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 |
|---|---|---|---|---|
| Mayo tau phosphorylated 217 each CPT 84393 | $392.00 | $560.00 | not published | 0 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $599.90 | $857.00 | not published | 0 |
| Mayo tgrp testosterone free CPT 84402 | $227.50 | $325.00 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $256.90 | $367.00 | not published | 0 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $235.90 | $337.00 | not published | 0 |
| Mayo thyroglobulin CPT 84432 | $438.90 | $627.00 | not published | 0 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $332.50 | $475.00 | not published | 0 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $147.00 | $210.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $209.30 | $299.00 | not published | 0 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $73.50 | $105.00 | not published | 0 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $89.60 | $128.00 | not published | 0 |
| Mayo vasoactive intestinal peptide CPT 84586 | $144.90 | $207.00 | not published | 0 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $225.40 | $322.00 | not published | 0 |
| Mayo vitamin b3 (niacin) CPT 84591 | $820.40 | $1,172.00 | not published | 0 |
| Mayo vitamin k CPT 84597 | $380.10 | $543.00 | not published | 0 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $321.30 | $459.00 | not published | 0 |
| Mcoln1 gene CPT 81290 | $539.00 | $770.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $44,797.38 | $63,996.26 | not published | 0 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $294.00 | $420.00 | not published | 0 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.70 | $1.00 | not published | 0 |
| Melphalan oral 2 mg HCPCS J8600 | $62.12 | $88.75 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $2,219.00 | $3,170.00 | not published | 0 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $10,403.95 | $14,862.78 | not published | 0 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $32,531.51 | $46,473.58 | not published | 0 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $37.80 | $54.00 | not published | 0 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $22,397.20 | $31,996.00 | not published | 0 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $148.57 | $212.25 | not published | 0 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $286.09 | $408.70 | not published | 0 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $68,481.98 | $97,831.40 | not published | 0 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $58,850.05 | $84,071.50 | not published | 0 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $43.05 | $61.50 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $219.80 | $314.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $306.60 | $438.00 | not published | 0 |
| Metabolic panel ionized ca CPT 80047 | $288.40 | $412.00 | not published | 0 |
| Metatarsal joint implant HCPCS L8641 | $21,618.11 | $30,883.01 | not published | 0 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $4,480.52 | $6,400.75 | not published | 0 |
| Methadone injection HCPCS J1230 | $14.35 | $20.50 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $26.07 | $37.25 | not published | 0 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $7.52 | $10.75 | not published | 0 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $340.55 | $486.50 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $256.90 | $367.00 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $637.00 | $910.00 | not published | 0 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $120.92 | $172.75 | not published | 0 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $991.90 | $1,417.00 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $5.95 | $8.50 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $106.75 | $152.50 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $483.87 | $691.25 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $5.07 | $7.25 | not published | 0 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $3.85 | $5.50 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $18.90 | $27.00 | not published | 0 |
| Mgmt promoter methylation analysis CPT 81287 | $680.40 | $972.00 | not published | 0 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $129.85 | $185.50 | not published | 0 |
| Microbe susceptible mlc CPT 87187 | $678.30 | $969.00 | not published | 0 |
| Microdissection laser CPT 88380 | $24,041.94 | $34,345.63 | not published | 0 |
| Microdissection manual CPT 88381 | $27,552.17 | $39,360.24 | not published | 0 |
| Microsatellite instability CPT 81301 | $768.60 | $1,098.00 | not published | 0 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $60,617.23 | $86,596.04 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $158.90 | $227.00 | not published | 0 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $129.85 | $185.50 | not published | 0 |
| Middle cerebral artery echo CPT 76821 | $1,052.10 | $1,503.00 | not published | 0 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $82.77 | $118.25 | not published | 0 |
| Mitochondrial gene CPT 81440 | $7,678.30 | $10,969.00 | not published | 0 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $6,860.87 | $9,801.25 | not published | 0 |
| Mitomycin instillation HCPCS J9281 | $144,847.50 | $206,925.00 | not published | 0 |
| Mlh1 gene CPT 81288 | $1,024.10 | $1,463.00 | not published | 0 |
| Mlh1 gene dup/delete variant CPT 81294 | $490.70 | $701.00 | not published | 0 |
| Mlh1 gene full seq CPT 81292 | $1,638.00 | $2,340.00 | not published | 0 |
| Mnl appl strs jt radiography CPT 77071 | $367.50 | $525.00 | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $1,281.00 | $1,830.00 | not published | 0 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $35,102.02 | $50,145.75 | not published | 0 |
| Mopath procedure level 1 CPT 81400 | $1,718.50 | $2,455.00 | not published | 0 |
| Mopath procedure level 3 CPT 81402 | $2,391.20 | $3,416.00 | not published | 0 |
| Mopath procedure level 5 CPT 81404 | $3,234.00 | $4,620.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $3,266.20 | $4,666.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $4,318.30 | $6,169.00 | not published | 0 |
| Mopath procedure level 8 CPT 81407 | $1,955.10 | $2,793.00 | not published | 0 |
| Mopath procedure level 9 CPT 81408 | $4,620.00 | $6,600.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $1,739.50 | $2,485.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $12.77 | $18.25 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $1,786.92 | $2,552.75 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $460.60 | $658.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $52,804.85 | $75,435.50 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $17,879.05 | $25,541.50 | $152.32 – $166.40 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $109,302.02 | $156,145.75 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $364.70 | $521.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $21,223.30 | $30,319.00 | $152.32 – $716.00 | 2 |
| M/phmtrc alysishquant/semiq CPT 88369 | $396.20 | $566.00 | not published | 0 |
| Mpl gene analysis common variants CPT 81338 | $135.10 | $193.00 | not published | 0 |
| MRA abdomen post contrast CPT 74185 | $3,472.70 | $4,961.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,724.00 | $5,320.00 | not published | 0 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $4,027.10 | $5,753.00 | not published | 0 |
| MRA pelvis CPT 72198 | $3,775.80 | $5,394.00 | not published | 0 |
| MRA spinal canal CPT 72159 | $1,988.00 | $2,840.00 | not published | 0 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,196.90 | $4,567.00 | not published | 0 |
| Mr elastography CPT 76391 | $493.50 | $705.00 | not published | 0 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $80,831.10 | $115,473.00 | not published | 0 |
| MRI brain w/dye CPT 70558 | $5,653.90 | $8,077.00 | not published | 0 |
| MRI brain without dye CPT 70557 | $5,490.80 | $7,844.00 | not published | 0 |
| MRI brain without & w/dye CPT 70559 | $6,161.40 | $8,802.00 | not published | 0 |
| MRI breast c- unilateral CPT 77046 | $3,670.10 | $5,243.00 | 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.