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 |
|---|---|---|---|---|
| Peng benzathine/procaine inj HCPCS J0558 | $192.51 | $770.06 | $19.11 – $31.63 | 8 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $122.74 | $490.97 | $29.38 – $48.62 | 8 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $81.08 | $324.33 | $1.88 – $1.88 | 1 |
| Penicillin g procaine inj HCPCS J2510 | $89.25 | $357.00 | not published | 0 |
| Penile injection CPT 54235 | not published | not published | $262.12 – $433.74 | 8 |
| Penile vascular study CPT 93980 | not published | not published | $109.68 – $181.49 | 8 |
| Penile vascular study CPT 93981 | not published | not published | $109.68 – $181.49 | 8 |
| Penile venous occlusion CPT 37790 | not published | not published | $658.00 – $6,119.44 | 8 |
| Penis plastic surgery CPT 54360 | not published | not published | $658.00 – $6,119.44 | 8 |
| Penis study CPT 54240 | not published | not published | $226.53 – $374.85 | 8 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $173.34 – $173.34 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $97.71 | $390.83 | not published | 0 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $2,611.71 | $10,446.86 | $2,553.39 – $4,225.21 | 8 |
| Perc cryo ablate renal tum CPT 50593 | $3,000.00 | $12,000.00 | $1,728.00 – $18,453.63 | 8 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $6,125.00 | $24,500.00 | $6,594.00 – $31,824.13 | 8 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $6,125.00 | $24,500.00 | $6,594.00 – $20,040.97 | 8 |
| Perc d-e cor stent ather br HCPCS C9603 | $2,975.00 | $11,900.00 | $1,032.00 – $1,032.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | $6,125.00 | $24,500.00 | $6,594.00 – $31,824.13 | 8 |
| Perc drug-el cor stent bran HCPCS C9601 | $2,975.00 | $11,900.00 | $1,032.00 – $1,032.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | $6,125.00 | $24,500.00 | $6,594.00 – $20,040.97 | 8 |
| Perc rf ablate renal tumor CPT 50592 | $3,000.00 | $12,000.00 | $430.00 – $10,495.17 | 8 |
| Percut ablate liver rf CPT 47382 | $3,000.00 | $12,000.00 | $5,474.00 – $10,495.17 | 8 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $117.51 | $470.03 | $84.42 – $84.42 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | $625.00 | $2,500.00 | $1,651.47 – $2,732.77 | 8 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $813.00 – $6,797.28 | 8 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $926.00 – $5,619.72 | 8 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $61.89 – $102.41 | 8 |
| Peri-proc device eval icd CPT 93287 | $100.00 | $400.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $100.00 | $400.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $430.00 – $9,660.07 | 8 |
| Peritoneogram rs&i CPT 74190 | $325.00 | $1,300.00 | $58.88 – $948.59 | 8 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $343.50 – $694.01 | 8 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $2,648.00 – $9,500.00 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | $5,500.00 | $22,000.00 | $2,648.00 – $2,648.00 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $430.00 – $1,229.33 | 8 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $430.00 – $1,229.33 | 8 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $4,750.00 – $16,433.99 | 8 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $4,750.00 – $16,433.99 | 8 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $6,594.00 – $20,040.97 | 8 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $6,594.00 – $31,824.13 | 8 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $6,594.00 – $20,040.97 | 8 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $6,594.00 – $20,040.97 | 8 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $1,728.00 – $10,495.17 | 8 |
| Perq plmt bile duct stent CPT 47539 | $3,000.00 | $12,000.00 | $1,728.00 – $10,495.17 | 8 |
| Perq plmt bile duct stent CPT 47540 | $3,750.00 | $15,000.00 | $1,728.00 – $10,495.17 | 8 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $262.12 – $433.74 | 8 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $430.00 – $5,680.26 | 8 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $658.00 – $5,680.26 | 8 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $430.00 – $430.00 | 1 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Perq transcath closure pda CPT 93582 | $6,125.00 | $24,500.00 | $6,448.00 – $31,824.13 | 8 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $8,869.00 – $31,824.13 | 8 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $8,869.00 – $31,824.13 | 8 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $2,648.00 – $11,375.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $576.00 – $5,680.26 | 8 |
| Perq tx malar fracture CPT 21355 | not published | not published | $658.00 – $5,755.71 | 8 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $576.00 – $10,276.96 | 8 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $813.00 – $5,755.71 | 8 |
| Pertussis ag if CPT 87265 | not published | not published | $11.73 – $19.41 | 8 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $794.62 | $3,178.47 | $16.66 – $27.57 | 8 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $60.79 – $100.60 | 8 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,621.25 | $6,485.00 | $1,500.18 – $2,482.42 | 8 |
| Pet CT whole body initial CPT 78816 | $1,621.25 | $6,485.00 | $1,500.18 – $2,482.42 | 8 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,500.18 – $2,482.42 | 8 |
| Pet image full body CPT 78813 | not published | not published | $1,500.18 – $2,482.42 | 8 |
| Pet image ltd area CPT 78811 | not published | not published | $1,358.23 – $2,247.54 | 8 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,500.18 – $2,482.42 | 8 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,500.18 – $2,482.42 | 8 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $419.41 – $694.01 | 8 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $658.00 – $5,680.26 | 8 |
| Ph body fluid CPT 83986 | $20.00 | $80.00 | $3.50 – $5.80 | 8 |
| Phencyclidine (pcp) CPT 83992 | $25.00 | $100.00 | $15.87 – $24.65 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $102.34 | $409.36 | $66.20 – $66.20 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $47.50 | $190.00 | $12.37 – $24.79 | 8 |
| Phentolaine mesylate inj HCPCS J2760 | $249.63 | $998.51 | $422.95 – $699.88 | 8 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $31.37 | $125.47 | not published | 0 |
| Phenylep ketorolac opth soln HCPCS J1097 | $489.67 | $1,958.70 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $12.06 | $48.23 | $1.00 – $1.00 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $35.00 | $140.00 | $12.97 – $21.46 | 8 |
| Phlebotomy therapeutic CPT 99195 | $58.75 | $235.00 | $139.58 – $230.97 | 8 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $658.00 – $5,481.46 | 8 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $658.00 – $5,481.46 | 8 |
| Phosphorus CPT 84100 | $20.00 | $80.00 | $4.64 – $7.68 | 8 |
| Phosphorus 24 hour urine CPT 84105 | $22.50 | $90.00 | $5.59 – $9.36 | 8 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $61.89 – $102.41 | 8 |
| Photochemotherapy puva CPT 96912 | not published | not published | $61.89 – $102.41 | 8 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $426.48 – $705.72 | 8 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Photo patch test CPT 95052 | not published | not published | $61.89 – $102.41 | 8 |
| Photopheresis CPT 36522 | not published | not published | $3,217.00 – $7,561.25 | 8 |
| Photosensitivity tests CPT 95056 | not published | not published | $139.58 – $230.97 | 8 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $17.81 – $90.47 | 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.