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 |
|---|---|---|---|---|
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,844.50 | $2,635.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,696.30 | $6,709.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,101.30 | $5,859.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,809.40 | $5,442.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $7,846.78 | $11,209.69 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $11,659.27 | $16,656.10 | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | $13,608.84 | $19,441.20 | not published | 0 |
| Urea nitrogen CPT 84520 | $84.00 | $120.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $205.10 | $293.00 | not published | 0 |
| Urea nitrogen clearance CPT 84545 | $86.80 | $124.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $839.30 | $1,199.00 | not published | 0 |
| Urethrlys transvag with scope CPT 53500 | $15,475.00 | $22,107.14 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $897.40 | $1,282.00 | not published | 0 |
| Uric acid blood CPT 84550 | $79.10 | $113.00 | not published | 0 |
| Uric acid urine CPT 84560 | $125.30 | $179.00 | not published | 0 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $30.10 | $43.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $102.20 | $146.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $102.20 | $146.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $177.10 | $253.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $125.30 | $179.00 | not published | 0 |
| Urography, antegrade CPT 74425 | $1,262.80 | $1,804.00 | not published | 0 |
| Use 1st target lesion CPT 76982 | $482.30 | $689.00 | not published | 0 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $12,365.15 | $17,664.50 | not published | 0 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $83,005.30 | $118,579.00 | not published | 0 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $69.30 | $99.00 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $137.90 | $197.00 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $92.40 | $132.00 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $159.77 | $228.25 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $62.12 | $88.75 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $394.97 | $564.25 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $709.97 | $1,014.25 | not published | 0 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $387.27 | $553.25 | not published | 0 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $440.30 | $629.00 | not published | 0 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $158.55 | $226.50 | not published | 0 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,347.15 | $1,924.50 | not published | 0 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $347.20 | $496.00 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $302.40 | $432.00 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $81.20 | $116.00 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $33.60 | $48.00 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $329.00 | $470.00 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $247.80 | $354.00 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $505.22 | $721.75 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $164.50 | $235.00 | not published | 0 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $275.80 | $394.00 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,255.97 | $1,794.25 | not published | 0 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $242.37 | $346.25 | not published | 0 |
| Vaccine rabies im CPT 90675 | $2,233.00 | $3,190.00 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $2,586.50 | $3,695.00 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $2,586.50 | $3,695.00 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $262.32 | $374.75 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $229.25 | $327.50 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $63,151.35 | $90,216.21 | not published | 0 |
| Vag hyst incl t/o complex CPT 58291 | $90,643.58 | $129,490.83 | not published | 0 |
| Vag hyst including t/o CPT 58262 | $60,877.16 | $86,967.37 | not published | 0 |
| Vaginal bx CPT 58999 | $22,427.17 | $32,038.81 | not published | 0 |
| Vaginal hysterectomy CPT 58260 | $56,155.70 | $80,222.43 | not published | 0 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $10.67 | $15.25 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $241.50 | $345.00 | not published | 0 |
| Valrubicin injection HCPCS J9357 | $10,918.95 | $15,598.50 | not published | 0 |
| Valvuloplasty aortic CPT 92986 | $9,383.50 | $13,405.00 | not published | 0 |
| Valvuloplasty mitral CPT 92987 | $9,664.90 | $13,807.00 | not published | 0 |
| Valvuloplasty pulmonary CPT 92990 | $6,469.40 | $9,242.00 | not published | 0 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | $21,092.40 | $30,132.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $481.07 | $687.25 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $198.80 | $284.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $249.20 | $356.00 | not published | 0 |
| Varicella-zoster immue globin im CPT 90396 | $66,119.72 | $94,456.75 | not published | 0 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $31,976.00 | $45,680.00 | not published | 0 |
| Vasectomy CPT 55250 | $9,024.90 | $12,892.71 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $367.67 | $525.25 | not published | 0 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $54,628.17 | $78,040.25 | not published | 0 |
| Veeg cont 2-12 hrs CPT 95713 | $4,044.60 | $5,778.00 | not published | 0 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,044.60 | $5,778.00 | not published | 0 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $3,707.20 | $5,296.00 | not published | 0 |
| Vein x-ray eye socket CPT 75880 | $1,353.10 | $1,933.00 | not published | 0 |
| Vein x-ray kidney CPT 75831 | $3,749.20 | $5,356.00 | not published | 0 |
| Vein x-ray liver CPT 75891 | $3,462.20 | $4,946.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,871.00 | $5,530.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,899.00 | $5,570.00 | not published | 0 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,452.80 | $3,504.00 | not published | 0 |
| Vein x-ray skull CPT 75870 | $1,862.00 | $2,660.00 | not published | 0 |
| Vein x-ray spleen/liver CPT 75810 | $1,512.70 | $2,161.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $2,069.20 | $2,956.00 | $12.34 – $12.34 | 1 |
| Venogram ext bil s&i CPT 75822 | $2,265.20 | $3,236.00 | not published | 0 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,736.00 | $2,480.00 | not published | 0 |
| Venous mech thrombectomy CPT 37187 | $95,468.67 | $136,383.81 | not published | 0 |
| Venous m-thrombectomy add-on CPT 37188 | $6,379.10 | $9,113.00 | not published | 0 |
| Venous sampling s&i CPT 75893 | $2,668.40 | $3,812.00 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $942.20 | $1,346.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $1,099.00 | $1,570.00 | not published | 0 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $1,391.60 | $1,988.00 | not published | 0 |
| Version cephalic external CPT 59412 | $7,617.75 | $10,882.50 | not published | 0 |
| Very long chain fatty acids CPT 82726 | $1,241.80 | $1,774.00 | not published | 0 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $280.00 | $400.00 | not published | 0 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $162.75 | $232.50 | not published | 0 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $262.67 | $375.25 | not published | 0 |
| Virus isolation addl studies ea CPT 87253 | $413.70 | $591.00 | not published | 0 |
| Visc & infraren abd 2 prosth CPT 34846 | $15,680.70 | $22,401.00 | not published | 0 |
| Visc & infraren abd 3 prosth CPT 34847 | $17,873.10 | $25,533.00 | not published | 0 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $201.60 | $288.00 | 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.