.50 | $146.00 | $11.73 – $19.41 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $35.00 | $140.00 | $11.73 – $19.41 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $35.00 | $140.00 | $11.73 – $19.41 | 8 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $50.00 | $200.00 | $34.35 – $56.85 | 8 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $37.50 | $150.00 | $34.35 – $56.85 | 8 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $37.50 | $150.00 | $36.49 – $60.38 | 8 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $250.00 | $1,000.00 | $408.03 – $675.18 | 8 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $50.00 | $200.00 | $34.35 – $56.85 | 8 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $32.50 | $130.00 | $34.35 – $56.85 | 8 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $43.75 | $175.00 | $37.91 – $67.52 | 8 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $37.50 | $150.00 | $34.35 – $56.85 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $43.75 | $175.00 | $50.23 – $83.12 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $139.63 – $231.06 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $128.75 | $515.00 | $139.63 – $231.06 | 8 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $36.25 | $145.00 | $34.35 – $56.85 | 8 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $36.25 | $145.00 | $34.35 – $56.85 | 8 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $68.71 – $113.69 | 8 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $75.16 – $124.37 | 8 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $665.49 – $1,101.23 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $216.25 | $865.00 | $408.03 – $675.18 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $100.00 | $400.00 | $125.60 – $207.83 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $230.56 – $426.04 | 8 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $43.75 | $175.00 | $41.94 – $69.40 | 8 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $43.75 | $175.00 | $41.94 – $69.40 | 8 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $43.75 | $175.00 | $41.94 – $69.40 | 8 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $57.50 | $230.00 | $83.31 – $137.86 | 8 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $107.00 | $428.00 | $138.58 – $231.06 | 8 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $862.71 | $3,450.82 | $30.44 – $50.37 | 8 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $367.53 | $1,470.12 | $19.98 – $33.06 | 8 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $436.75 | $1,747.02 | $19.57 – $32.38 | 8 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $22.44 – $47.34 | 8 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $102.83 | $411.31 | not published | 0 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,648.00 – $2,648.00 | 1 |
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.