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 |
|---|---|---|---|---|
| Sinus/juglr venogram s&i CPT 75860 | $1,875.00 | $7,500.00 | $137.52 – $5,481.46 | 8 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $576.00 – $5,755.71 | 8 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $813.00 – $10,276.96 | 8 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $576.00 – $10,276.96 | 8 |
| Sipuleucel-t - su HCPCS Q2043 | $183.77 | $735.09 | $54,111.61 – $89,541.16 | 8 |
| Sirolimus, oral HCPCS J7520 | $8.71 | $34.84 | $2.70 – $2.70 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $82.80 – $137.01 | 8 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $28.78 – $161.55 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $28.78 – $28.78 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $813.00 – $6,151.98 | 8 |
| Skin Biopsy CPT 11102 | $105.00 | $420.00 | $426.48 – $705.72 | 8 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $658.00 – $3,581.90 | 8 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,032.00 – $4,150.00 | 2 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $658.00 – $6,151.98 | 8 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $658.00 – $3,581.90 | 8 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,032.00 – $4,150.00 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $3.98 – $50.21 | 8 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Skyla, 13.5 mg HCPCS J7301 | $286.36 | $1,145.43 | not published | 0 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $171.14 – $283.19 | 8 |
| Sleep Study (Polysomnography) CPT 95810 | $1,700.00 | $6,800.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $450.00 | $1,800.00 | $226.53 – $374.85 | 8 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $12.16 | $48.66 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $576.00 – $6,119.44 | 8 |
| Slitting of prepuce CPT 54001 | not published | not published | $576.00 – $3,628.95 | 8 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $61.89 – $102.41 | 8 |
| Small animal inoculation CPT 87003 | not published | not published | $16.49 – $27.28 | 8 |
| Small bowel endoscopy CPT 44360 | not published | not published | $576.00 – $3,331.27 | 8 |
| Small bowel endoscopy CPT 44364 | not published | not published | $576.00 – $3,331.27 | 8 |
| Small bowel endoscopy CPT 44366 | not published | not published | $576.00 – $3,331.27 | 8 |
| Small bowel endoscopy CPT 44369 | not published | not published | $576.00 – $3,331.27 | 8 |
| Small bowel endoscopy CPT 44376 | not published | not published | $576.00 – $3,331.27 | 8 |
| Small bowel endoscopy CPT 44378 | not published | not published | $576.00 – $3,331.27 | 8 |
| Small bowel endoscopy CPT 44382 | not published | not published | $430.00 – $1,574.55 | 8 |
| Small bowel endoscopy CPT 44384 | not published | not published | $813.00 – $3,331.27 | 8 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $576.00 – $3,331.27 | 8 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $576.00 – $3,331.27 | 8 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $576.00 – $3,331.27 | 8 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $576.00 – $3,331.27 | 8 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $430.00 – $1,574.55 | 8 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $813.00 – $3,331.27 | 8 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $1,728.00 – $10,539.21 | 8 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $22.50 | $90.00 | $5.28 – $8.73 | 8 |
| Smear gram stain CPT 87205 | $20.00 | $80.00 | $4.18 – $6.92 | 8 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $5.14 – $9.38 | 8 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $22.50 | $90.00 | $5.86 – $9.70 | 8 |
| Smear wet mount CPT 87210 | $22.50 | $90.00 | $4.61 – $9.43 | 8 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $295.02 – $488.19 | 8 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $181.31 – $300.02 | 8 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $39.82 – $76.14 | 8 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $50.00 – $82.73 | 8 |
| Sodium 24 hour urine CPT 84300 | $22.50 | $90.00 | $4.95 – $8.20 | 8 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $5.43 – $5.43 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $2.72 – $2.72 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $1.36 – $1.36 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $3.85 | $15.42 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $21.30 | $85.19 | $4.32 – $4.32 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $210.68 | $842.72 | $152.48 – $152.48 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $20.00 | $80.00 | $4.71 – $7.79 | 8 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $20.84 | $83.37 | not published | 0 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $91.30 – $151.08 | 8 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,317.06 – $2,179.40 | 8 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,170.72 – $1,937.24 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,219.45 – $5,327.39 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,024.38 – $1,695.09 | 8 |
| Somatosensory testing CPT 95927 | not published | not published | $226.53 – $374.85 | 8 |
| Somatropin injection HCPCS J2941 | $2,111.06 | $8,444.25 | not published | 0 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,926.77 – $4,843.07 | 8 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $878.04 – $1,452.93 | 8 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $2,414.00 – $4,175.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $2,414.00 – $4,175.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Special physics consult CPT 77370 | $275.00 | $1,100.00 | $141.01 – $233.34 | 8 |
| Special radiation dosimetry CPT 77331 | $222.50 | $890.00 | $30.05 – $233.34 | 8 |
| Special radiation treatment CPT 77470 | $525.00 | $2,100.00 | $76.79 – $959.23 | 8 |
| Special teletx port plan CPT 77321 | $350.00 | $1,400.00 | $69.02 – $650.02 | 8 |
| Specific gravity body fluid CPT 84315 | not published | not published | $2.71 – $5.31 | 8 |
| Specimen fat stain CPT 89125 | not published | not published | $4.66 – $9.53 | 8 |
| Speech audiometry complete CPT 92556 | not published | not published | $61.89 – $102.41 | 8 |
| Speech evaluation complex CPT 70371 | not published | not published | $75.71 – $414.22 | 8 |
| Speech recep thresh CPT 92555 | not published | not published | $61.89 – $102.41 | 8 |
| Sperm antibody test CPT 89325 | $32.50 | $130.00 | $10.45 – $17.29 | 8 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.18 – $31.74 | 8 |
| Sperm identification CPT 89257 | not published | not published | $54.32 – $90.47 | 8 |
| Sperm isolation complex CPT 89261 | not published | not published | $54.32 – $90.47 | 8 |
| Sperm isolation simple CPT 89260 | not published | not published | $54.32 – $90.47 | 8 |
| Sperm washing 58323 CPT 58323 | not published | not published | $212.10 – $350.97 | 8 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $813.00 – $10,276.96 | 8 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $658.00 – $4,818.61 | 8 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1,032.00 – $2,414.00 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $2,414.00 – $4,175.00 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $435.00 | $1,740.00 | $740.55 – $1,225.43 | 8 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $5,474.00 – $22,288.23 | 8 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $226.53 – $374.85 | 8 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $200.00 | $800.00 | not published | 0 |
| Spleen imaging CPT 78185 | not published | not published | $313.43 – $694.01 | 8 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,648.00 – $2,648.00 | 1 |
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.