Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital
1000 N. Westmoreland Rd., Lake Forest, IL · Nm · · NPI 1124025176
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $192.50 | $275.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $173.60 | $248.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $67.20 | $96.00 | not published | 0 |
| 24 hr ambulatory b/p monitor CPT 93786 | $456.40 | $652.00 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,848.70 | $2,641.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,997.10 | $2,853.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $36,651.42 | $52,359.17 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $26,288.50 | $37,555.00 | $541.79 – $541.79 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $865.20 | $1,236.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $179.20 | $256.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $93,595.14 | $133,707.34 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $8,827.00 | $12,610.00 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $170.80 | $244.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $4,862.90 | $6,947.00 | not published | 0 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $112,576.62 | $160,823.73 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $55,568.65 | $79,383.79 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $39,488.13 | $56,411.61 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $54,458.50 | $77,797.86 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $61,036.04 | $87,194.34 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,658.90 | $5,227.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,201.10 | $4,573.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,576.00 | $3,680.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,385.50 | $6,265.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $3,770.20 | $5,386.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $3,700.20 | $5,286.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $4,277.34 | $6,110.49 | $9.47 – $9.47 | 1 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,772.40 | $2,532.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,604.40 | $2,292.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,946.00 | $2,780.00 | not published | 0 |
| Abl1 gene CPT 81170 | $869.40 | $1,242.00 | not published | 0 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $3,192.00 | $4,560.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $17,618.30 | $25,169.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $7,078.40 | $10,112.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $10,330.60 | $14,758.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $9,005.50 | $12,865.00 | not published | 0 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $15,439.45 | $22,056.36 | not published | 0 |
| Ablate inf turbinate superf 30801 CPT 30801 | $15,529.54 | $22,185.06 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $4,677.40 | $6,682.00 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $37,655.10 | $53,793.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $18,480.43 | $26,400.61 | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $12,087.60 | $17,268.00 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $50,212.18 | $71,731.69 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $47,961.20 | $68,516.00 | $8.00 – $8.00 | 1 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $3,546.90 | $5,067.00 | not published | 0 |
| Abortion (mpr) CPT 59866 | $606.90 | $867.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $7,441.26 | $10,630.37 | $9.47 – $9.47 | 1 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $3,105.90 | $4,437.00 | not published | 0 |
| Access thoracic lymph duct CPT 38794 | $346.50 | $495.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $15.40 | $22.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $341.60 | $488.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $158.37 | $226.25 | not published | 0 |
| Acetone qualitative CPT 82009 | $82.60 | $118.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $358.40 | $512.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $14.35 | $20.50 | not published | 0 |
| Acoustic immitance testing CPT 92570 | $305.90 | $437.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $616.70 | $881.00 | not published | 0 |
| Acyclovir 400 mg tablet HCPCS J8499 | $134.22 | $191.75 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $24.32 | $34.75 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $491.40 | $702.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $30,690.10 | $43,843.00 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $1,059.97 | $1,514.25 | not published | 0 |
| Adenovirus ag ia CPT 87301 | $78.40 | $112.00 | not published | 0 |
| Adh-sendout CPT 84588 | $191.80 | $274.00 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $22,791.30 | $32,559.00 | not published | 0 |
| Adjustment gastric band HCPCS S2083 | $498.40 | $712.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $278.77 | $398.25 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $487.20 | $696.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $663.60 | $948.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,014.30 | $1,449.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $645.40 | $922.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $318.50 | $455.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $393.40 | $562.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $70.00 | $100.00 | not published | 0 |
| Administration immunization each additional component CPT 90461 | $37.10 | $53.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $39.20 | $56.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $59.50 | $85.00 | not published | 0 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $75.60 | $108.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $56.70 | $81.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $67.20 | $96.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $62.30 | $89.00 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $65.80 | $94.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $37,632.87 | $53,761.25 | not published | 0 |
| Adrenal cortex & medulla img CPT 78075 | $3,778.60 | $5,398.00 | not published | 0 |
| Aep neurodiagnostic i&r CPT 92653 | $487.20 | $696.00 | not published | 0 |
| Aep thrshld est mlt freq i&r CPT 92652 | $888.30 | $1,269.00 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $269.50 | $385.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $206.50 | $295.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $679.70 | $971.00 | not published | 0 |
| Ag detect nos ia single CPT 87450 | $74.90 | $107.00 | not published | 0 |
| Air conduction bilat CPT 92552 | $44.80 | $64.00 | not published | 0 |
| Air injection into abdomen 49400 CPT 49400 | $2,014.60 | $2,878.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $166.60 | $238.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $429.10 | $613.00 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $252.35 | $360.50 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $143.50 | $205.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $107.80 | $154.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $285.60 | $408.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $91.00 | $130.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $137.20 | $196.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $395.50 | $565.00 | not published | 0 |
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.