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 |
|---|---|---|---|---|
| Esoph endoscopy dilation CPT 43226 | $7,152.61 | $10,218.01 | not published | 0 |
| Esophgl motil w/stim/perfus CPT 91013 | $1,563.10 | $2,233.00 | not published | 0 |
| Esoph imped function test CPT 91037 | $1,369.90 | $1,957.00 | not published | 0 |
| Esoph imped funct test > 1hr CPT 91038 | $2,175.60 | $3,108.00 | not published | 0 |
| Esoph optical endomicroscopy CPT 43206 | $6,174.00 | $8,820.00 | not published | 0 |
| Esoph scope w/sclerosis inj CPT 43204 | $1,724.10 | $2,463.00 | not published | 0 |
| Establish brain cavity shunt CPT 62223 | $4,312.70 | $6,161.00 | not published | 0 |
| Establish brain cavity shunt CPT 62220 | $6,550.60 | $9,358.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $158.90 | $227.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $196.00 | $280.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $291.20 | $416.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $398.30 | $569.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $609.00 | $870.00 | not published | 0 |
| Estradiol total CPT 82670 | $165.20 | $236.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $232.40 | $332.00 | not published | 0 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $2,725.10 | $3,893.00 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $122.50 | $175.00 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $921.37 | $1,316.25 | not published | 0 |
| Etoposide 50 mg cap HCPCS J8560 | $468.12 | $668.75 | not published | 0 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $524.30 | $749.00 | not published | 0 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $739.20 | $1,056.00 | not published | 0 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $202.30 | $289.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $252.00 | $360.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $1,337.70 | $1,911.00 | not published | 0 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $4,795.00 | $6,850.00 | not published | 0 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $10,782.10 | $15,403.00 | not published | 0 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $17,607.10 | $25,153.00 | not published | 0 |
| Event monitor CPT 93270 | $718.20 | $1,026.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $343.00 | $490.00 | not published | 0 |
| Evoked potentials upper limbs CPT 95925 | $1,421.70 | $2,031.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $8,102.70 | $11,575.29 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $12,131.33 | $17,330.47 | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | $7,265.30 | $10,379.00 | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $5,856.90 | $8,367.00 | not published | 0 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $5,827.50 | $8,325.00 | not published | 0 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $6,570.20 | $9,386.00 | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | $5,334.70 | $7,621.00 | not published | 0 |
| Exc bartholins gland/cyst CPT 56740 | $19,983.48 | $28,547.83 | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $5,852.00 | $8,360.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $3,463.60 | $4,948.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $6,308.40 | $9,012.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $2,552.20 | $3,646.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $3,920.00 | $5,600.00 | not published | 0 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $22,768.44 | $32,526.34 | not published | 0 |
| Exc forearm les sc 3 cm/> CPT 25071 | $7,167.30 | $10,239.00 | not published | 0 |
| Exchange biliary drg cath CPT 47536 | $7,827.13 | $11,181.61 | $5.56 – $5.56 | 1 |
| Exchange drainage catheter CPT 49423 | $7,015.69 | $10,022.41 | $7.40 – $7.40 | 1 |
| Exchange lens prosthesis CPT 66986 | $23,581.93 | $33,688.47 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $7,441.55 | $10,630.79 | $14.80 – $14.80 | 1 |
| Excise anal ext tag/papilla CPT 46220 | $9,429.99 | $13,471.41 | not published | 0 |
| Excise inferior turbinate CPT 30130 | $41,368.47 | $59,097.81 | not published | 0 |
| Excise intrspinl lesion lmbr CPT 63267 | $60,617.23 | $86,596.04 | not published | 0 |
