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 |
|---|---|---|---|---|
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $263.20 | $376.00 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $20.47 | $29.25 | not published | 0 |
| Diffusing capacity CPT 94729 | $403.20 | $576.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $17.15 | $24.50 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $26,899.25 | $38,427.50 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $224.00 | $320.00 | not published | 0 |
| Dilate biliary duct/ampulla CPT 47542 | $12,534.75 | $17,906.79 | $6.00 – $6.00 | 1 |
| Dilate esophagus CPT 43453 | $3,379.60 | $4,828.00 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $10,312.69 | $14,732.41 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $1,451.10 | $2,073.00 | not published | 0 |
| Dilation of anal sphincter CPT 45905 | $7,261.42 | $10,373.46 | not published | 0 |
| Dilation of cervical canal 57800 CPT 57800 | $4,780.30 | $6,829.00 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $3,345.30 | $4,779.00 | not published | 0 |
| Dilation of salivary duct CPT 42660 | $6,040.30 | $8,629.00 | not published | 0 |
| Dilation salivary duct 42650 CPT 42650 | $53,725.15 | $76,750.21 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $2,386.42 | $3,409.17 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,789.80 | $5,414.00 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $7,464.80 | $10,664.00 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $47.60 | $68.00 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $3,946.60 | $5,638.00 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $2.80 | $4.00 | not published | 0 |
| Dipyridamole injection HCPCS J1245 | $102.20 | $146.00 | not published | 0 |
| Disability dlco CPT 94727 | $334.60 | $478.00 | not published | 0 |
| Disaccharidases CPT 82657 | $648.20 | $926.00 | not published | 0 |
| Dissolve clot heart vessel CPT 92975 | $1,688.40 | $2,412.00 | not published | 0 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $4,795.00 | $6,850.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $644.70 | $921.00 | not published | 0 |
| Dmpk gene detc abnor allele CPT 81234 | $316.40 | $452.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $207.20 | $296.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $77.00 | $110.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $88.90 | $127.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $127.05 | $181.50 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,352.52 | $3,360.75 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $101.85 | $145.50 | not published | 0 |
| Doppler echo complete CPT 93320 | $1,038.10 | $1,483.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,260.20 | $6,086.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,212.40 | $1,732.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $749.70 | $1,071.00 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $125,316.88 | $179,024.12 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,422.57 | $2,032.25 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $6,786.50 | $9,695.00 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $60.20 | $86.00 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $1,903.30 | $2,719.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,240.40 | $1,772.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,531.60 | $2,188.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $3,717.00 | $5,310.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $644.70 | $921.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $1,015.00 | $1,450.00 | not published | 0 |
| Drainage of eye CPT 65800 | $5,379.50 | $7,685.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $7,342.47 | $10,489.24 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $751.80 | $1,074.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $742.70 | $1,061.00 | not published | 0 |
| Drainage of salivary gland CPT 42305 | $5,553.10 | $7,933.00 | not published | 0 |
| Drainage of urethra abscess 53060 CPT 53060 | $3,805.20 | $5,436.00 | not published | 0 |
| Drain bladder by trocar/cath CPT 51101 | $556.50 | $795.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $347.20 | $496.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,993.50 | $5,705.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $3,131.10 | $4,473.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $796.60 | $1,138.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,505.50 | $7,865.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $525.00 | $750.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $511.00 | $730.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $542.50 | $775.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $27,106.11 | $38,723.01 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,912.40 | $2,732.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,556.00 | $5,080.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $541.10 | $773.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,466.50 | $2,095.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $2,342.20 | $3,346.00 | not published | 0 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $5,700.80 | $8,144.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,254.00 | $3,220.00 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $45.67 | $65.25 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $4,791.34 | $6,844.77 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $220.50 | $315.00 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $51,755.84 | $73,936.92 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $21,485.52 | $30,693.60 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $326.20 | $466.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $184.80 | $264.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $258.30 | $369.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $144.20 | $206.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $849.80 | $1,214.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $250.60 | $358.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $409.50 | $585.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $81.90 | $117.00 | not published | 0 |
| Drug screening tapentadol CPT 80372 | $112.00 | $160.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $100.80 | $144.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $1,276.10 | $1,823.00 | not published | 0 |
| Drug test def 22+ classes HCPCS G0483 | $405.30 | $579.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $531.30 | $759.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $425.60 | $608.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $812.00 | $1,160.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $102.20 | $146.00 | not published | 0 |
| Dry needling (97799) CPT 97799 | $210.00 | $300.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $12,315.14 | $17,593.06 | not published | 0 |
| Duodenal motility study CPT 91022 | $1,143.10 | $1,633.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $539.70 | $771.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,139.60 | $1,628.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,732.50 | $2,475.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $35,216.24 | $50,308.91 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $25,065.42 | $35,807.75 | 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.