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 |
|---|---|---|---|---|
| Powder prem protct 1oz HCPCS A4371 | $0.37 | $1.48 | not published | 0 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $134.12 – $221.94 | 8 |
| Pq dr cath chg w cont s&i CPT 75984 | $250.00 | $1,000.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $3,500.00 | $14,000.00 | $5,474.00 – $12,596.95 | 8 |
| Pq thr inj ext pse CPT 36002 | $375.00 | $1,500.00 | $430.00 – $1,089.01 | 8 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $875.00 | $3,500.00 | $1,032.00 – $2,414.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $1,875.00 | $7,500.00 | $1,728.00 – $5,680.26 | 8 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $1,875.00 | $7,500.00 | $1,728.00 – $5,680.26 | 8 |
| Pralatrexate injection HCPCS J9307 | $5,465.56 | $21,862.23 | $384.38 – $636.06 | 8 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $182.27 | $729.08 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $576.00 – $5,680.26 | 8 |
| Pr application of long arm splint CPT 29105 | $87.50 | $350.00 | $170.48 – $282.10 | 8 |
| Pr application splint static short arm CPT 29125 | $43.75 | $175.00 | $139.58 – $230.97 | 8 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $39.19 – $64.84 | 8 |
| Pr biopsy skin punch single lesion CPT 11104 | $175.00 | $700.00 | $426.48 – $705.72 | 8 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $658.00 – $22,288.23 | 8 |
| Pr correction hammertoe CPT 28285 | not published | not published | $658.00 – $5,680.26 | 8 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $18.75 | $75.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $576.00 – $6,119.44 | 8 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $168.75 | $675.00 | $210.49 – $348.31 | 8 |
| Prealbumin CPT 84134 | $35.00 | $140.00 | $14.28 – $23.64 | 8 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.10 | $16.41 | $0.48 – $0.48 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.53 | $10.11 | $0.02 – $0.02 | 1 |
| Pregabalin - sendout CPT 80366 | $25.00 | $100.00 | $25.87 – $161.55 | 2 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $576.00 – $3,331.27 | 8 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $14.73 – $24.38 | 8 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $325.00 | $1,300.00 | $109.68 – $181.49 | 8 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $200.00 | $800.00 | $109.68 – $181.49 | 8 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $226.53 – $374.85 | 8 |
| Preparation for bladder xray CPT 51605 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $565.82 – $936.29 | 8 |
| Prepare donor heart CPT 33944 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $54.32 – $90.47 | 8 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $2,414.00 – $2,414.00 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepare penis study CPT 54230 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $1,032.00 – $1,032.00 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Prep skin to 100cm2 other CPT 15004 | $325.00 | $1,300.00 | $426.48 – $705.72 | 8 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $450.00 | $1,800.00 | $576.00 – $1,283.05 | 8 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pressure velocity wire add ves CPT 93572 | $500.00 | $2,000.00 | $1,032.00 – $1,032.00 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $15.49 – $295.77 | 8 |
| Pretreat rbc absorption reference CPT 86978 | $30.00 | $120.00 | $15.49 – $102.41 | 8 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $23.66 – $295.77 | 8 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $30.00 | $120.00 | $15.49 – $102.41 | 8 |
| Pretreat rbc w enzyme reference CPT 86971 | $150.00 | $600.00 | $15.49 – $295.77 | 8 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $32.50 | $130.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $70.00 | $280.00 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $105.00 | $420.00 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $137.50 | $550.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $139.68 – $231.13 | 8 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $430.00 – $2,867.21 | 8 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $430.00 – $2,867.21 | 8 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $112.50 | $450.00 | $426.48 – $705.72 | 8 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $4,044.83 – $6,693.19 | 8 |
| Prgrmg eval implantable dfb CPT 93282 | $93.75 | $375.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $2,250.00 | $9,000.00 | $1,032.00 – $1,032.00 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $3,750.00 | $15,000.00 | $1,728.00 – $31,824.13 | 8 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $750.00 | $3,000.00 | $1,032.00 – $3,217.00 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $175.00 | $700.00 | $426.48 – $705.72 | 8 |
| Pr incision & drainage abscess simple/single CPT 10060 | $105.00 | $420.00 | $210.49 – $348.31 | 8 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $162.50 | $650.00 | $319.70 – $529.02 | 8 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $112.50 | $450.00 | $426.48 – $705.72 | 8 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $139.68 – $231.13 | 8 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $139.68 – $231.13 | 8 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $66.25 | $265.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $576.00 – $3,389.97 | 8 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $332.99 – $551.02 | 8 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $576.00 – $4,127.37 | 8 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $576.00 – $4,127.37 | 8 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $926.00 – $4,127.37 | 8 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $202.23 | $808.91 | $288.50 – $477.40 | 8 |
| Procalcitonin CPT 84145 | $53.75 | $215.00 | $26.65 – $44.10 | 8 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $43.05 | $172.22 | $7.36 – $7.36 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $430.00 – $4,818.61 | 8 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $430.00 – $2,077.40 | 8 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $430.00 – $2,077.40 | 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.