| Excise lesion testis CPT 54512 | $16,033.04 | $22,904.34 | not published | 0 |
| Excise lip or cheek fold CPT 40819 | $5,141.16 | $7,344.51 | not published | 0 |
| Excise parotid gland/lesion CPT 42410 | $36,161.44 | $51,659.20 | not published | 0 |
| Excise parotid gland/lesion CPT 42415 | $56,571.70 | $80,816.71 | not published | 0 |
| Excise/repair mouth lesion CPT 40812 | $20,796.61 | $29,709.44 | not published | 0 |
| Excise sublingual gland CPT 42450 | $13,244.58 | $18,920.83 | not published | 0 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $5,503.40 | $7,862.00 | not published | 0 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $2,813.30 | $4,019.00 | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $3,959.20 | $5,656.00 | not published | 0 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $5,797.40 | $8,282.00 | not published | 0 |
| Excision graft extremity CPT 35903 | $16,016.00 | $22,880.00 | not published | 0 |
| Excision of anal lesion(s) CPT 46922 | $10,338.63 | $14,769.47 | not published | 0 |
| Excision of esophagus lesion CPT 43101 | $61,820.15 | $88,314.50 | not published | 0 |
| Excision of lingual tonsil CPT 42870 | $31,264.94 | $44,664.20 | not published | 0 |
| Excision of neck cyst confined 42810 CPT 42810 | $24,755.36 | $35,364.80 | not published | 0 |
| Excision of tongue lesion CPT 41112 | $53,725.15 | $76,750.21 | not published | 0 |
| Excision of uvula CPT 42140 | $26,103.97 | $37,291.39 | not published | 0 |
| Excision tongue lesion without closure 41110 CPT 41110 | $10,526.78 | $15,038.26 | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $7,009.10 | $10,013.00 | not published | 0 |
| Exc les conjunctiva <1 cm CPT 68110 | $7,574.66 | $10,820.94 | not published | 0 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $3,039.40 | $4,342.00 | not published | 0 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $3,430.00 | $4,900.00 | not published | 0 |
| Exc prtl bn phlnx toe CPT 28124 | $6,665.40 | $9,522.00 | not published | 0 |
| Exc rect tum transanal full CPT 45172 | $26,806.13 | $38,294.47 | not published | 0 |
| Exc rect tum transanal part CPT 45171 | $11,425.79 | $16,322.56 | not published | 0 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $7,004.20 | $10,006.00 | not published | 0 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $7,609.70 | $10,871.00 | not published | 0 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $6,657.00 | $9,510.00 | not published | 0 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $5,107.20 | $7,296.00 | not published | 0 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $7,757.40 | $11,082.00 | not published | 0 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $8,011.50 | $11,445.00 | not published | 0 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $7,861.00 | $11,230.00 | not published | 0 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $9,697.10 | $13,853.00 | not published | 0 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $6,636.00 | $9,480.00 | not published | 0 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $17,942.22 | $25,631.74 | not published | 0 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $7,278.60 | $10,398.00 | not published | 0 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $6,339.90 | $9,057.00 | not published | 0 |
| Exc vagina lesion 57135 CPT 57135 | $19,182.44 | $27,403.49 | not published | 0 |
| Exercise w/hemodynamic meas CPT 93464 | $537.60 | $768.00 | not published | 0 |
| Exome sequence analysis CPT 81415 | $11,041.80 | $15,774.00 | not published | 0 |
| Exome sequence analysis CPT 81416 | $27,720.00 | $39,600.00 | not published | 0 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $16,456.18 | $23,508.83 | not published | 0 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $11,201.89 | $16,002.70 | not published | 0 |
| Exploration carotid artery 35701 CPT 35701 | $1,580.60 | $2,258.00 | not published | 0 |
| Exploration maxillary sinus CPT 31256 | $41,262.50 | $58,946.43 | not published | 0 |
| Explore/biopsy eye socket CPT 67400 | $26,739.90 | $38,199.86 | not published | 0 |
| Explore chest vessels 35820 CPT 35820 | $197,337.83 | $281,911.20 | not published | 0 |
| Explore/irrigate tear ducts CPT 68840 | $32,546.57 | $46,495.10 | 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.