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 |
|---|---|---|---|---|
| Injection into vocal cord CPT 31513 | not published | not published | $410.33 – $678.99 | 8 |
| Injection intraop add-on CPT 48400 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Injection, isavuconazonium HCPCS J1833 | $219.25 | $877.01 | not published | 0 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Injection jugular CPT 36299 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $3.43 – $3.43 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $215.84 | $863.35 | $5.61 – $9.28 | 8 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,627.79 – $2,693.58 | 8 |
| Injection,onabotulinumtoxina HCPCS J0585 | $989.21 | $3,956.83 | $6.36 – $10.53 | 8 |
| Injection, peramivir HCPCS J2547 | $38.82 | $155.28 | not published | 0 |
| Injection px peyronie ds CPT 54200 | not published | not published | $262.12 – $433.74 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $419.41 – $694.01 | 8 |
| Injection, renflexis HCPCS Q5104 | $435.93 | $1,743.72 | $26.43 – $43.74 | 8 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.99 – $59.56 | 8 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 8 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $200.00 | $800.00 | $1,032.00 – $2,414.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $200.00 | $800.00 | $1,032.00 – $2,414.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $446.25 | $1,785.00 | $430.00 – $1,535.46 | 8 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $615.00 | $2,460.00 | $740.55 – $1,225.43 | 8 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $615.00 | $2,460.00 | $740.55 – $1,225.43 | 8 |
| Injection, siltuximab HCPCS J2860 | $4,551.21 | $18,204.86 | $162.35 – $268.65 | 8 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $175.00 | $700.00 | $322.03 – $532.87 | 8 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $175.00 | $700.00 | $322.03 – $532.87 | 8 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $231.25 | $925.00 | $322.03 – $532.87 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $76.25 | $305.00 | $49.13 – $81.29 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $68.75 | $275.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $101.25 | $405.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $68.75 | $275.00 | not published | 0 |
| Injection treatment of eye CPT 66020 | not published | not published | $430.00 – $4,006.43 | 8 |
| Injection treatment of eye CPT 66030 | not published | not published | $430.00 – $4,006.43 | 8 |
| Injection treatment of nerve CPT 64605 | not published | not published | $430.00 – $3,389.97 | 8 |
| Injection treatment of nerve CPT 64610 | not published | not published | $430.00 – $3,389.97 | 8 |
| Injection treatment of nerve CPT 64681 | not published | not published | $576.00 – $1,535.46 | 8 |
| Injection treatment of nose CPT 30200 | not published | not published | $430.00 – $936.29 | 8 |
| Inject sacroiliac joint CPT 27096 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $332.99 – $551.02 | 8 |
| Inject/treat eye socket CPT 67505 | not published | not published | $332.99 – $551.02 | 8 |
| Inject/treat eye socket CPT 67515 | not published | not published | $332.99 – $551.02 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $2,135.96 | $8,543.83 | $33.18 – $54.90 | 8 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $20.44 – $33.82 | 8 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $2,557.82 | $10,231.29 | $376.77 – $623.45 | 8 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $54.92 – $90.88 | 8 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $740.55 – $1,225.43 | 8 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $446.25 | $1,785.00 | $927.91 – $1,535.46 | 8 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $3.76 – $3.76 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $134.23 | $536.93 | $1.27 – $2.11 | 8 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $189.69 – $313.89 | 8 |
| Inj., evomela, 1 mg HCPCS J9246 | $1,475.98 | $5,903.94 | $18.11 – $29.97 | 8 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.57 – $15.84 | 8 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $33.17 – $54.88 | 8 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $207.71 | $830.85 | $21.56 – $35.67 | 8 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $138.03 – $228.40 | 8 |
| Inj., fibryga, 1 mg HCPCS J7177 | $820.74 | $3,282.95 | $1.20 – $1.98 | 8 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $14.76 – $14.76 | 1 |
| Inj for ext venography CPT 36005 | $100.00 | $400.00 | $1,032.00 – $2,414.00 | 2 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.01 – $1.67 | 8 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $563.42 – $932.31 | 8 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $75.05 | $300.21 | $24.76 – $43.37 | 8 |
| Inj, fulvestrant (teva) HCPCS J9393 | $57.40 | $229.60 | not published | 0 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $9.19 | $36.76 | $7.90 – $7.90 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $26.96 | $107.82 | $15.72 – $15.72 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $114.90 – $190.12 | 8 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,709.76 – $4,483.97 | 8 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | $19.31 | $77.25 | not published | 0 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | $20.88 | $83.51 | not published | 0 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | $1,184.36 | $4,737.45 | $4.20 – $6.95 | 8 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $527.87 | $2,111.46 | not published | 0 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $13.31 | $53.24 | $6.91 – $6.91 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $924.71 | $3,698.85 | $60.15 – $99.53 | 8 |
| Inj herzuma 10 mg HCPCS Q5113 | $2,925.85 | $11,703.40 | $67.91 – $112.38 | 8 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $162.50 | $650.00 | $1,032.00 – $1,032.00 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $162.50 | $650.00 | $1,032.00 – $1,032.00 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.49 – $2.46 | 8 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $701.60 | $2,806.42 | not published | 0 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $77.59 – $128.40 | 8 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $131.93 | $527.74 | $5.08 – $5.08 | 1 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $75.76 – $125.37 | 8 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | $10.43 | $41.72 | $0.43 – $0.43 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $485.14 – $802.78 | 8 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $430.00 – $1,535.46 | 8 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $210.49 – $348.31 | 8 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $210.49 – $348.31 | 8 |
| Inj, invega hafyera/trinza HCPCS J2427 | $2,947.77 | $11,791.08 | $12.72 – $21.05 | 8 |
| Inj ivig privigen 500 mg HCPCS J1459 | $56.29 | $225.18 | $49.67 – $82.19 | 8 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.87 – $3.10 | 8 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.59 – $4.29 | 8 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | $226.40 | $905.61 | $1.53 – $2.54 | 8 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $19.63 | $78.51 | $4.30 – $4.30 | 1 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $8,532.66 | $34,130.63 | $29.22 – $48.35 | 8 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $99.29 | $397.16 | $1.30 – $2.14 | 8 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $21.69 – $35.89 | 8 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $26.77 | $107.08 | $61.69 – $61.69 | 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.