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 |
|---|---|---|---|---|
| Minocycline hydrochloride HCPCS J2265 | $126.01 | $504.06 | not published | 0 |
| Miroderm HCPCS Q4175 | not published | not published | $126.99 – $216.04 | 8 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $543.05 | $2,172.19 | $68.03 – $112.57 | 8 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,254.20 – $5,384.88 | 8 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,683.75 | $6,735.01 | $19.92 – $32.96 | 8 |
| Mitomycin instillation HCPCS J9281 | $19,237.72 | $76,950.88 | $311.84 – $516.02 | 8 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $49.07 | $196.28 | $23.38 – $38.68 | 8 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Mlh1 gene CPT 81288 | $120.00 | $480.00 | $126.60 – $311.56 | 8 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $150.98 – $327.89 | 8 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $511.69 – $1,094.15 | 8 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $205.13 – $536.22 | 8 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.43 – $28.84 | 8 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.20 – $8.60 | 8 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $813.00 – $22,288.23 | 8 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $75.43 – $151.08 | 8 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $430.00 – $2,791.51 | 8 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $813.00 – $2,791.51 | 8 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,627.79 – $2,693.58 | 8 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $21.20 – $35.07 | 8 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $139.58 – $230.97 | 8 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $14.46 – $61.12 | 8 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $14.76 – $22.45 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.11 – $18.38 | 8 |
| Monovisc inj per dose HCPCS J7327 | $135.29 | $541.15 | $623.22 – $1,031.28 | 8 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $139.68 – $231.13 | 8 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $52.62 – $103.62 | 8 |
| Mopath procedure level 3 CPT 81402 | $82.50 | $330.00 | $130.38 – $243.53 | 8 |
| Mopath procedure level 5 CPT 81404 | $250.00 | $1,000.00 | $239.91 – $445.22 | 8 |
| Mopath procedure level 6 CPT 81405 | $250.00 | $1,000.00 | $258.55 – $488.19 | 8 |
| Mopath procedure level 7 CPT 81406 | $250.00 | $1,000.00 | $276.94 – $458.27 | 8 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $500.24 – $1,370.96 | 8 |
| Mopath procedure level 9 CPT 81408 | $1,500.00 | $6,000.00 | $573.01 – $3,240.00 | 8 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $129.79 | $519.16 | $6.55 – $6.55 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $19.37 | $77.47 | $9.20 – $9.20 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $21.17 – $21.17 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $87.50 | $350.00 | $178.74 – $295.77 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $82.50 | $330.00 | $54.16 – $622.27 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $87.50 | $350.00 | $51.68 – $295.77 | 8 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $640.88 – $1,060.50 | 8 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $576.00 – $5,755.71 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $42.59 – $46.82 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $125.00 | $500.00 | $178.74 – $295.77 | 8 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $58.43 – $60.76 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $32.52 – $295.77 | 8 |
| Mpl gene analysis common variants CPT 81338 | $105.00 | $420.00 | $147.17 – $243.53 | 8 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $19.63 – $32.48 | 8 |
| M.pneumon dna quant CPT 87582 | not published | not published | $45.10 – $490.24 | 8 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $398.52 – $398.52 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,000.00 | $4,000.00 | $391.27 – $391.27 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $366.01 – $605.65 | 8 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $250.32 – $414.22 | 8 |
| MRA chest wwo IV cont HCPCS C8911 | $1,150.00 | $4,600.00 | $366.01 – $605.65 | 8 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $395.80 – $395.80 | 1 |
| MRA pelvis CPT 72198 | $1,000.00 | $4,000.00 | $395.80 – $395.80 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $366.01 – $605.65 | 8 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $250.32 – $414.22 | 8 |
| MRA spinal canal CPT 72159 | not published | not published | $414.83 – $414.83 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $406.22 – $406.22 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $366.01 – $605.65 | 8 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $366.01 – $605.65 | 8 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $366.01 – $605.65 | 8 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $366.01 – $605.65 | 8 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $250.32 – $414.22 | 8 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $250.32 – $414.22 | 8 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $250.32 – $414.22 | 8 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $250.32 – $414.22 | 8 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,150.00 | $4,600.00 | $366.01 – $605.65 | 8 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $366.01 – $605.65 | 8 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,150.00 | $4,600.00 | $366.01 – $605.65 | 8 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $366.01 – $605.65 | 8 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $366.01 – $605.65 | 8 |
| Mr elastography CPT 76391 | not published | not published | $250.32 – $414.22 | 8 |
| MRI brain w/dye CPT 70558 | not published | not published | $184.02 – $304.50 | 8 |
| MRI brain without dye CPT 70557 | not published | not published | $339.37 – $948.59 | 8 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $184.02 – $304.50 | 8 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $250.32 – $414.22 | 8 |
| MRI breast c-+ w/cad uni CPT 77048 | $650.00 | $2,600.00 | not published | 0 |
| MRI breast without cont bi CPT 77047 | $900.00 | $3,600.00 | $250.32 – $414.22 | 8 |
| MRI breast w IV cont bi CPT 77049 | $1,125.00 | $4,500.00 | not published | 0 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $150.00 | $600.00 | $250.32 – $414.22 | 8 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $325.00 | $1,300.00 | $366.01 – $605.65 | 8 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $822.42 – $1,360.90 | 8 |
| MRI chest without contrast CPT 71550 | $950.00 | $3,800.00 | $250.32 – $414.22 | 8 |
| MRI chest without & w/contrast CPT 71552 | $1,250.00 | $5,000.00 | $366.01 – $605.65 | 8 |
| MRI chest w IV cont CPT 71551 | not published | not published | $563.65 – $1,360.90 | 8 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $180.24 – $180.24 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $250.32 – $414.22 | 8 |
| MRI loex nonjt w IV cont CPT 73719 | $1,050.00 | $4,200.00 | $366.01 – $605.65 | 8 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $950.00 | $3,800.00 | $250.32 – $414.22 | 8 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,050.00 | $4,200.00 | $366.01 – $605.65 | 8 |
| MRI orbit/face/neck without contrast CPT 70540 | $950.00 | $3,800.00 | $250.32 – $414.22 | 8 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,250.00 | $5,000.00 | $366.01 – $605.65 | 8 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,050.00 | $4,200.00 | $366.01 – $605.65 | 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.