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 |
|---|---|---|---|---|
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $4,175.00 – $11,238.70 | 8 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $5,474.00 – $10,495.17 | 8 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,756.25 – $6,215.65 | 8 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,474.00 – $9,660.07 | 8 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,474.00 – $9,660.07 | 8 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $926.00 – $10,276.96 | 8 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $926.00 – $10,276.96 | 8 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $1,728.00 – $6,215.65 | 8 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $4,175.00 – $10,495.17 | 8 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $658.00 – $9,308.20 | 8 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $658.00 – $6,119.44 | 8 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $813.00 – $6,215.65 | 8 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $813.00 – $6,215.65 | 8 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $1,728.00 – $6,215.65 | 8 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $813.00 – $11,238.70 | 8 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,756.25 – $6,215.65 | 8 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,911.99 – $4,818.61 | 8 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $4,750.00 – $10,276.96 | 8 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $5,474.00 – $5,580.00 | 2 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $5,474.00 – $7,125.00 | 2 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $61.89 – $102.41 | 8 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $926.00 – $6,215.65 | 8 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $1,728.00 – $1,728.00 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $576.00 – $12,596.95 | 8 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $244.80 – $405.08 | 8 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $658.00 – $16,433.99 | 8 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $5,474.00 – $12,596.95 | 8 |
| Rsv assay w/optic CPT 87807 | not published | not published | $12.82 – $21.22 | 8 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $139.68 – $231.13 | 8 |
| Rubella antibody igg CPT 86762 | $35.00 | $140.00 | $14.09 – $23.31 | 8 |
| Rubeola ag if CPT 87283 | not published | not published | $12.94 – $98.50 | 8 |
| Rubeola antibody igg CPT 86765 | $35.00 | $140.00 | $12.61 – $20.87 | 8 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $322.59 – $533.81 | 8 |
| Russell viper venom diluted CPT 85613 | $26.25 | $105.00 | $9.38 – $15.52 | 8 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $897.82 – $1,485.67 | 8 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $1,977.63 | $7,910.51 | $35.51 – $58.77 | 8 |
| Salivary gland function exam CPT 78232 | not published | not published | $130.22 – $694.01 | 8 |
| Salivary gland imaging CPT 78230 | not published | not published | $200.39 – $694.01 | 8 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $170.87 – $694.01 | 8 |
| Salmonella antibody CPT 86768 | $35.00 | $140.00 | $12.91 – $21.37 | 8 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,383.00 – $5,619.72 | 8 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $139.68 – $231.13 | 8 |
| Sargramostim injection HCPCS J2820 | $225.49 | $901.98 | $49.31 – $81.59 | 8 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $50.35 – $83.32 | 8 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $110.44 | $441.77 | $299.36 – $299.36 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $18.75 | $75.00 | $34.59 – $57.23 | 8 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $68.81 – $113.87 | 8 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $1,728.00 – $10,539.21 | 8 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $400.00 | $1,600.00 | $190.54 – $414.22 | 8 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $325.00 | $1,300.00 | $109.68 – $181.49 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $400.00 | $1,600.00 | $190.54 – $414.22 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $325.00 | $1,300.00 | $109.68 – $181.49 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $250.00 | $1,000.00 | $109.68 – $181.49 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $375.00 | $1,500.00 | $109.68 – $181.49 | 8 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $500.00 | $2,000.00 | $190.54 – $414.22 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $375.00 | $1,500.00 | $109.68 – $181.49 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $375.00 | $1,500.00 | $109.68 – $181.49 | 8 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $600.00 | $2,400.00 | $1,284.00 – $2,867.21 | 8 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $1,728.00 – $5,680.26 | 8 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $12.30 – $30.03 | 8 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $26.83 – $26.83 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $16.42 – $51.74 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $23.08 – $71.23 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $25.93 – $42.91 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $21.89 – $43.82 | 8 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $19.83 – $32.82 | 8 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $26.83 – $26.83 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $576.00 – $1,614.43 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $576.00 – $1,614.43 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $17.19 – $29.24 | 8 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $27.68 – $45.80 | 8 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $15.42 – $75.09 | 8 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $15.49 – $39.01 | 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.