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 |
|---|---|---|---|---|
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | $77.02 | $308.08 | $0.04 – $0.04 | 1 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $468.29 | $1,873.15 | not published | 0 |
| Inj, levothyroxine, hikma HCPCS J0652 | $123.22 | $492.86 | not published | 0 |
| Inj, linezolid (hospira) HCPCS J2021 | $4.12 | $16.50 | $28.97 – $28.97 | 1 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $322.14 – $533.06 | 8 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $2,375.23 | $9,500.93 | $93.89 – $155.36 | 8 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $7.55 | $30.19 | $6.83 – $6.83 | 1 |
| Inj, meropenem (b. braun) HCPCS J2184 | $38.17 | $152.70 | $4.26 – $4.26 | 1 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $108.12 | $432.46 | not published | 0 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $3.23 – $3.23 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | $52.61 | $210.45 | $0.98 – $0.98 | 1 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $42.14 – $69.74 | 8 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $788.73 | $3,154.93 | $243.28 – $402.57 | 8 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $24.69 – $40.85 | 8 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $3.65 | $14.61 | $17.74 – $17.74 | 1 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $15.28 – $15.28 | 1 |
| Inj multihance HCPCS A9577 | $9.39 | $37.55 | $3.70 – $3.70 | 1 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $3.65 – $3.65 | 1 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $1.10 – $1.10 | 1 |
| Inj naloxone hydrochloride HCPCS J2310 | $34.73 | $138.93 | $18.86 – $18.86 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $671.60 – $1,111.32 | 8 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $400.00 | $1,600.00 | $658.00 – $1,210.52 | 8 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $27.97 | $111.90 | not published | 0 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $2,164.62 – $3,581.90 | 8 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $2,164.62 – $3,581.90 | 8 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $72.27 | $289.09 | $84.42 – $84.42 | 1 |
| Inj ogivri 10 mg HCPCS Q5114 | $1,800.40 | $7,201.59 | $39.45 – $65.28 | 8 |
| Inj, olaratumab, 10 mg HCPCS J9285 | $143.14 | $572.54 | not published | 0 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $385.39 – $637.73 | 8 |
| Inj., omadacycline, 1 mg HCPCS J0121 | $333.79 | $1,335.15 | $3.94 – $6.51 | 8 |
| Inj ontruzant 10 mg HCPCS Q5112 | $1,563.84 | $6,255.37 | $18.60 – $30.78 | 8 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | $2,034.83 | $8,139.32 | not published | 0 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $71.46 – $118.25 | 8 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $1,120.54 | $4,482.17 | $97.87 – $161.95 | 8 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $136.26 – $225.47 | 8 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $2,394.47 | $9,577.88 | not published | 0 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $45.35 – $75.04 | 8 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | $416.04 | $1,664.17 | not published | 0 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $0.12 – $0.20 | 8 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | $47.53 | $190.13 | $3.47 – $5.75 | 8 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $2.26 – $2.26 | 1 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $15.22 – $25.18 | 8 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $13,298.67 – $13,298.67 | 1 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $11.89 – $19.67 | 8 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | $1,292.93 | $5,171.72 | not published | 0 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.43 – $5.68 | 8 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inj proc for lymphang CPT 38790 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inj proc sialogram CPT 42550 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Inj progesterone per 50 mg HCPCS J2675 | $18.77 | $75.08 | $1.46 – $1.46 | 1 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $2.97 – $2.97 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.18 – $3.60 | 8 |
| Inj, releuko 1 mcg HCPCS Q5125 | $202.57 | $810.28 | $0.37 – $0.61 | 8 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.38 – $1.38 | 1 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $479.10 | $1,916.42 | $13.01 – $21.53 | 8 |
| Inj scleros sol mult veins CPT 36471 | $300.00 | $1,200.00 | $426.48 – $705.72 | 8 |
| Inj scleros sol sgl vein CPT 36470 | $187.50 | $750.00 | $426.48 – $705.72 | 8 |
| Inj secretin synthetic human HCPCS J2850 | $493.41 | $1,973.64 | not published | 0 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $17.47 – $28.91 | 8 |
| Inj, sezaby, 1 mg HCPCS J2561 | $13.46 | $53.83 | not published | 0 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $2,636.14 | $10,544.56 | $64.35 – $106.48 | 8 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $426.48 – $705.72 | 8 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $315.78 | $1,263.13 | $38.46 – $38.46 | 1 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $77.28 – $127.87 | 8 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | $195.26 | $781.06 | $18.46 – $30.55 | 8 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | $24,871.24 | $99,484.95 | $349.43 – $578.23 | 8 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | $612.45 | $2,449.81 | $40.25 – $66.60 | 8 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $3,436.01 | $13,744.04 | $32.87 – $54.39 | 8 |
| Inj tedizolid phosphate HCPCS J3090 | $246.90 | $987.60 | $1.92 – $3.18 | 8 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $36.87 – $61.01 | 8 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $12,409.71 | $49,638.83 | $351.65 – $581.89 | 8 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.09 – $0.09 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $43.92 | $175.67 | $0.06 – $0.06 | 1 |
| Inj theophylline per 40 mg HCPCS J2810 | $2.85 | $11.38 | not published | 0 |
| Inj. tigecycline (accord) HCPCS J3244 | $73.53 | $294.12 | not published | 0 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $10,143.64 | $40,574.56 | $124.78 – $206.47 | 8 |
| Inj, tislelizumab-jsgr HCPCS J9329 | $723.94 | $2,895.75 | not published | 0 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $156.05 – $258.23 | 8 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $86.87 | $347.46 | not published | 0 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $503.26 | $2,013.02 | $17.91 – $29.64 | 8 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.05 – $16.64 | 8 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $4.59 – $7.60 | 8 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $24.51 – $40.56 | 8 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $185.44 | $741.75 | $11.99 – $11.99 | 1 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $3.36 | $13.45 | $13.09 – $13.09 | 1 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $3.17 – $3.17 | 1 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $214.70 | $858.81 | $39.12 – $64.74 | 8 |
| Inj w/fluor eval cv device CPT 36598 | $125.00 | $500.00 | $223.15 – $369.26 | 8 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $14.53 – $24.05 | 8 |
| Inj xipere 1 mg HCPCS J3299 | $1,405.30 | $5,621.20 | $46.97 – $77.72 | 8 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $518.76 – $858.42 | 8 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $17,281.68 | $69,126.73 | $2,641.39 – $4,370.85 | 8 |
| Ins cath ren art 1st bi CPT 36252 | $1,875.00 | $7,500.00 | $3,217.00 – $5,481.46 | 8 |
| Ins cath ren art 1st uni CPT 36251 | $1,537.50 | $6,150.00 | $3,217.00 – $5,481.46 | 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.