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 |
|---|---|---|---|---|
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $746.20 | $1,066.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $891.80 | $1,274.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $1,188.60 | $1,698.00 | not published | 0 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,573.60 | $2,248.00 | not published | 0 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $3,391.50 | $4,845.00 | not published | 0 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $192.50 | $275.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $1,310.40 | $1,872.00 | not published | 0 |
| Ghs spont nystagmus CPT 92541 | $196.00 | $280.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $449.40 | $642.00 | not published | 0 |
| Ghs st - eval for alt comm CPT 92567 | $151.20 | $216.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $554.40 | $792.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $447.30 | $639.00 | not published | 0 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $65.80 | $94.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $4,341.40 | $6,202.00 | not published | 0 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,691.90 | $2,417.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,365.30 | $3,379.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $432.60 | $618.00 | not published | 0 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $545.30 | $779.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $344.40 | $492.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $4,699.80 | $6,714.00 | not published | 0 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $3,707.20 | $5,296.00 | not published | 0 |
| Giardia lamblia antibody CPT 86674 | $92.40 | $132.00 | not published | 0 |
| Gi endoscopic ultrasound CPT 76975 | $1,530.90 | $2,187.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $112.70 | $161.00 | not published | 0 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,824.50 | $4,035.00 | not published | 0 |
| Gi trc img intral colon i&r CPT 91113 | $2,056.60 | $2,938.00 | not published | 0 |
| Gi trc img intral esophagus CPT 91111 | $2,041.20 | $2,916.00 | not published | 0 |
| Gi wireless capsule measure CPT 91112 | $2,345.70 | $3,351.00 | not published | 0 |
| Gjb2 gene full sequence CPT 81252 | $174.30 | $249.00 | not published | 0 |
| Gjb2 gene known fam variants CPT 81253 | $129.50 | $185.00 | not published | 0 |
| Gjb6 gene com variants CPT 81254 | $84.70 | $121.00 | not published | 0 |
| Glaucoma surgery CPT 66170 | $27,530.74 | $39,329.63 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $672.35 | $960.50 | not published | 0 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $803.25 | $1,147.50 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $86.80 | $124.00 | not published | 0 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $40.60 | $58.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $44.10 | $63.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $83.30 | $119.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $83.30 | $119.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $190.40 | $272.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $76.30 | $109.00 | not published | 0 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $61.77 | $88.25 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $11,379.37 | $16,256.25 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $226.10 | $323.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $237.30 | $339.00 | not published | 0 |
| Goniotomy CPT 65820 | $22,196.42 | $31,709.17 | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $6,632.85 | $9,475.50 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $805.80 | $1,151.15 | not published | 0 |
| Graft axiofill 1000mg HCPCS J3590 | $12,889.84 | $18,414.06 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $58,237.54 | $83,196.48 | not published | 0 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $88,845.01 | $126,921.45 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $199,485.66 | $284,979.50 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $214,830.70 | $306,901.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $49,896.58 | $71,280.83 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $78,566.66 | $112,238.08 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $2,369.58 | $3,385.12 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $599.90 | $857.00 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $89,995.65 | $128,565.21 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $1,532.30 | $2,189.00 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $100,043.59 | $142,919.40 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $6,194.71 | $8,849.58 | not published | 0 |
| Granisetron hcl injection HCPCS J1626 | $17.15 | $24.50 | not published | 0 |
| Granulocyte pheresis ea unit HCPCS P9050 | $4,925.20 | $7,036.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $1,099.00 | $1,570.00 | not published | 0 |
| Ground mileage HCPCS A0425 | $37.80 | $54.00 | not published | 0 |
| G-tube reposition CPT 43761 | $417.20 | $596.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,087.10 | $1,553.00 | not published | 0 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $4,268.51 | $6,097.87 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $184,140.60 | $263,058.00 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $15,345.05 | $21,921.50 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $26,321.40 | $37,602.00 | $144.65 – $144.65 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $153,450.50 | $219,215.00 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $4.90 | $7.00 | not published | 0 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $41.30 | $59.00 | not published | 0 |
| Hand X-ray CPT 73130 | $547.40 | $782.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $133.00 | $190.00 | not published | 0 |
| Harvest allogeneic stem cell CPT 38205 | $3,938.90 | $5,627.00 | not published | 0 |
| Harvest auto stem cells CPT 38206 | $5,121.20 | $7,316.00 | not published | 0 |
| Hast w/oxygen titrate CPT 94453 | $1,220.10 | $1,743.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,386.00 | $1,980.00 | not published | 0 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $869.40 | $1,242.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $1,580.60 | $2,258.00 | not published | 0 |
| Hbb gene com variants CPT 81361 | $427.00 | $610.00 | not published | 0 |
| Hbb gene dup/del variants CPT 81363 | $713.30 | $1,019.00 | not published | 0 |
| Hbot, full body chamber, 30m HCPCS G0277 | $747.60 | $1,068.00 | not published | 0 |
| Hcg free betachain test CPT 84704 | $43.40 | $62.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $146.30 | $209.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $235.90 | $337.00 | not published | 0 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $666.40 | $952.00 | not published | 0 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $1,990.10 | $2,843.00 | not published | 0 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $5,548.90 | $7,927.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $6,818.00 | $9,740.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $3,756.90 | $5,367.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $2,921.80 | $4,174.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $2,474.50 | $3,535.00 | not published | 0 |
| Heinz bodies direct CPT 85441 | $134.40 | $192.00 | not published | 0 |
| Heinz bodies induced CPT 85445 | $211.40 | $302.00 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $401.80 | $574.00 | not published | 0 |
| Hematocrit CPT 85014 | $57.40 | $82.00 | not published | 0 |
| Hematopoietic nuclear tx CPT 79403 | $2,400.30 | $3,429.00 | 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.