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 |
|---|---|---|---|---|
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,400.30 | $3,429.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $396.20 | $566.00 | not published | 0 |
| Liver elastography 91200 CPT 91200 | $242.20 | $346.00 | not published | 0 |
| Liver Function Test CPT 80076 | $276.50 | $395.00 | not published | 0 |
| Liver imaging CPT 78201 | $1,508.50 | $2,155.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $2,182.60 | $3,118.00 | not published | 0 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,261.40 | $1,802.00 | not published | 0 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $101.51 | $145.02 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $2.62 | $3.75 | not published | 0 |
| Low back disk surgery CPT 63030 | $53,118.92 | $75,884.17 | not published | 0 |
| Low cost skin substitute app HCPCS C5271 | $1,207.50 | $1,725.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5275 | $2,969.40 | $4,242.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5272 | $1,210.30 | $1,729.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5276 | $3,444.00 | $4,920.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,717.00 | $5,310.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,506.30 | $5,009.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $3,083.50 | $4,405.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,706.80 | $6,724.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,172.70 | $5,961.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,837.40 | $5,482.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $651.70 | $931.00 | not published | 0 |
| Low frequency non-thermal Ultrasound CPT 97610 | $419.30 | $599.00 | not published | 0 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $95,189.07 | $135,984.39 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $672.70 | $961.00 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $2,509.50 | $3,585.00 | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $508.20 | $726.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $469.00 | $670.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,514.80 | $2,164.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $48,150.20 | $68,786.00 | not published | 0 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $72,090.20 | $102,986.00 | not published | 0 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $923.30 | $1,319.00 | not published | 0 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $526.40 | $752.00 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $2,416.40 | $3,452.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $704.90 | $1,007.00 | not published | 0 |
| Lymph vessel x-ray arm/leg CPT 75801 | $1,558.20 | $2,226.00 | not published | 0 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,635.90 | $2,337.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75805 | $898.10 | $1,283.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75807 | $2,283.40 | $3,262.00 | not published | 0 |
| Lysis intranasal synechia 30560 CPT 30560 | $50,143.09 | $71,632.99 | not published | 0 |
| Lysis of labial adhesions CPT 56441 | $16,021.80 | $22,888.29 | not published | 0 |
| Lysis penil circumic lesion CPT 54162 | $14,835.09 | $21,192.99 | not published | 0 |
| Macro exam dissect molec study ea CPT 88387 | $20,944.52 | $29,920.74 | $7.96 – $17.15 | 2 |
| Macroscopic exam arthropod CPT 87168 | $54.60 | $78.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $152.60 | $218.00 | not published | 0 |
| Magnesium CPT 83735 | $81.20 | $116.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $210.00 | $300.00 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $148.40 | $212.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $171.50 | $245.00 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | $53,144.01 | $75,920.01 | not published | 0 |
| Map tachycard site(s) CPT 93609 | $8,255.80 | $11,794.00 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $7,457.69 | $10,653.85 | not published | 0 |
| Mastoids complete CPT 70130 | $531.30 | $759.00 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $26,172.52 | $37,389.31 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | $235.90 | $337.00 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $89.60 | $128.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $331.80 | $474.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $131.60 | $188.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $667.10 | $953.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $338.80 | $484.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $306.60 | $438.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $81.90 | $117.00 | not published | 0 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $207.20 | $296.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $175.00 | $250.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $105.70 | $151.00 | not published | 0 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $39.20 | $56.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $45.50 | $65.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $605.50 | $865.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $476.00 | $680.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $893.90 | $1,277.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $4,201.40 | $6,002.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $330.40 | $472.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $144.90 | $207.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $167.30 | $239.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $171.50 | $245.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $869.40 | $1,242.00 | not published | 0 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $99.40 | $142.00 | not published | 0 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $40.60 | $58.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $175.70 | $251.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $2,981.30 | $4,259.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $314.30 | $449.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $173.60 | $248.00 | not published | 0 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $252.70 | $361.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $186.90 | $267.00 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $60.20 | $86.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $188.30 | $269.00 | not published | 0 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $238.00 | $340.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $411.60 | $588.00 | not published | 0 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $194.60 | $278.00 | not published | 0 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $326.20 | $466.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $263.90 | $377.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $992.60 | $1,418.00 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $307.30 | $439.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $154.70 | $221.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $162.40 | $232.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $666.40 | $952.00 | not published | 0 |
| Mayo chromium CPT 82495 | $655.20 | $936.00 | not published | 0 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $207.20 | $296.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $61.60 | $88.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $1,499.40 | $2,142.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $426.30 | $609.00 | 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.