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 |
|---|---|---|---|---|
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $62.50 | $250.00 | $34.35 – $56.85 | 8 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $25.00 | $100.00 | $17.60 – $29.13 | 8 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $35.00 | $140.00 | $13.47 – $22.29 | 8 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $25.00 | $100.00 | $8.26 – $13.67 | 8 |
| Mayo pregnenolone CPT 84140 | $40.00 | $160.00 | $20.24 – $33.49 | 8 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $40.00 | $160.00 | $16.24 – $26.88 | 8 |
| Mayo proinsulin CPT 84206 | $43.75 | $175.00 | $19.24 – $43.24 | 8 |
| Mayo psaft prostate specific antigen free CPT 84154 | $43.75 | $175.00 | $18.00 – $29.79 | 8 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $75.00 | $300.00 | $14.59 – $29.81 | 8 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.08 – $21.64 | 8 |
| Mayo receptor assay transferrin soluble CPT 84238 | $32.00 | $128.00 | $35.80 – $59.24 | 8 |
| Mayo renin CPT 84244 | $31.25 | $125.00 | $21.53 – $35.62 | 8 |
| Mayo repu protein electrophoresis urine CPT 84166 | $40.00 | $160.00 | $17.46 – $28.88 | 8 |
| Mayo selenium CPT 84255 | $43.75 | $175.00 | $24.99 – $41.36 | 8 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $31.25 | $125.00 | $15.17 – $25.11 | 8 |
| Mayo serotonin CPT 84260 | $43.75 | $175.00 | $30.33 – $50.19 | 8 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $31.25 | $125.00 | $18.94 – $31.35 | 8 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $35.00 | $140.00 | $13.44 – $22.24 | 8 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $90.10 – $149.09 | 8 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $20.00 | $80.00 | $4.18 – $6.92 | 8 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $126.21 – $208.85 | 8 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $204.53 – $338.45 | 8 |
| Mayo tgrp testosterone free CPT 84402 | $43.75 | $175.00 | $24.94 – $41.26 | 8 |
| Mayo tgrp testosterone total CPT 84403 | $43.75 | $175.00 | $25.27 – $41.81 | 8 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $32.50 | $130.00 | $21.70 – $35.92 | 8 |
| Mayo thyroglobulin CPT 84432 | $40.00 | $160.00 | $15.72 – $26.02 | 8 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $21.25 | $85.00 | $9.97 – $16.49 | 8 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $35.00 | $140.00 | $12.13 – $20.07 | 8 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $25.00 | $100.00 | $25.87 – $161.55 | 2 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $50.20 – $83.07 | 8 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $35.00 | $140.00 | $11.24 – $22.94 | 8 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $35.00 | $140.00 | $13.26 – $21.93 | 8 |
| Mayo vasoactive intestinal peptide CPT 84586 | $36.25 | $145.00 | $34.59 – $57.23 | 8 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $32.50 | $130.00 | $19.81 – $32.79 | 8 |
| Mayo vitamin b3 (niacin) CPT 84591 | $40.00 | $160.00 | $12.54 – $27.64 | 8 |
| Mayo vitamin k CPT 84597 | $35.00 | $140.00 | $13.43 – $22.23 | 8 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $35.00 | $140.00 | $12.97 – $21.46 | 8 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Mcoln1 gene CPT 81290 | not published | not published | $36.73 – $63.68 | 8 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $658.00 – $5,680.26 | 8 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $658.00 – $5,680.26 | 8 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $658.00 – $2,791.51 | 8 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,717.77 – $6,151.98 | 8 |
| Measure kidney pressure CPT 50396 | not published | not published | $430.00 – $1,210.52 | 8 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $61.89 – $102.41 | 8 |
| Measure ureter pressure CPT 50686 | not published | not published | $134.99 – $223.38 | 8 |
| #mec-opiates CPT 80356 | $25.00 | $100.00 | $31.91 – $161.55 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $146.85 – $243.00 | 8 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $266.73 – $855.15 | 8 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $71.49 – $194.40 | 8 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $100.00 | $400.00 | not published | 0 |
| Medial canthopexy CPT 21280 | not published | not published | $926.00 – $5,755.71 | 8 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $148.10 | $592.42 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $130.56 – $216.04 | 8 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $130.56 – $216.04 | 8 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $44.08 – $44.08 | 1 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $130.56 – $216.04 | 8 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $130.56 – $216.04 | 8 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $130.56 – $216.04 | 8 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $4,150.00 – $12,596.95 | 8 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $32.87 | $131.50 | $12.16 – $12.16 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $2,796.56 | $11,186.24 | $30.61 – $50.66 | 8 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $67.68 | $270.73 | $0.65 – $0.65 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $1,032.00 – $10,750.00 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $11.42 | $45.66 | $3.60 – $3.60 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $57.00 | $228.00 | $8.28 – $13.71 | 8 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $70.00 | $280.00 | $10.34 – $17.11 | 8 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $9.14 – $22.24 | 8 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $324.53 | $1,298.11 | $3.01 – $3.01 | 1 |
| Methadone injection HCPCS J1230 | $35.65 | $142.60 | $41.79 – $41.79 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $26.06 | $104.22 | $16.36 – $16.36 | 1 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $63.65 | $254.61 | $0.48 – $0.48 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $166.36 | $665.45 | $5.21 – $5.21 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $33.75 | $135.00 | $37.76 – $62.48 | 8 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $167.22 | $668.87 | not published | 0 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $47.82 | $191.27 | $42.00 – $42.00 | 1 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $281.91 | $1,127.63 | not published | 0 |
| Methylphenidate CPT 80360 | $25.00 | $100.00 | $25.87 – $161.55 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.24 | $8.94 | $0.49 – $0.49 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $29.12 | $116.48 | $0.28 – $0.28 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $188.51 | $754.03 | $0.60 – $0.60 | 1 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $16.90 | $67.59 | $1.87 – $1.87 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.05 – $0.05 | 1 |
| Metyrapone panel CPT 80436 | not published | not published | $89.25 – $147.68 | 8 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $99.61 – $201.92 | 8 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $180.25 | $721.00 | $0.85 – $0.85 | 1 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.94 – $10.09 | 8 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $11.20 – $65.08 | 8 |
| Microdissection laser CPT 88380 | not published | not published | $15.12 – $68.99 | 2 |
| Microdissection manual CPT 88381 | not published | not published | $73.25 – $126.82 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $17.85 – $36.42 | 8 |
| Microsatellite instability CPT 81301 | $125.00 | $500.00 | $312.80 – $564.67 | 8 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $4,750.00 – $10,750.00 | 2 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $23.94 | $95.76 | $0.29 – $0.29 | 1 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $3.59 | $14.34 | $0.43 – $0.43 | 1 |
| Middle cerebral artery echo CPT 76821 | $127.50 | $510.00 | $90.18 – $181.49 | 8 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $29.23 | $116.91 | $2.81 – $2.81 | 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.