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 |
|---|---|---|---|---|
| Infuse radioactive materials CPT 77750 | not published | not published | $180.30 – $669.58 | 8 |
| Ingest challenge ea addl 60 min CPT 95079 | $87.50 | $350.00 | not published | 0 |
| Ingest challenge ini 120 min CPT 95076 | $175.00 | $700.00 | not published | 0 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $50.00 | $200.00 | not published | 0 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $139.68 – $231.13 | 8 |
| Initiation & management bipap/cpap initial day CPT 94660 | $310.00 | $1,240.00 | not published | 0 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.90 – $9.76 | 8 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $1,897.52 | $7,590.09 | $7.12 – $11.79 | 8 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $3.52 | $14.07 | $0.10 – $0.10 | 1 |
| Inj acetaminophen -fresenius HCPCS J0134 | $3.15 | $12.62 | $0.10 – $0.10 | 1 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $3.28 | $13.12 | $0.11 – $0.11 | 1 |
| Inj. acthar gel to 40 units HCPCS J0801 | $116.54 | $466.16 | $4,047.79 – $6,698.09 | 8 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $62,012.09 – $102,614.50 | 8 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $12.08 – $12.08 | 1 |
| Inj, adzynma, 10 iu HCPCS J7171 | $4,305.40 | $17,221.62 | $34.84 – $57.65 | 8 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $304.84 – $504.44 | 8 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.54 – $2.55 | 8 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.62 – $7.65 | 8 |
| Inj alymsys 10 mg HCPCS Q5126 | $215.59 | $862.36 | $37.02 – $61.27 | 8 |
| Inj andexxa, 10 mg HCPCS J7169 | $4,210.30 | $16,841.20 | not published | 0 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $1,896.94 | $7,587.78 | $17.70 – $29.29 | 8 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,460.37 – $5,726.05 | 8 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $604.14 | $2,416.58 | $3.18 – $5.26 | 8 |
| Inj. asceniv HCPCS J1554 | not published | not published | $486.31 – $804.72 | 8 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $7,068.26 | $28,273.03 | $54.31 – $89.87 | 8 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $102.92 – $170.30 | 8 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $79.21 – $131.08 | 8 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $4,302.09 | $17,208.37 | $161.13 – $266.63 | 8 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | $931.13 | $3,724.53 | not published | 0 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $216.76 | $867.06 | $38.99 – $64.52 | 8 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $209.35 – $346.42 | 8 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.34 – $0.34 | 1 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | $277.06 | $1,108.22 | not published | 0 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $1,559.27 | $6,237.09 | not published | 0 |
| Inj, bortezomib, hospira HCPCS J9049 | $107.67 | $430.67 | $3.87 – $3.87 | 1 |
| Inj., brexanolone, 1 mg HCPCS J1632 | $287.76 | $1,151.05 | not published | 0 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $411.80 – $681.43 | 8 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,647.21 – $2,725.72 | 8 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $338.84 – $560.69 | 8 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $60.50 – $100.11 | 8 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $33.60 | $134.42 | not published | 0 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $4.07 | $16.28 | $2.57 – $2.57 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $2.14 – $2.14 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $26.14 | $104.55 | $2.18 – $2.18 | 1 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $11.50 – $11.50 | 1 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $45.62 | $182.47 | $10.37 – $10.37 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $160.70 | $642.82 | $2.37 – $3.92 | 8 |
| Inj ceftolozane tazobactam HCPCS J0695 | $76.33 | $305.32 | $8.88 – $14.69 | 8 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | $21,448.67 | $85,794.69 | not published | 0 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.17 – $26.75 | 8 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $84.35 – $139.57 | 8 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.30 – $147.77 | 8 |
| Inj, clevidipine butyrate HCPCS C9248 | $13.88 | $55.53 | not published | 0 |
| Inj, clindamycin (baxter) HCPCS J0737 | $3.54 | $14.14 | $6.59 – $6.59 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Inj., copanlisib, 1 mg HCPCS J9057 | $3,722.06 | $14,888.23 | not published | 0 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $847.76 | $3,391.04 | $1,023.20 – $1,693.14 | 8 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.93 – $23.06 | 8 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $16.49 – $27.28 | 8 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.62 – $1.02 | 8 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $123.18 | $492.72 | $0.77 – $1.27 | 8 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.14 – $0.14 | 1 |
| Inj, daptomycin (hospira) HCPCS J0877 | $80.91 | $323.63 | $0.12 – $0.12 | 1 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.06 – $0.06 | 1 |
| Inj, decitabine (sun pharma) HCPCS J0893 | $260.16 | $1,040.65 | not published | 0 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $529.66 | $2,118.62 | not published | 0 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $322.03 – $532.87 | 8 |
| Inj, durolane 1 mg HCPCS J7318 | $262.19 | $1,048.76 | $6.63 – $10.97 | 8 |
| Inj dx for sinogram CPT 20501 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $435.00 | $1,740.00 | $740.55 – $1,225.43 | 8 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Injection, belinostat, 10mg HCPCS J9032 | $1,792.19 | $7,168.76 | $51.37 – $85.01 | 8 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $473.97 – $784.30 | 8 |
| Injection, cangrelor HCPCS C9460 | $678.39 | $2,713.56 | not published | 0 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $6,244.88 | $24,979.51 | not published | 0 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $175.00 | $700.00 | $322.03 – $532.87 | 8 |
| Injection, daratumumab 10 mg HCPCS J9145 | $250.67 | $1,002.68 | $69.87 – $115.62 | 8 |
| Injection, delafloxacin HCPCS C9462 | $147.96 | $591.84 | not published | 0 |
| Injection, doxercalciferol HCPCS J1270 | $23.83 | $95.33 | $0.67 – $0.67 | 1 |
| Injection during cath supravalvular aortography CPT 93567 | $162.50 | $650.00 | $1,032.00 – $1,032.00 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $20.55 – $34.01 | 8 |
| Injection epidural blood patch or clot CPT 62273 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 8 |
| Injection eye drug CPT 67028 | not published | not published | $346.53 – $573.42 | 8 |
| Injection for arthrography wrist (both sides) CPT 25246 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Injection for bladder x-ray CPT 51600 | $100.00 | $400.00 | $1,032.00 – $1,032.00 | 1 |
| Injection for hip x-ray CPT 27095 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection for ureter x-ray CPT 50684 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection, fulvestrant HCPCS J9395 | $321.42 | $1,285.68 | $17.63 – $17.63 | 1 |
| Injection glatiramer acetate HCPCS J1595 | $135.23 | $540.91 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $1,727.33 | $6,909.32 | $12.06 – $19.96 | 8 |
| Injection into brain canal CPT 61026 | not published | not published | $430.00 – $1,225.43 | 8 |
| Injection into brain canal CPT 61055 | not published | not published | $322.03 – $532.87 | 8 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $975.63 – $1,614.43 | 8 |
| Injection into spinal artery CPT 62294 | not published | not published | $658.00 – $1,535.46 | 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.