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 |
|---|---|---|---|---|
| Partial exc bone humerus CPT 24140 | not published | not published | $658.00 – $5,680.26 | 8 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $658.00 – $5,680.26 | 8 |
| Partial excision of lip CPT 40500 | not published | not published | $576.00 – $5,755.71 | 8 |
| Partial hip replacement CPT 27125 | not published | not published | $5,474.00 – $22,288.23 | 8 |
| Partial hysterectomy CPT 58180 | not published | not published | $4,175.00 – $10,750.00 | 2 |
| Partial proctectomy CPT 45113 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $5,474.00 – $5,474.00 | 1 |
| Partial removal donor liver CPT 47140 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal donor liver CPT 47141 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal donor liver CPT 47142 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $658.00 – $2,791.51 | 8 |
| Partial removal finger bone CPT 26236 | not published | not published | $658.00 – $2,791.51 | 8 |
| Partial removal foot fascia CPT 28060 | not published | not published | $576.00 – $5,680.26 | 8 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $926.00 – $5,680.26 | 8 |
| Partial removal of bladder CPT 51550 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of esophagus CPT 43116 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of esophagus CPT 43123 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $813.00 – $4,006.43 | 8 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $813.00 – $4,006.43 | 8 |
| Partial removal of fibula CPT 27641 | not published | not published | $576.00 – $5,680.26 | 8 |
| Partial removal of foot bone CPT 28288 | not published | not published | $658.00 – $5,680.26 | 8 |
| Partial removal of hand bone CPT 26230 | not published | not published | $1,284.00 – $5,680.26 | 8 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of larynx CPT 31367 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of larynx CPT 31370 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of larynx CPT 31375 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of larynx CPT 31380 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of larynx CPT 31382 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $576.00 – $5,755.71 | 8 |
| Partial removal of liver CPT 47125 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of liver CPT 47130 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $658.00 – $10,276.96 | 8 |
| Partial removal of pancreas CPT 48145 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $576.00 – $6,119.44 | 8 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Partial removal of radius CPT 25151 | not published | not published | $576.00 – $5,680.26 | 8 |
| Partial removal of radius CPT 25230 | not published | not published | $813.00 – $5,680.26 | 8 |
| Partial removal of rectum CPT 45111 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of rectum CPT 45114 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of rectum CPT 45116 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $576.00 – $12,596.95 | 8 |
| Partial removal of sternum CPT 21620 | not published | not published | $3,432.70 – $5,680.26 | 8 |
| Partial removal of thyroid CPT 60220 | not published | not published | $576.00 – $10,495.17 | 8 |
| Partial removal of thyroid CPT 60225 | not published | not published | $658.00 – $10,495.17 | 8 |
| Partial removal of tibia CPT 27640 | not published | not published | $576.00 – $5,680.26 | 8 |
| Partial removal of toe CPT 28160 | not published | not published | $658.00 – $5,680.26 | 8 |
| Partial removal of tongue CPT 41120 | not published | not published | $926.00 – $10,276.96 | 8 |
| Partial removal of tongue CPT 41130 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $658.00 – $5,680.26 | 8 |
| Partial removal of ulna CPT 25150 | not published | not published | $576.00 – $5,680.26 | 8 |
| Partial removal of ulna CPT 25240 | not published | not published | $813.00 – $5,680.26 | 8 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,383.00 – $5,619.72 | 8 |
| Partial removal tear gland CPT 68505 | not published | not published | $658.00 – $6,824.99 | 8 |
| Partial thyroid excision CPT 60210 | not published | not published | $5,474.00 – $10,495.17 | 8 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $5,474.00 – $10,495.17 | 8 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $5.17 – $5.17 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,432.70 – $5,680.26 | 8 |
| Part removal of metatarsal CPT 28110 | not published | not published | $658.00 – $5,680.26 | 8 |
| Part removal of metatarsal CPT 28113 | not published | not published | $658.00 – $5,680.26 | 8 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $658.00 – $5,680.26 | 8 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,432.70 – $5,680.26 | 8 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $0.52 | $2.06 | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $178.74 – $295.77 | 8 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $178.74 – $295.77 | 8 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $51.91 – $181.81 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $54.67 – $90.47 | 8 |
| Patient recorded spirometry CPT 94015 | not published | not published | $226.53 – $374.85 | 8 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $206.39 – $413.18 | 8 |
| Pdgfra gene CPT 81314 | not published | not published | $261.30 – $533.81 | 8 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $210.49 – $348.31 | 8 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $658.00 – $3,581.90 | 8 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $658.00 – $3,581.90 | 8 |
| Pegaspargase injection HCPCS J9266 | $3,958.17 | $15,832.68 | $27,827.15 – $46,046.98 | 8 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $5,291.37 | $21,165.47 | $87.47 – $144.74 | 8 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $2,099.40 | $8,397.62 | $128.40 – $212.48 | 8 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $4,219.52 | $16,878.07 | $104.10 – $172.26 | 8 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $5,284.25 | $21,136.98 | $181.02 – $299.55 | 8 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,235.84 | $8,943.34 | $97.05 – $160.59 | 8 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $2,232.74 | $8,930.95 | $135.07 – $223.50 | 8 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $61,199.48 | $244,797.92 | $3,583.96 – $5,930.55 | 8 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $875.00 | $3,500.00 | $184.02 – $304.50 | 8 |
| Pelvic CT scan (with contrast) CPT 72193 | $700.00 | $2,800.00 | $184.02 – $304.50 | 8 |
| Pelvic CT scan (without contrast) CPT 72192 | $625.00 | $2,500.00 | $109.68 – $181.49 | 8 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,350.00 | $5,400.00 | $366.01 – $605.65 | 8 |
| Pelvic MRI (with contrast) CPT 72196 | $1,050.00 | $4,200.00 | $366.01 – $605.65 | 8 |
| Pelvic MRI (without contrast) CPT 72195 | $950.00 | $3,800.00 | $250.32 – $414.22 | 8 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,728.00 – $12,596.95 | 8 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Pelvic Ultrasound (complete) CPT 76856 | $387.50 | $1,550.00 | $109.68 – $181.49 | 8 |
| Pelvic Ultrasound (limited) CPT 76857 | $127.50 | $510.00 | $36.17 – $181.49 | 8 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $1,905.58 | $7,622.34 | $59.02 – $97.67 | 8 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $3,175.81 | $12,703.26 | $4.26 – $7.06 | 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.