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 |
|---|---|---|---|---|
| Sugars single quant CPT 84378 | $202.30 | $289.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $101,178.00 | $144,540.00 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $36.22 | $51.75 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $300.30 | $429.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $18.72 | $26.75 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $111.28 | $158.97 | not published | 0 |
| Surg dx exam anorectal CPT 45990 | $9,119.76 | $13,028.23 | not published | 0 |
| Surgical opening of stomach 43500 CPT 43500 | $33,268.85 | $47,526.93 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $24,036.60 | $34,338.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $23,998.67 | $34,283.81 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $22,033.44 | $31,476.34 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $8,089.20 | $11,556.00 | $75.28 – $75.28 | 1 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $28,789.28 | $41,127.54 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $71,565.94 | $102,237.06 | not published | 0 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $9,232.77 | $13,189.67 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $206.50 | $295.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $86.80 | $124.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $744.10 | $1,063.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $206.50 | $295.00 | not published | 0 |
| Suspension of uterus 58400 CPT 58400 | $33,647.64 | $48,068.06 | not published | 0 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $104,358.63 | $149,083.77 | not published | 0 |
| Svc venogram s&i CPT 75827 | $2,644.60 | $3,778.00 | not published | 0 |
| Synvisc or synvisc-one HCPCS J7325 | $441.52 | $630.75 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $47.60 | $68.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $119,691.39 | $170,987.70 | not published | 0 |
| System pacing micra av HCPCS C1786 | $84,313.69 | $120,448.13 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $75,190.74 | $107,415.35 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $2,168.07 | $3,097.24 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $271.60 | $388.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $192.50 | $275.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $121.10 | $173.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $122.50 | $175.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $35.17 | $50.25 | not published | 0 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,031.27 | $1,473.25 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $340.20 | $486.00 | not published | 0 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $67,428.02 | $96,325.75 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,246.30 | $3,209.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,585.20 | $10,836.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $2,171.40 | $3,102.00 | not published | 0 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $87,545.85 | $125,065.50 | not published | 0 |
| Tas congenital car anomal CPT 33741 | $11,511.50 | $16,445.00 | not published | 0 |
| Tavr perq femoral CPT 33361 | $46,241.30 | $66,059.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $670.60 | $958.00 | not published | 0 |
| Tbp gene detc abnor alleles CPT 81344 | $316.40 | $452.00 | not published | 0 |
| Tbs techl calculation only CPT 77091 | $196.00 | $280.00 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $227.50 | $325.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $772.10 | $1,103.00 | not published | 0 |
| Tc-99m bicisate HCPCS A9557 | $5,133.10 | $7,333.00 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $4,007.50 | $5,725.00 | not published | 0 |
| Tc-99m exametazime diag HCPCS A9521 | $4,383.40 | $6,262.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $581.00 | $830.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $1,454.60 | $2,078.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $275.10 | $393.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $220.50 | $315.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $2,244.20 | $3,206.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $9.10 | $13.00 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $256.20 | $366.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $1,134.70 | $1,621.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $4.20 | $6.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $333.90 | $477.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $581.00 | $830.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,318.10 | $1,883.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $1,098.30 | $1,569.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $339.50 | $485.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $985.60 | $1,408.00 | not published | 0 |
| Tcd emboli detect w/inj CPT 93893 | $1,429.40 | $2,042.00 | not published | 0 |
| Tcd emboli detect without inj CPT 93892 | $835.10 | $1,193.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $214.20 | $306.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $113.40 | $162.00 | not published | 0 |
| T cells total count CPT 86359 | $497.00 | $710.00 | not published | 0 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $8,627.50 | $12,325.00 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $65.80 | $94.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $36,183.70 | $51,691.00 | $283.80 – $283.80 | 1 |
| Temozolomide HCPCS J8700 | $1,988.87 | $2,841.25 | not published | 0 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $5,425.00 | $7,750.00 | not published | 0 |
| Temperature gradient studies CPT 93740 | $614.60 | $878.00 | not published | 0 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $11,391.45 | $16,273.50 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $44,885.92 | $64,122.75 | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $3,664.50 | $5,235.00 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $7.35 | $10.50 | not published | 0 |
| Tert gene targeted seq alys CPT 81345 | $428.40 | $612.00 | not published | 0 |
| Test for chlorohydrocarbons CPT 82441 | $136.50 | $195.00 | not published | 0 |
| Test for urine cystines CPT 82615 | $25.20 | $36.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $1,036.70 | $1,481.00 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $1,234.80 | $1,764.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $3,118.67 | $4,455.25 | not published | 0 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $6,744.50 | $9,635.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $118.30 | $169.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $86.80 | $124.00 | not published | 0 |
| Ther fx nasal inf turbinate CPT 30930 | $53,548.10 | $76,497.29 | not published | 0 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $519.40 | $742.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $11.55 | $16.50 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,859.74 | $5,513.91 | not published | 0 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $11,188.10 | $15,983.00 | not published | 0 |
| Thoracoscopy lymph node exc CPT 32674 | $116,166.62 | $165,952.31 | not published | 0 |
| Thoracoscopy w/bx med space CPT 32606 | $46,781.97 | $66,831.39 | not published | 0 |
| Thoracoscopy w/lobectomy CPT 32663 | $116,166.62 | $165,952.31 | not published | 0 |
| Thoracoscopy w/mediast exc CPT 32662 | $50,142.37 | $71,631.96 | not published | 0 |
| Thoracoscopy w/wedge resect CPT 32666 | $116,166.62 | $165,952.31 | not published | 0 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | $116,166.62 | $165,952.31 | 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.