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 |
|---|---|---|---|---|
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $83.30 | $119.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $407.40 | $582.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $357.70 | $511.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $105.00 | $150.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $590.10 | $843.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $590.10 | $843.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $141.40 | $202.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $85.40 | $122.00 | not published | 0 |
| Cytopath tbs c/v manual CPT 88164 | $53.20 | $76.00 | not published | 0 |
| Cytotoxic antibody screening CPT 86808 | $800.80 | $1,144.00 | not published | 0 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $63.87 | $91.25 | not published | 0 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $15,808.27 | $22,583.25 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $9,140.42 | $13,057.75 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $405.65 | $579.50 | not published | 0 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $61,701.67 | $88,145.25 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $880.77 | $1,258.25 | not published | 0 |
| D&c after delivery 59160 CPT 59160 | $15,899.45 | $22,713.50 | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $13,066.23 | $18,666.04 | not published | 0 |
| Dch glucoscan CPT 82948 | $37.80 | $54.00 | not published | 0 |
| Dch pulmonary stress test CPT 94621 | $2,764.30 | $3,949.00 | not published | 0 |
| Dch validity tests CPT 81002 | $110.60 | $158.00 | not published | 0 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $53,142.73 | $75,918.19 | not published | 0 |
| Dcmprn plantar digital nerve CPT 64726 | $36,767.00 | $52,524.29 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $215.60 | $308.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,899.80 | $2,714.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $475.30 | $679.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,441.90 | $4,917.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,572.20 | $2,246.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $998.90 | $1,427.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $942.20 | $1,346.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $160.30 | $229.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $260.40 | $372.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $1,523.20 | $2,176.00 | not published | 0 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,899.80 | $2,714.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $1,688.40 | $2,412.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,985.90 | $2,837.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,599.10 | $3,713.00 | not published | 0 |
| Decalcification CPT 88311 | $22,702.40 | $32,432.00 | $8.65 – $18.58 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,070.82 | $1,529.75 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $48,621.12 | $69,458.74 | $11,388.40 – $11,388.40 | 1 |
| Decompression of leg CPT 27894 | $7,102.90 | $10,147.00 | not published | 0 |
| Decompression of lower leg CPT 27600 | $7,102.90 | $10,147.00 | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $129.15 | $184.50 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $2,586.50 | $3,695.00 | not published | 0 |
| Delivery of placenta 59414 CPT 59414 | $2,444.40 | $3,492.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $217.00 | $310.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $19,643.57 | $28,062.25 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $473.90 | $677.00 | not published | 0 |
| Derma-gide, 1 sq cm HCPCS Q4203 | $707.00 | $1,010.00 | not published | 0 |
| Design mlc device for imrt CPT 77338 | $51,853.90 | $74,077.00 | $541.53 – $541.53 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $2,755.55 | $3,936.50 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $98.00 | $140.00 | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $425.60 | $608.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $4,628.66 | $6,612.37 | $3.93 – $3.93 | 1 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $4,629.30 | $6,613.29 | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $12,573.38 | $17,961.97 | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | $13,868.22 | $19,811.74 | not published | 0 |
| Destruction anal lesion(s) CPT 46910 | $10,493.81 | $14,991.16 | not published | 0 |
| Destruction anal lesion(s) CPT 46924 | $11,301.43 | $16,144.90 | not published | 0 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $678.30 | $969.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $154.70 | $221.00 | not published | 0 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $6,441.05 | $9,201.50 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $5,721.81 | $8,174.01 | $5.68 – $5.68 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $5,714.07 | $8,162.96 | $8.00 – $8.00 | 1 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $11,093.56 | $15,847.94 | not published | 0 |
| Destruction vag lesions simple 57061 CPT 57061 | $16,642.43 | $23,774.90 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $105.00 | $150.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $209.30 | $299.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $399.00 | $570.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $31,418.07 | $44,882.96 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $11,140.64 | $15,915.20 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $6,070.12 | $8,671.60 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $3,830.53 | $5,472.18 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $4,623.70 | $6,605.28 | not published | 0 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $199.50 | $285.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $368.20 | $526.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $6.65 | $9.50 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $39.90 | $57.00 | not published | 0 |
| Dexamethasone intra implant HCPCS J7312 | $8,102.50 | $11,575.00 | not published | 0 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $510.65 | $729.50 | not published | 0 |
| Dextran 40 infusion HCPCS J7100 | $451.50 | $645.00 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $23.62 | $33.75 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $76.82 | $109.75 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $26.60 | $38.00 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $23.62 | $33.75 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $212.10 | $303.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $116.90 | $167.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $29,532.12 | $42,188.74 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | $10,996.45 | $15,709.21 | not published | 0 |
| Diagnostic anoscopy & biopsy CPT 46607 | $10,493.81 | $14,991.16 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $6,027.56 | $8,610.80 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $112.70 | $161.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $102.20 | $146.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $1,633.80 | $2,334.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $720.30 | $1,029.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $513.80 | $734.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $464.80 | $664.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $5,055.40 | $7,222.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,066.70 | $4,381.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $977.90 | $1,397.00 | 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.