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 |
|---|---|---|---|---|
| Allergen specific ige qual multi scrn ea CPT 86005 | $29.40 | $42.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $54.60 | $78.00 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $31,673.54 | $45,247.91 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $36,763.36 | $52,519.09 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $16,124.58 | $23,035.11 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $80,694.10 | $115,277.28 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $27,978.92 | $39,969.89 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $25,841.07 | $36,915.81 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $21,670.14 | $30,957.34 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $8,880.68 | $12,686.69 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $2,598.40 | $3,712.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $352.80 | $504.00 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $144.90 | $207.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $253.40 | $362.00 | not published | 0 |
| Als1-emergency HCPCS A0427 | $2,253.30 | $3,219.00 | not published | 0 |
| Als 2 HCPCS A0433 | $2,981.30 | $4,259.00 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $52,993.50 | $75,705.00 | not published | 0 |
| Alt/sgpt CPT 84460 | $119.00 | $170.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $74.20 | $106.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $211.40 | $302.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $328.30 | $469.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $126.00 | $180.00 | not published | 0 |
| Amino acids quant 2-5 CPT 82136 | $236.60 | $338.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $24.32 | $34.75 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $267.40 | $382.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $102.02 | $145.75 | not published | 0 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $249.20 | $356.00 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $49.00 | $70.00 | not published | 0 |
| Amitriptyline (elavil) -sendout CPT 80335 | $67.90 | $97.00 | not published | 0 |
| Ammonia CPT 82140 | $225.40 | $322.00 | not published | 0 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $2,072.70 | $2,961.00 | not published | 0 |
| Amniocentesis therapeutic CPT 59001 | $607.60 | $868.00 | not published | 0 |
| Amniotic fluid scan CPT 82143 | $231.70 | $331.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $2,036.30 | $2,909.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $207.20 | $296.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $205.27 | $293.25 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $575.75 | $822.50 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $122.32 | $174.75 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $29.05 | $41.50 | not published | 0 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $299.60 | $428.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $7,468.30 | $10,669.00 | not published | 0 |
| Amylase CPT 82150 | $133.00 | $190.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $108.50 | $155.00 | not published | 0 |
| Anal pressure record CPT 91122 | $1,868.30 | $2,669.00 | not published | 0 |
| Anal/urinary muscle study CPT 51785 | $617.40 | $882.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $594.30 | $849.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $662.90 | $947.00 | not published | 0 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $494.90 | $707.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $81.20 | $116.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $800.80 | $1,144.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $3,637.37 | $5,196.24 | $7.40 – $7.40 | 1 |
| Androstanediol CPT 82154 | $196.70 | $281.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $899.50 | $1,285.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $24,995.99 | $35,708.56 | $8.61 – $8.61 | 1 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $73,347.44 | $104,782.06 | not published | 0 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $8,672.30 | $12,389.00 | not published | 0 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $58,696.80 | $83,852.57 | not published | 0 |
| Angiotensin ii CPT 82163 | $43.40 | $62.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $2,217.95 | $3,168.50 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $55,258.45 | $78,940.64 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $3,962.70 | $5,661.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $36,733.20 | $52,476.00 | not published | 0 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $2,939.30 | $4,199.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $47,730.07 | $68,185.81 | $10.56 – $10.56 | 1 |
| Ankle arthroscopy/surgery CPT 29897 | $46,194.13 | $65,991.61 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29898 | $28,602.63 | $40,860.90 | not published | 0 |
| Ankle X-ray CPT 73610 | $541.80 | $774.00 | not published | 0 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $1,063.30 | $1,519.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | $25.20 | $36.00 | not published | 0 |
| Anora (draw only) CPT 99001 | $18.20 | $26.00 | not published | 0 |
| Anoscopy ablation lesion 46615 CPT 46615 | $10,135.46 | $14,479.23 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $15,152.84 | $21,646.91 | not published | 0 |
| Anoscopy and dilation 46604 CPT 46604 | $3,705.80 | $5,294.00 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $340.20 | $486.00 | not published | 0 |
| Anoscopy remove lesion 46610 CPT 46610 | $8,036.34 | $11,480.49 | not published | 0 |
| Ans parasymp & symp w/tilt CPT 95924 | $205.10 | $293.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $28,492.16 | $40,703.09 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $148.40 | $212.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $207.90 | $297.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $373.80 | $534.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $121.80 | $174.00 | not published | 0 |
| Antibody htlv-ii CPT 86688 | $177.10 | $253.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $882.70 | $1,261.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $298.90 | $427.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $72.80 | $104.00 | not published | 0 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $85.40 | $122.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $149.10 | $213.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $238.70 | $341.00 | not published | 0 |
| Antidepressant not specified CPT 80338 | $207.20 | $296.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $7,733.07 | $11,047.25 | not published | 0 |
| Anti-inhibitor HCPCS J7198 | $30,155.65 | $43,079.50 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $1,229.90 | $1,757.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $694.40 | $992.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $68.60 | $98.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $165.90 | $237.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $247.80 | $354.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $100.10 | $143.00 | not published | 0 |
| Antipsychotics nos 1-3 CPT 80342 | $207.20 | $296.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $196.70 | $281.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $247.10 | $353.00 | 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.