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 |
|---|---|---|---|---|
| Splicing of ureters CPT 50770 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $576.00 – $6,151.98 | 8 |
| Split blood or products CPT 86985 | $62.50 | $250.00 | $15.49 – $295.77 | 8 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,032.00 – $4,150.00 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $346.53 – $573.42 | 8 |
| Sputum specimen collection CPT 89220 | not published | not published | $13.07 – $295.77 | 8 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $5,474.00 – $5,474.00 | 1 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $5,474.00 – $5,474.00 | 1 |
| Srs cran les complex addl CPT 61799 | not published | not published | $2,954.00 – $2,954.00 | 1 |
| Srs cran les simple addl CPT 61797 | not published | not published | $2,954.00 – $2,954.00 | 1 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $171.72 – $284.15 | 8 |
| Srs linear based CPT 77372 | not published | not published | $1,694.09 – $12,786.31 | 8 |
| Srs multisource CPT 77371 | not published | not published | $1,937.78 – $12,786.31 | 8 |
| Srs spinal lesion CPT 63620 | not published | not published | $5,474.00 – $5,474.00 | 1 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $2,954.00 – $2,954.00 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $109.63 – $181.41 | 8 |
| Staph a dna amp probe CPT 87640 | $30.75 | $123.00 | $34.35 – $56.85 | 8 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $98.54 – $163.05 | 8 |
| Stem cells total count CPT 86367 | not published | not published | $40.75 – $126.00 | 8 |
| Stenger test pure tone CPT 92565 | not published | not published | $61.89 – $102.41 | 8 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $6,125.00 | $24,500.00 | $5,580.00 – $8,869.00 | 2 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $3,750.00 | $15,000.00 | $5,580.00 – $6,594.00 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $1,750.00 | $7,000.00 | $2,414.00 – $5,474.00 | 2 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $2,648.00 – $4,150.00 | 2 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $6,125.00 | $24,500.00 | $5,580.00 – $6,594.00 | 2 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $70.63 – $70.63 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Sterile gauze <= 16 sq in HCPCS A6402 | $1.52 | $6.10 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $0.16 | $0.64 | not published | 0 |
| Sternal debridement CPT 21627 | not published | not published | $3,432.70 – $5,680.26 | 8 |
| St evaluate speech sound production CPT 92522 | $95.00 | $380.00 | $111.90 – $185.17 | 8 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $95.00 | $380.00 | $213.55 – $353.37 | 8 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $85.00 | $340.00 | $92.24 – $152.64 | 8 |
| St evaluation swallow function CPT 92610 | $85.00 | $340.00 | $55.56 – $91.94 | 8 |
| Stimulants synthetic CPT 80371 | not published | not published | $29.32 – $161.55 | 2 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $658.00 – $3,389.97 | 8 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $54.32 – $295.77 | 8 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $54.32 – $295.77 | 8 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $54.32 – $295.77 | 8 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $54.32 – $295.77 | 8 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $87.50 | $350.00 | $170.48 – $282.10 | 8 |
| Strapping of chest CPT 29200 | not published | not published | $170.48 – $282.10 | 8 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $61.89 – $102.41 | 8 |
| Strapping of hand or finger CPT 29280 | not published | not published | $61.89 – $102.41 | 8 |
| Strapping of hip CPT 29520 | not published | not published | $139.58 – $230.97 | 8 |
| Strapping of knee CPT 29530 | $43.75 | $175.00 | $139.58 – $230.97 | 8 |
| Strapping of toes 29550 CPT 29550 | $75.00 | $300.00 | $61.89 – $102.41 | 8 |
| Strep a ag ia CPT 87430 | not published | not published | $12.94 – $27.23 | 8 |
| Strep a dna dir probe CPT 87650 | not published | not published | $19.63 – $32.48 | 8 |
| Strep a dna quant CPT 87652 | not published | not published | $40.88 – $67.65 | 8 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.46 – $20.62 | 8 |
| Strep b dna amp probe CPT 87653 | not published | not published | $34.35 – $56.85 | 8 |
| Streptokinase antibody CPT 86590 | not published | not published | $11.93 – $20.51 | 8 |
| Streptomycin injection HCPCS J3000 | $127.74 | $510.95 | $64.59 – $64.59 | 1 |
| Streptozocin injection HCPCS J9320 | $524.91 | $2,099.65 | not published | 0 |
| Stress test pulmonary CPT 94618 | $142.50 | $570.00 | $139.58 – $230.97 | 8 |
| Stress tte complete CPT 93351 | $550.00 | $2,200.00 | $573.25 – $948.59 | 8 |
| Str markers spec anal addl CPT 81266 | not published | not published | $298.41 – $493.79 | 8 |
| Str markers specimen anal CPT 81265 | not published | not published | $228.18 – $377.57 | 8 |
| St treatment speech individual CPT 92507 | $85.00 | $340.00 | $71.98 – $119.10 | 8 |
| St treatment swallow dysfunction/oral CPT 92526 | $85.00 | $340.00 | $79.26 – $131.16 | 8 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $430.00 – $1,225.43 | 8 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $210.49 – $348.31 | 8 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $775.37 – $1,283.05 | 8 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,728.00 – $5,680.26 | 8 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $1,728.00 – $12,596.95 | 8 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,728.00 – $5,680.26 | 8 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $1,728.00 – $22,288.23 | 8 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $31.22 | $124.87 | not published | 0 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $658.00 – $6,151.98 | 8 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $658.00 – $6,151.98 | 8 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $658.00 – $6,151.98 | 8 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $658.00 – $3,581.90 | 8 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.29 – $18.68 | 8 |
| Sugars single quant CPT 84378 | $50.00 | $200.00 | $11.29 – $18.68 | 8 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $15,277.82 | $61,111.29 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $25.00 | $100.00 | $29.66 – $161.55 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $221.52 | $886.07 | not published | 0 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $49.13 – $81.29 | 8 |
| Supply of digital device HCPCS G0552 | not published | not published | $139.68 – $231.13 | 8 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $1.50 | $6.00 | not published | 0 |
| Supprelin la implant HCPCS J9226 | $22,556.05 | $90,224.19 | $44,075.22 – $72,933.45 | 8 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $576.00 – $4,818.61 | 8 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $4,150.00 – $4,175.00 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $4,175.00 – $5,580.00 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $576.00 – $6,119.44 | 8 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $4,175.00 – $12,596.95 | 8 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $4,175.00 – $12,596.95 | 8 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $4,175.00 – $12,596.95 | 8 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $4,175.00 – $12,596.95 | 8 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $2,414.00 – $9,308.20 | 8 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $951.53 – $1,574.55 | 8 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $576.00 – $2,693.58 | 8 |
| Surgical pathology level 1 gross examination only CPT 88300 | $43.75 | $175.00 | $8.52 – $50.21 | 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.