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 |
|---|---|---|---|---|
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $68.75 | $275.00 | $17.81 – $64.84 | 8 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $87.50 | $350.00 | $27.25 – $90.47 | 8 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $116.25 | $465.00 | $27.25 – $90.47 | 8 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $200.00 | $800.00 | $54.16 – $622.27 | 8 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $250.00 | $1,000.00 | $54.16 – $1,398.68 | 8 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $430.00 – $4,818.61 | 8 |
| Susceptibility agar dilution per agent CPT 87181 | $20.00 | $80.00 | $4.65 – $7.70 | 8 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $20.00 | $80.00 | $4.65 – $7.70 | 8 |
| Susceptibility mic per plate CPT 87186 | $46.25 | $185.00 | $8.47 – $14.01 | 8 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.50 – $10.76 | 8 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $658.00 – $6,119.44 | 8 |
| Suspension of uterus CPT 58410 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $4,175.00 – $7,125.00 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Svc venogram s&i CPT 75827 | $625.00 | $2,500.00 | $129.72 – $2,732.77 | 8 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $4.26 – $90.47 | 8 |
| Sympathectomy cervical CPT 64802 | not published | not published | $576.00 – $3,389.97 | 8 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,048.63 – $3,389.97 | 8 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $576.00 – $5,680.26 | 8 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $20.78 – $20.78 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $39.19 – $64.84 | 8 |
| Synvisc or synvisc-one HCPCS J7325 | $86.88 | $347.53 | $7.78 – $12.88 | 8 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $21.75 | $87.00 | $4.31 – $7.13 | 8 |
| System pacing micra av HCPCS C1786 | $6,130.92 | $24,523.70 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $3,710.22 | $14,840.86 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $40.00 | $160.00 | $16.58 – $27.44 | 8 |
| T3 (triiodothyronine) total CPT 84480 | $35.00 | $140.00 | $13.88 – $22.97 | 8 |
| T4 (thyroxine) free CPT 84439 | $52.50 | $210.00 | $8.83 – $14.61 | 8 |
| T4 (thyroxine) total CPT 84436 | $31.25 | $125.00 | $6.73 – $11.13 | 8 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $1.14 – $1.14 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $7.38 | $29.52 | $3.57 – $3.57 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $2.95 | $11.82 | $0.47 – $0.47 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $188.85 | $755.42 | $257.62 – $426.30 | 8 |
| Tacrolimus therapeutic drug level CPT 80197 | $35.00 | $140.00 | $13.44 – $22.24 | 8 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $1,679.69 | $6,718.76 | $14.01 – $23.18 | 8 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $2,648.00 – $10,750.00 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $3,580.84 | $14,323.38 | $72.38 – $119.77 | 8 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $8,423.34 | $33,693.38 | $71.09 – $117.64 | 8 |
| Talymed HCPCS Q4127 | not published | not published | $130.56 – $216.04 | 8 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $2.06 | $8.26 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $625.00 | $2,500.00 | $107.80 – $1,230.44 | 8 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,125.00 | $4,500.00 | $2,858.29 – $4,729.75 | 8 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $107.80 – $968.61 | 8 |
| Tas congenital car anomal CPT 33741 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $775.37 – $1,283.05 | 8 |
| Tavr perq femoral CPT 33361 | $5,500.00 | $22,000.00 | $2,648.00 – $2,648.00 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $395.31 | $1,581.22 | $0.27 – $0.45 | 8 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $134.12 – $221.94 | 8 |
| Tbs techl calculation only CPT 77091 | $57.50 | $230.00 | $91.30 – $151.08 | 8 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $91.30 – $151.08 | 8 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $80.95 – $162.00 | 8 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $53.75 | $215.00 | $60.68 – $100.41 | 8 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $146.64 | $586.56 | not published | 0 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $775.37 – $1,283.05 | 8 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $109.68 – $181.49 | 8 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $109.68 – $181.49 | 8 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $430.00 – $765.89 | 8 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $43.75 | $175.00 | $45.99 – $76.11 | 8 |
| T cells absolute cd 4 count CPT 86361 | $31.25 | $125.00 | $26.22 – $43.38 | 8 |
| T cells total count CPT 86359 | $40.00 | $160.00 | $36.94 – $61.12 | 8 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $226.53 – $374.85 | 8 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $226.53 – $374.85 | 8 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $226.53 – $374.85 | 8 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $3,750.00 | $15,000.00 | $2,648.00 – $2,648.00 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $31,714.31 | $126,857.23 | $212.53 – $351.68 | 8 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $822.42 – $1,360.90 | 8 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $822.42 – $1,360.90 | 8 |
| Telavancin injection HCPCS J3095 | $5,138.57 | $20,554.27 | $6.96 – $11.52 | 8 |
| Telethx isodose plan cplx CPT 77307 | $500.00 | $2,000.00 | $219.87 – $650.02 | 8 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $121.89 – $650.02 | 8 |
| Temozolomide HCPCS J8700 | $438.51 | $1,754.03 | $0.47 – $0.47 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $71.35 | $285.39 | $10.17 – $16.83 | 8 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $2,563.02 | $10,252.09 | $26.15 – $43.27 | 8 |
| Tendon lengthening CPT 26476 | not published | not published | $430.00 – $5,680.26 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $813.00 – $5,680.26 | 8 |
| Tendon shortening CPT 26477 | not published | not published | $430.00 – $5,680.26 | 8 |
| Tendon transfer with graft CPT 26492 | not published | not published | $658.00 – $5,680.26 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $5,575.33 | $22,301.32 | $168.60 – $279.00 | 8 |
| Teniposide, 50 mg HCPCS Q2017 | $849.48 | $3,397.90 | not published | 0 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $658.00 – $12,596.95 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $658.00 – $5,680.26 | 8 |
| Tenolysis triceps CPT 24332 | not published | not published | $658.00 – $5,680.26 | 8 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $658.00 – $12,596.95 | 8 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $658.00 – $2,791.51 | 8 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $3,432.70 – $5,680.26 | 8 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $576.00 – $5,680.26 | 8 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,686.97 – $2,791.51 | 8 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $44.39 | $177.57 | $7.40 – $7.40 | 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.