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 |
|---|---|---|---|---|
| Pt evaluation low complexity patient/family CPT 97161 | $93.75 | $375.00 | $96.81 – $160.20 | 8 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $100.00 | $400.00 | $97.64 – $161.56 | 8 |
| Pt prgrm for implt neurostim HCPCS L8681 | $2,198.99 | $8,795.97 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $52.50 | $210.00 | $67.45 – $111.62 | 8 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $53.75 | $215.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.07 – $19.97 | 8 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $32.50 | $130.00 | $27.47 – $45.46 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $32.50 | $130.00 | $29.90 – $49.47 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | $32.50 | $130.00 | $31.01 – $51.32 | 8 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $5,474.00 – $20,040.97 | 8 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $5,474.00 – $5,474.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,296.00 – $8,763.55 | 8 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $267.21 – $694.01 | 8 |
| Pulse ox continuous overnight monitoring CPT 94762 | $93.75 | $375.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $32.50 | $130.00 | not published | 0 |
| Pulse ox single CPT 94760 | $22.50 | $90.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 8 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $43.75 | $175.00 | $139.58 – $230.97 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $112.50 | $450.00 | $426.48 – $705.72 | 8 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $430.00 – $5,755.71 | 8 |
| Puncture spinal lumbar diagnostic CPT 62270 | $435.00 | $1,740.00 | $430.00 – $1,225.43 | 8 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $130.56 – $216.04 | 8 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $740.55 – $1,225.43 | 8 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $740.55 – $1,225.43 | 8 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $39.72 | $158.90 | $20.38 – $20.38 | 1 |
| Pyruvate CPT 84210 | not published | not published | $11.72 – $23.46 | 8 |
| Pyruvate kinase CPT 84220 | $22.50 | $90.00 | $9.24 – $15.29 | 8 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $139.58 – $230.97 | 8 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $434.79 – $942.61 | 8 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $273.33 – $694.01 | 8 |
| Quest t3 uptake CPT 84479 | $31.25 | $125.00 | $6.33 – $10.48 | 8 |
| Rabies ig ht&sol human im/sc CPT 90377 | $299.86 | $1,199.42 | $217.58 – $360.04 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $408.80 | $1,635.19 | $273.98 – $453.36 | 8 |
| Radial keratotomy CPT 65771 | not published | not published | $3,383.00 – $10,750.00 | 2 |
| Radiation physics consult CPT 77336 | $217.50 | $870.00 | $133.24 – $233.34 | 8 |
| Radiation therapy dose plan CPT 77300 | $222.50 | $890.00 | $54.54 – $233.34 | 8 |
| Radiation treatment aid(s) CPT 77332 | $222.50 | $890.00 | $86.28 – $233.34 | 8 |
| Radiation treatment aid(s) CPT 77333 | $275.00 | $1,100.00 | $15.57 – $233.34 | 8 |
| Radiation treatment aid(s) CPT 77334 | $500.00 | $2,000.00 | $139.74 – $650.02 | 8 |
| Radiation treatment delivery CPT 77401 | not published | not published | $38.40 – $38.40 | 1 |
| Radiation treatment delivery CPT 77402 | $72.50 | $290.00 | $107.04 – $177.13 | 8 |
| Radiation treatment delivery CPT 77412 | $300.00 | $1,200.00 | $241.12 – $959.23 | 8 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,648.00 – $10,750.00 | 2 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Radical resection of elbow CPT 24149 | not published | not published | $4,175.00 – $12,596.95 | 8 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,284.00 – $5,042.65 | 8 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,728.00 – $5,042.65 | 8 |
| Radiology port images(s) CPT 77417 | $137.50 | $550.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $1,725.00 | $6,900.00 | $1,273.90 – $2,402.88 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $643.75 | $2,575.00 | $463.20 – $942.61 | 8 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $569.64 – $942.61 | 8 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,358.23 – $2,247.54 | 8 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $643.75 | $2,575.00 | $471.56 – $942.61 | 8 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $258.30 – $694.01 | 8 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $658.00 – $12,596.95 | 8 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $658.00 – $5,042.65 | 8 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,728.00 – $5,042.65 | 8 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $658.00 – $5,042.65 | 8 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $658.00 – $5,042.65 | 8 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,728.00 – $5,042.65 | 8 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $658.00 – $5,042.65 | 8 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,728.00 – $5,042.65 | 8 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $658.00 – $12,596.95 | 8 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,954.00 – $5,042.65 | 8 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $233.71 | $934.86 | $72.80 – $120.46 | 8 |
| Range of motion measurements CPT 95852 | not published | not published | $5.16 – $8.54 | 8 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $84.57 – $139.94 | 8 |
| Rapid Strep Test CPT 87880 | $31.25 | $125.00 | $12.94 – $26.78 | 8 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $4,071.72 | $16,286.88 | $369.59 – $611.58 | 8 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $1,619.49 | $6,477.96 | $220.38 – $364.67 | 8 |
| Rbc count only automated CPT 85041 | not published | not published | $2.96 – $4.89 | 8 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $430.00 – $765.89 | 8 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.42 – $13.93 | 8 |
| Rbc osmotic fragility CPT 85555 | $31.25 | $125.00 | $7.22 – $12.10 | 8 |
| Rbc serum pretx incubj drugs CPT 86975 | $235.00 | $940.00 | $15.49 – $775.52 | 8 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,383.00 – $5,755.71 | 8 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $4,150.00 – $10,276.96 | 8 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Realignment of knee CPT 27457 | not published | not published | $4,750.00 – $12,596.95 | 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.