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 |
|---|---|---|---|---|
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $658.00 – $5,680.26 | 8 |
| Revision of foot tendon CPT 28238 | not published | not published | $658.00 – $12,596.95 | 8 |
| Revision of foot tendon CPT 28261 | not published | not published | $658.00 – $2,791.51 | 8 |
| Revision of heart chamber CPT 33476 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of heart chamber CPT 33735 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of heart chamber CPT 33736 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of heart chamber CPT 33737 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of hip bone CPT 27147 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Revision of hip bones CPT 27156 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Revision of hip tendon CPT 27097 | not published | not published | $658.00 – $5,680.26 | 8 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $3,717.77 – $6,151.98 | 8 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $430.00 – $6,151.98 | 8 |
| Revision of infusion pump CPT 36261 | not published | not published | $576.00 – $6,487.44 | 8 |
| Revision of iris CPT 66761 | not published | not published | $430.00 – $954.81 | 8 |
| Revision of iris CPT 66762 | not published | not published | $430.00 – $954.81 | 8 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $430.00 – $2,693.58 | 8 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $430.00 – $5,755.71 | 8 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $4,175.00 – $4,175.00 | 1 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $4,175.00 – $4,175.00 | 1 |
| Revision of knee joint CPT 27440 | not published | not published | $926.00 – $22,288.23 | 8 |
| Revision of knee joint CPT 27441 | not published | not published | $926.00 – $22,288.23 | 8 |
| Revision of knee joint CPT 27442 | not published | not published | $926.00 – $22,288.23 | 8 |
| Revision of knee joint CPT 27443 | not published | not published | $926.00 – $22,288.23 | 8 |
| Revision of knee joint CPT 27446 | not published | not published | $6,594.00 – $22,288.23 | 8 |
| Revision of knee joint CPT 27445 | not published | not published | $5,474.00 – $9,500.00 | 2 |
| Revision of larynx CPT 31400 | not published | not published | $576.00 – $10,276.96 | 8 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $658.00 – $5,481.46 | 8 |
| Revision of lung CPT 32940 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of mitral valve CPT 33420 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of mitral valve CPT 33422 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $576.00 – $12,596.95 | 8 |
| Revision of neck muscle CPT 21720 | not published | not published | $658.00 – $5,680.26 | 8 |
| Revision of neck muscle CPT 21725 | not published | not published | $658.00 – $1,229.33 | 8 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Revision of nose CPT 30120 | not published | not published | $430.00 – $5,755.71 | 8 |
| Revision of nose CPT 30430 | not published | not published | $658.00 – $10,276.96 | 8 |
| Revision of nose CPT 30435 | not published | not published | $926.00 – $10,276.96 | 8 |
| Revision of nose CPT 30450 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Revision of nose CPT 30460 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Revision of nose CPT 30462 | not published | not published | $1,728.00 – $10,276.96 | 8 |
| Revision of pelvis CPT 27158 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Revision of penis CPT 54300 | not published | not published | $658.00 – $6,119.44 | 8 |
| Revision of penis CPT 54304 | not published | not published | $658.00 – $6,119.44 | 8 |
| Revision of penis CPT 54420 | not published | not published | $813.00 – $6,119.44 | 8 |
| Revision of penis CPT 54430 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of penis CPT 54435 | not published | not published | $813.00 – $6,119.44 | 8 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of radius CPT 25350 | not published | not published | $658.00 – $12,596.95 | 8 |
| Revision of radius CPT 25355 | not published | not published | $658.00 – $5,680.26 | 8 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $576.00 – $3,389.97 | 8 |
| Revision of scrotum CPT 55175 | not published | not published | $430.00 – $6,119.44 | 8 |
| Revision of scrotum CPT 55180 | not published | not published | $576.00 – $9,308.20 | 8 |
| Revision of spinal shunt CPT 63744 | not published | not published | $658.00 – $5,930.51 | 8 |
| Revision of testis CPT 54660 | not published | not published | $576.00 – $9,308.20 | 8 |
| Revision of thigh muscles CPT 27430 | not published | not published | $813.00 – $12,596.95 | 8 |
| Revision of toe CPT 28312 | not published | not published | $658.00 – $5,680.26 | 8 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $658.00 – $12,596.95 | 8 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $658.00 – $12,596.95 | 8 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $1,284.00 – $12,596.95 | 8 |
| Revision of upper arm CPT 24940 | not published | not published | $5,474.00 – $22,288.23 | 8 |
| Revision of ureter CPT 50700 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $430.00 – $6,119.44 | 8 |
| Revision of urethra CPT 53460 | not published | not published | $430.00 – $6,119.44 | 8 |
| Revision of urethra CPT 57220 | not published | not published | $658.00 – $8,684.36 | 8 |
| Revision of urinary tract CPT 51820 | not published | not published | $2,648.00 – $10,750.00 | 2 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $813.00 – $9,660.07 | 8 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $658.00 – $12,596.95 | 8 |
| Revision tips CPT 37183 | not published | not published | $5,971.10 – $9,880.68 | 8 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $4,750.00 – $22,288.23 | 8 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $5,474.00 – $22,288.23 | 8 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $130.56 – $216.04 | 8 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,728.00 – $9,660.07 | 8 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,728.00 – $9,660.07 | 8 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $658.00 – $9,308.20 | 8 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,414.00 – $6,069.32 | 8 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $430.00 – $6,069.32 | 8 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $430.00 – $6,069.32 | 8 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $430.00 – $6,069.32 | 8 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $6,594.00 – $30,439.09 | 8 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $6,594.00 – $30,439.09 | 8 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $4,150.00 – $53,569.65 | 8 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $2,648.00 – $30,439.09 | 8 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $3,217.00 – $19,343.97 | 8 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $2,414.00 – $5,474.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $1,479.63 | $5,918.53 | $10.40 – $17.21 | 8 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $1,125.00 | $4,500.00 | $2,048.63 – $3,389.97 | 8 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $6.01 – $9.95 | 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.