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 |
|---|---|---|---|---|
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $10.93 | $43.74 | $0.70 – $0.70 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $13.40 | $53.58 | $0.27 – $0.27 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,727.04 – $12,786.31 | 8 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,727.04 – $12,786.31 | 8 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $1,133.96 | $4,535.83 | $179.63 – $297.24 | 8 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.76 – $0.76 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $58.25 | $233.00 | $5.48 – $5.48 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $427.28 | $1,709.13 | $64.61 – $106.92 | 8 |
| Iron CPT 83540 | $31.25 | $125.00 | $6.33 – $10.48 | 8 |
| Iron binding capacity CPT 83550 | $40.00 | $160.00 | $8.56 – $14.16 | 8 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $40.12 | $160.49 | $17.73 – $29.33 | 8 |
| Iron stain peripheral blood CPT 85536 | $6.00 | $24.00 | $6.74 – $11.15 | 8 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $44.77 | $179.07 | $0.46 – $0.46 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $27.50 | $110.00 | $15.49 – $64.84 | 8 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $50.00 | $200.00 | $61.89 – $102.41 | 8 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $430.00 – $2,693.58 | 8 |
| Irrigation tray HCPCS A4320 | $0.72 | $2.88 | not published | 0 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $61.89 – $102.41 | 8 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $258.15 | $1,032.61 | $80.18 – $132.68 | 8 |
| Island pedicle flap graft CPT 15740 | not published | not published | $576.00 – $3,581.90 | 8 |
| Ivc venogram s&i CPT 75825 | $1,875.00 | $7,500.00 | $125.82 – $5,481.46 | 8 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $62.50 | $250.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $43.75 | $175.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $93.75 | $375.00 | $49.13 – $81.29 | 8 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $190.00 | $760.00 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $412.70 – $694.01 | 8 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $468.66 – $775.52 | 8 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $175.38 – $304.50 | 8 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $133.62 – $304.50 | 8 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $4,460.19 | $17,840.76 | $136.29 – $225.52 | 8 |
| Jak2 targeted sequence analysis CPT 81279 | $100.00 | $400.00 | $181.31 – $300.02 | 8 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $658.00 – $5,680.26 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $658.00 – $5,680.26 | 8 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $576.00 – $3,331.27 | 8 |
| John cunningham antibody CPT 86711 | $20.00 | $80.00 | $15.56 – $27.36 | 8 |
| J-tube placement CPT 44015 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Keratomileusis CPT 65760 | not published | not published | $3,383.00 – $10,750.00 | 2 |
| Keratophakia CPT 65765 | not published | not published | $3,383.00 – $10,750.00 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $5,474.00 – $25,182.92 | 8 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $25.87 – $161.55 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.15 – $25.06 | 8 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $25.00 | $100.00 | $8.00 – $13.24 | 8 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $25.09 | $100.34 | $0.30 – $0.49 | 8 |
| Kidney endoscopy CPT 50551 | not published | not published | $430.00 – $9,308.20 | 8 |
| Kidney endoscopy CPT 50553 | not published | not published | $430.00 – $9,308.20 | 8 |
| Kidney endoscopy CPT 50570 | not published | not published | $430.00 – $6,119.44 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $4,750.00 – $9,308.20 | 8 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $430.00 – $16,433.99 | 8 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $430.00 – $6,119.44 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $430.00 – $16,433.99 | 8 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $430.00 – $9,308.20 | 8 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $2,414.00 – $16,433.99 | 8 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $2,414.00 – $9,308.20 | 8 |
| Kidney function study CPT 78725 | not published | not published | $148.59 – $694.01 | 8 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $277.79 – $277.79 | 1 |
| Kidney imaging morphology CPT 78700 | not published | not published | $245.49 – $694.01 | 8 |
| Kidney imag w/bld flow multi CPT 78709 | $575.00 | $2,300.00 | $483.24 – $942.61 | 8 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $575.00 | $2,300.00 | $304.52 – $942.61 | 8 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $350.00 | $1,400.00 | $109.68 – $181.49 | 8 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $100.00 | $400.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $99.03 – $202.29 | 8 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $50.84 – $216.04 | 8 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $4,210.75 | $16,843.01 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $813.00 – $5,680.26 | 8 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $658.00 – $5,680.26 | 8 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $658.00 – $5,680.26 | 8 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $813.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $813.00 – $2,791.51 | 8 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $813.00 – $2,791.51 | 8 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $658.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $658.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $813.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $813.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $658.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $813.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $658.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $658.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $658.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $658.00 – $5,680.26 | 8 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $658.00 – $12,596.95 | 8 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $658.00 – $12,596.95 | 8 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $658.00 – $22,288.23 | 8 |
| Knee MRI (with and without contrast) CPT 73723 | $1,050.00 | $4,200.00 | $366.01 – $605.65 | 8 |
| Knee MRI (with contrast) CPT 73722 | $1,050.00 | $4,200.00 | $563.65 – $1,360.90 | 8 |
| Knee MRI (without contrast) CPT 73721 | $950.00 | $3,800.00 | $250.32 – $414.22 | 8 |
| Knee X-ray CPT 73564 | $162.50 | $650.00 | $43.97 – $181.49 | 8 |
| Kras gene addl variants CPT 81276 | not published | not published | $156.37 – $313.06 | 8 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $156.37 – $313.06 | 8 |
| Kyleena, 19.5 mg HCPCS J7296 | $330.11 | $1,320.42 | not published | 0 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $6,594.00 – $30,439.09 | 8 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $6,594.00 – $30,439.09 | 8 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.35 – $0.35 | 1 |
| Labioplasty 56800 CPT 56800 | not published | not published | $658.00 – $5,619.72 | 8 |
| Lab pathology consultation CPT 80500 | not published | not published | $15.62 – $15.62 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $55.36 – $55.36 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $25.05 | $100.20 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $31.25 | $125.00 | $5.91 – $9.78 | 8 |
| Lactated ringers intravenous solution HCPCS J7120 | $2.38 | $9.52 | $4.96 – $4.96 | 1 |
| Lactic acid CPT 83605 | $56.25 | $225.00 | $11.33 – $18.74 | 8 |
| Lactoferrin fecal qualitative CPT 83630 | $25.00 | $100.00 | $19.29 – $31.91 | 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.