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 |
|---|---|---|---|---|
| Urine screen for bacteria CPT 81007 | not published | not published | $2.77 – $48.57 | 8 |
| Urine shunt to intestine CPT 50815 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2.38 – $26.49 | 3 |
| Urography, antegrade CPT 74425 | $231.25 | $925.00 | $78.87 – $605.65 | 8 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $131.39 – $304.50 | 8 |
| Use 1st target lesion CPT 76982 | not published | not published | $109.68 – $181.49 | 8 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $183.58 | $734.31 | $12.72 – $21.05 | 8 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $17,929.16 | $71,716.64 | $319.48 – $319.48 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $1,728.00 – $22,288.23 | 8 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $294.76 – $294.76 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $294.76 – $294.76 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $305.74 | $1,222.96 | $264.82 – $264.82 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $168.95 | $675.81 | $177.32 – $177.32 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $126.88 | $507.50 | $132.41 – $132.41 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | $125.11 | $500.43 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $95.52 | $382.10 | not published | 0 |
| Vaccine dtap-ipv/hib im CPT 90698 | $176.39 | $705.55 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $123.84 | $495.36 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $49.68 | $198.74 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $143.75 | $575.00 | $142.18 – $142.18 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $211.64 | $846.57 | not published | 0 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $121.44 | $485.75 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $151.79 – $151.79 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $103.81 | $415.22 | $142.16 – $142.16 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $185.29 | $741.14 | $339.96 – $339.96 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $91.61 | $366.43 | $62.16 – $62.16 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $212.47 | $849.87 | $148.27 – $148.27 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $89.97 | $359.90 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $86.69 | $346.77 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $75.89 | $303.56 | $42.17 – $42.17 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $94.63 | $378.53 | $156.27 – $156.27 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $154.41 | $617.62 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $102.98 | $411.91 | $45.15 – $45.15 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $21.09 – $21.09 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $174.72 | $698.87 | $56.13 – $56.13 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $90.55 | $362.19 | $148.27 – $148.27 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $105.98 | $423.94 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $237.39 | $949.58 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $226.48 | $905.92 | not published | 0 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $236.36 | $945.45 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $200.72 | $802.87 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $191.25 | $765.00 | not published | 0 |
| Vaccine mmrv live subcutaneous CPT 90710 | $194.78 | $779.11 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $181.93 | $727.74 | $269.61 – $269.61 | 1 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $296.35 | $1,185.38 | $521.14 – $521.14 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $291.48 | $1,165.92 | $512.19 – $512.19 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $334.38 | $1,337.53 | $602.03 – $602.03 | 1 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $171.17 | $684.67 | not published | 0 |
| Vaccine rabies im CPT 90675 | $306.56 | $1,226.23 | $307.09 – $508.16 | 8 |
| Vaccine tdap >=7 years im CPT 90715 | $203.64 | $814.56 | $77.35 – $77.35 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $160.25 | $641.01 | $56.19 – $56.19 | 1 |
| Vaccine typhoid vicps im CPT 90691 | $188.36 | $753.43 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $135.38 | $541.53 | not published | 0 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $129.44 | $517.78 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,728.00 – $8,684.36 | 8 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,750.00 – $8,684.36 | 8 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,728.00 – $8,684.36 | 8 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $4,750.00 – $12,873.36 | 8 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,750.00 – $8,684.36 | 8 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,728.00 – $8,684.36 | 8 |
| Vaginal bx CPT 58999 | not published | not published | $212.10 – $350.97 | 8 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,383.00 – $5,619.72 | 8 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,728.00 – $8,684.36 | 8 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,414.00 – $5,619.72 | 8 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $4,150.00 – $4,175.00 | 2 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $2,648.00 – $4,150.00 | 2 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $50.00 | $200.00 | $13.26 – $21.93 | 8 |
| Valrubicin injection HCPCS J9357 | $392.59 | $1,570.37 | $1,295.55 – $2,143.82 | 8 |
| Valvuloplasty aortic CPT 92986 | $3,000.00 | $12,000.00 | $5,474.00 – $9,880.68 | 8 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $5,474.00 – $20,040.97 | 8 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $5,474.00 – $20,040.97 | 8 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Vancomycin hcl injection HCPCS J3370 | $207.19 | $828.75 | $4.03 – $4.03 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $35.00 | $140.00 | $13.26 – $21.93 | 8 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $34.35 – $56.85 | 8 |
| Varicella zoster antibody igg CPT 86787 | $35.00 | $140.00 | $12.61 – $20.87 | 8 |
| Varicella-zoster immue globin im CPT 90396 | $918.04 | $3,672.16 | not published | 0 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $4,150.00 – $31,824.13 | 8 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $658.00 – $5,680.26 | 8 |
| Vasectomy CPT 55250 | not published | not published | $576.00 – $3,628.95 | 8 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $9.01 | $36.03 | $3.89 – $3.89 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $6,732.26 | $26,929.03 | $20.86 – $34.52 | 8 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $226.53 – $374.85 | 8 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $143.64 – $5,481.46 | 8 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $167.00 – $167.00 | 1 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $167.60 – $1,089.01 | 8 |
| Vein x-ray kidney CPT 75831 | $1,537.50 | $6,150.00 | $134.73 – $5,481.46 | 8 |
| Vein x-ray liver CPT 75891 | $1,875.00 | $7,500.00 | $140.87 – $5,481.46 | 8 |
| Vein x-ray liver w/hemodynam CPT 75885 | $1,875.00 | $7,500.00 | $139.74 – $5,481.46 | 8 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,875.00 | $7,500.00 | $140.30 – $5,481.46 | 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.