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 |
|---|---|---|---|---|
| Change cystostomy tube simple CPT 51705 | $6,119.79 | $8,742.56 | $3.76 – $3.76 | 1 |
| Change g-tube to g-j perc CPT 49446 | $2,679.60 | $3,828.00 | not published | 0 |
| Change nephroureteral cath CPT 50387 | $7,643.27 | $10,918.96 | not published | 0 |
| Change of ureter tube/stent CPT 50688 | $7,053.73 | $10,076.76 | $17.28 – $17.28 | 1 |
| Change of windpipe airway 31502 CPT 31502 | $2,384.20 | $3,406.00 | not published | 0 |
| Change stent via transureth CPT 50385 | $6,201.30 | $8,859.00 | not published | 0 |
| Change ureter stent percut CPT 50382 | $8,310.71 | $11,872.44 | $7.40 – $7.40 | 1 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,283.10 | $1,833.00 | not published | 0 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $701.40 | $1,002.00 | not published | 0 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $1,084.30 | $1,549.00 | not published | 0 |
| Chemodenervation anal musc CPT 46505 | $15,441.09 | $22,058.70 | not published | 0 |
| Chemodenerv musc migraine 64615 CPT 64615 | $8,106.35 | $11,580.50 | not published | 0 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $12,894.52 | $18,420.74 | not published | 0 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $5,290.74 | $7,558.20 | $715.00 – $715.00 | 1 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $1,827.70 | $2,611.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | $1,710.80 | $2,444.00 | not published | 0 |
| Chemo ia infusion up to 1 hr CPT 96422 | $725.90 | $1,037.00 | not published | 0 |
| Chemo intralesional over 7 CPT 96406 | $301.70 | $431.00 | not published | 0 |
| Chemo intralesional up to 7 96405 CPT 96405 | $347.20 | $496.00 | not published | 0 |
| Chemotherapy injection 96542 CPT 96542 | $917.70 | $1,311.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $966.00 | $1,380.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $900.20 | $1,286.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,416.00 | $4,880.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $3,173.80 | $4,534.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $2,611.00 | $3,730.00 | not published | 0 |
| Chest X-ray CPT 71046 | $674.10 | $963.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $537.60 | $768.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $855.40 | $1,222.00 | not published | 0 |
| Chimerism anal no cell selec CPT 81267 | $847.00 | $1,210.00 | not published | 0 |
| Chimerism anal w/cell select CPT 81268 | $943.60 | $1,348.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $88.90 | $127.00 | not published | 0 |
| Chlamydia trachomatis ag if CPT 87270 | $25.20 | $36.00 | not published | 0 |
| Chlamydia type CPT 87140 | $105.00 | $150.00 | not published | 0 |
| Chloramphenicol sodium injec HCPCS J0720 | $211.22 | $301.75 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $73.50 | $105.00 | not published | 0 |
| Chloroprocaine hcl injection HCPCS J2401 | $109.02 | $155.75 | not published | 0 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $144.02 | $205.75 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $145.07 | $207.25 | not published | 0 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $728.70 | $1,041.00 | not published | 0 |
| Cholangiogram percutaneous compl CPT 47532 | $5,539.80 | $7,914.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $921.20 | $1,316.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,146.80 | $5,924.00 | not published | 0 |
| Cholesterol CPT 82465 | $86.80 | $124.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $1,131.20 | $1,616.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $184.10 | $263.00 | not published | 0 |
| Cholinesterase CPT 82480 | $42.70 | $61.00 | not published | 0 |
| Chorion biopsy CPT 59015 | $1,399.30 | $1,999.00 | not published | 0 |
| Chromatography CPT 83021 | $296.80 | $424.00 | not published | 0 |
| Chromogenic substrate assay CPT 85130 | $480.20 | $686.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $1,273.30 | $1,819.00 | not published | 0 |
| Chromosome analys amniotic CPT 88269 | $1,143.10 | $1,633.00 | not published | 0 |
| Chromosome analysis 100 CPT 88249 | $326.20 | $466.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,643.60 | $2,348.00 | not published | 0 |
| Chromosome analysis 45 CPT 88263 | $315.70 | $451.00 | not published | 0 |
| Chromosome analysis 5 CPT 88261 | $976.50 | $1,395.00 | not published | 0 |
| Chromosome analysis 50-100 CPT 88248 | $1,129.10 | $1,613.00 | not published | 0 |
| Chromosome analys placenta CPT 88267 | $396.20 | $566.00 | not published | 0 |
| Chromosome count additional CPT 88285 | $149.80 | $214.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $188.30 | $269.00 | not published | 0 |
| Chromosome study additional CPT 88289 | $385.70 | $551.00 | not published | 0 |
| Chronic urticaria - sendout CPT 86343 | $336.70 | $481.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $135.10 | $193.00 | not published | 0 |
| Cidofovir injection HCPCS J0740 | $2,549.05 | $3,641.50 | not published | 0 |
| Cilastatin sodium injection HCPCS J0743 | $57.92 | $82.75 | not published | 0 |
| Ciliary transsleral therapy CPT 66710 | $8,484.71 | $12,121.01 | not published | 0 |
| Cine/video x-rays CPT 76120 | $440.30 | $629.00 | not published | 0 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $35.52 | $50.75 | not published | 0 |
| Circum 28 days or older CPT 54161 | $14,156.57 | $20,223.67 | not published | 0 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $4,342.10 | $6,203.00 | not published | 0 |
| Circumcision (newborn) CPT 54150 | $14,600.53 | $20,857.90 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $170.10 | $243.00 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $794.50 | $1,135.00 | not published | 0 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $584.15 | $834.50 | not published | 0 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $51,866.27 | $74,094.67 | not published | 0 |
| Clearance of airways CPT 31720 | $397.60 | $568.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $58.45 | $83.50 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $11,287.82 | $16,125.46 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $574.70 | $821.00 | not published | 0 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $92.05 | $131.50 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $1,054.90 | $1,507.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,339.80 | $1,914.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,823.50 | $2,605.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,451.80 | $2,074.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $560.00 | $800.00 | not published | 0 |
| Closed tx septal&nose fx CPT 21337 | $4,728.50 | $6,755.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $445.20 | $636.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $4,029.20 | $5,756.00 | not published | 0 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $92,056.12 | $131,508.73 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,115.10 | $1,593.00 | not published | 0 |
| Closure of eyelid by suture CPT 67875 | $28,834.51 | $41,192.16 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $41,293.70 | $58,991.00 | not published | 0 |
| Clot factor fletcher fact CPT 85292 | $242.90 | $347.00 | not published | 0 |
| Clot factor viii reltd antgn CPT 85244 | $377.30 | $539.00 | not published | 0 |
| Clot factor wght kininogen CPT 85293 | $262.50 | $375.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $469.70 | $671.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $86.10 | $123.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $284.90 | $407.00 | not published | 0 |
| Clotting assay whole blood CPT 85396 | $161.00 | $230.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $806.40 | $1,152.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $1,036.00 | $1,480.00 | 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.