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 |
|---|---|---|---|---|
| Wrist endoscopy/surgery CPT 29848 | $13,021.93 | $18,602.76 | not published | 0 |
| Wrist X-ray CPT 73110 | $492.80 | $704.00 | not published | 0 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $16,875.76 | $24,108.23 | not published | 0 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | $28,379.31 | $40,541.87 | not published | 0 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | $27,679.66 | $39,542.37 | not published | 0 |
| Xe133 xenon 10mci HCPCS A9558 | $414.40 | $592.00 | not published | 0 |
| Xm archive tissue molec anal CPT 88363 | $114.10 | $163.00 | not published | 0 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $4,652.90 | $6,647.00 | not published | 0 |
| X-ray abdomen 1 view CPT 74018 | $396.90 | $567.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $519.40 | $742.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $574.00 | $820.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $620.20 | $886.00 | not published | 0 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $764.40 | $1,092.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $386.40 | $552.00 | not published | 0 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,299.20 | $1,856.00 | not published | 0 |
| X-ray bone age studies CPT 77072 | $462.00 | $660.00 | not published | 0 |
| X-ray bone length studies CPT 77073 | $770.70 | $1,101.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $1,484.00 | $2,120.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $1,250.20 | $1,786.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $665.70 | $951.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $943.60 | $1,348.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $985.60 | $1,408.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $547.40 | $782.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,225.70 | $1,751.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,260.00 | $1,800.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $367.50 | $525.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $577.50 | $825.00 | not published | 0 |
| Xray endovasc thor ao repr CPT 75957 | $3,993.50 | $5,705.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $828.10 | $1,183.00 | not published | 0 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $823.20 | $1,176.00 | not published | 0 |
| X-ray exam entire spi 6/> vw CPT 72084 | $2,067.10 | $2,953.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $451.50 | $645.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $828.10 | $1,183.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $426.30 | $609.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $266.70 | $381.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $379.40 | $542.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $897.40 | $1,282.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $566.30 | $809.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $458.50 | $655.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $324.10 | $463.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $515.90 | $737.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $521.50 | $745.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $468.30 | $669.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $1,071.00 | $1,530.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $896.00 | $1,280.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $940.80 | $1,344.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $987.70 | $1,411.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $497.00 | $710.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $619.50 | $885.00 | not published | 0 |
| X-ray joint survey 1 view CPT 77077 | $485.10 | $693.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $556.50 | $795.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $598.50 | $855.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $481.60 | $688.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $478.80 | $684.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $637.00 | $910.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $909.30 | $1,299.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,169.00 | $1,670.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $719.60 | $1,028.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $524.30 | $749.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $716.10 | $1,023.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $378.00 | $540.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $406.00 | $580.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $576.10 | $823.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $687.40 | $982.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,158.50 | $1,655.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $659.40 | $942.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $787.50 | $1,125.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $782.60 | $1,118.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $988.40 | $1,412.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $690.90 | $987.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $744.10 | $1,063.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $500.50 | $715.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $415.10 | $593.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $840.70 | $1,201.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,332.10 | $1,903.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $484.40 | $692.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $812.00 | $1,160.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $790.30 | $1,129.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $781.90 | $1,117.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $450.10 | $643.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $706.30 | $1,009.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $538.30 | $769.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $790.30 | $1,129.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $666.40 | $952.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $803.60 | $1,148.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $697.90 | $997.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $778.40 | $1,112.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $649.60 | $928.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $613.20 | $876.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $746.90 | $1,067.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $536.90 | $767.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $436.10 | $623.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,048.60 | $1,498.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $822.50 | $1,175.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $399.70 | $571.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $125.30 | $179.00 | not published | 0 |
| Yersinia antibody CPT 86793 | $144.20 | $206.00 | not published | 0 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $65,419.20 | $93,456.00 | not published | 0 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $163.27 | $233.25 | not published | 0 |
| Zika virus igm antibody CPT 86794 | $462.70 | $661.00 | 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.