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 |
|---|---|---|---|---|
| Tubular dressing HCPCS A6457 | $14.06 | $56.22 | not published | 0 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $430.00 – $765.89 | 8 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $4,750.00 – $12,873.36 | 8 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $4,175.00 – $4,175.00 | 1 |
| Tx atrial fib pulm vein isol CPT 93656 | $9,150.00 | $36,600.00 | $6,448.00 – $45,375.90 | 8 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $258.78 – $428.22 | 8 |
| Tx closed hip disl traumatic without anes CPT 27250 | $131.25 | $525.00 | $258.78 – $428.22 | 8 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $430.00 – $5,680.26 | 8 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $258.78 – $428.22 | 8 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $775.37 – $1,283.05 | 8 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $775.37 – $1,283.05 | 8 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Tx l/r atrial fib addl CPT 93657 | $2,300.00 | $9,200.00 | $1,032.00 – $2,414.00 | 2 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $926.00 – $5,680.26 | 8 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $1,875.00 | $7,500.00 | $813.00 – $5,680.26 | 8 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $576.00 – $5,680.26 | 8 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $813.00 – $5,755.71 | 8 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $813.00 – $5,680.26 | 8 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $813.00 – $5,680.26 | 8 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $2,648.00 – $3,217.00 | 2 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $258.78 – $428.22 | 8 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,627.79 – $2,693.58 | 8 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $430.00 – $5,755.71 | 8 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $226.53 – $374.85 | 8 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $430.00 – $936.29 | 8 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,284.00 – $10,276.96 | 8 |
| Tyms gene com variants CPT 81346 | not published | not published | $171.14 – $283.19 | 8 |
| U2af1 gene common variants CPT 81357 | not published | not published | $189.19 – $313.06 | 8 |
| Ua w/micro/comp poc CPT 81000 | $33.25 | $133.00 | $3.43 – $6.51 | 8 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $1,324.69 | $5,298.77 | $69.27 – $114.62 | 8 |
| Ugt1a1 gene analy common variants CPT 81350 | $145.00 | $580.00 | $157.51 – $379.08 | 8 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $127.50 | $510.00 | $109.68 – $181.49 | 8 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $7.22 – $181.49 | 8 |
| Ultrasound breast complete CPT 76641 | $175.00 | $700.00 | $109.68 – $181.49 | 8 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $150.00 | $600.00 | $85.73 – $151.08 | 8 |
| Ultrasound chest CPT 76604 | $175.00 | $700.00 | $96.32 – $181.49 | 8 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $162.50 | $650.00 | $34.50 – $181.49 | 8 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $62.90 – $181.49 | 8 |
| Ultrasound elastography parenchyma CPT 76981 | $150.00 | $600.00 | $109.68 – $181.49 | 8 |
| Ultrasound encephalogram CPT 76506 | $175.00 | $700.00 | $109.68 – $181.49 | 8 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $114.23 – $114.23 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $275.00 | $1,100.00 | $109.68 – $181.49 | 8 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $150.00 | $600.00 | $77.93 – $181.49 | 8 |
| Ultrasound guidance for vascular access CPT 76937 | $125.00 | $500.00 | $76.59 – $76.59 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $375.00 | $1,500.00 | $87.83 – $87.83 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $250.00 | $1,000.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $187.50 | $750.00 | $91.30 – $151.08 | 8 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $91.30 – $151.08 | 8 |
| Ultrasound joint complete left CPT 76881 | $250.00 | $1,000.00 | $109.68 – $181.49 | 8 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $127.50 | $510.00 | $18.35 – $181.49 | 8 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $109.68 – $181.49 | 8 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $62.50 | $250.00 | $127.67 – $127.67 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $62.50 | $250.00 | $64.36 – $64.36 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $375.00 | $1,500.00 | $133.04 – $414.22 | 8 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $212.50 | $850.00 | $109.68 – $181.49 | 8 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $275.00 | $1,100.00 | $81.83 – $181.49 | 8 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $250.00 | $1,000.00 | $93.53 – $181.49 | 8 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $95.75 – $181.49 | 8 |
| Ultrasound retroperitoneal limited CPT 76775 | $243.75 | $975.00 | $46.19 – $181.49 | 8 |
| Ultrasound scrotum and contents CPT 76870 | $337.50 | $1,350.00 | $56.22 – $181.49 | 8 |
| Ultrasound spinal canal and contents CPT 76800 | $175.00 | $700.00 | $109.68 – $181.49 | 8 |
| Ultrasound transabd ea addl gest CPT 76812 | $237.50 | $950.00 | $332.98 – $332.98 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $250.00 | $1,000.00 | $109.68 – $181.49 | 8 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $366.01 – $605.65 | 8 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.90 – $13.07 | 8 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $319.70 – $529.02 | 8 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,032.00 – $4,150.00 | 2 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $49.13 – $81.29 | 8 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $248.48 – $411.18 | 8 |
| Unlisted CT procedure CPT 76497 | not published | not published | $75.43 – $151.08 | 8 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $412.70 – $694.01 | 8 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $6.07 – $90.47 | 8 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $6.07 – $90.47 | 8 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $134.99 – $223.38 | 8 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $412.70 – $694.01 | 8 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $212.10 – $350.97 | 8 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $75.43 – $151.08 | 8 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $412.70 – $694.01 | 8 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $412.70 – $694.01 | 8 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $6.07 – $15.49 | 2 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $212.10 – $350.97 | 8 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $4,750.00 – $10,495.17 | 8 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $4,750.00 – $10,495.17 | 8 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $4,750.00 – $10,495.17 | 8 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted laps px renal CPT 50549 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted laps px testis CPT 54699 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $4,750.00 – $10,495.17 | 8 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $4,150.00 – $10,495.17 | 8 |
| Unlisted maaa CPT 81599 | not published | not published | $284.70 – $284.70 | 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.