Northwestern Medicine Palos Hospital
12251 S. 80th Ave., Palos Heights, IL · Nm · · NPI 1043600026
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $154.70 | $221.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $161.00 | $230.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $67.20 | $96.00 | not published | 0 |
| 24 hr ambulatory b/p monitor CPT 93786 | $422.80 | $604.00 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,848.70 | $2,641.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,997.10 | $2,853.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $48,896.48 | $69,852.11 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $5,763.10 | $8,233.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $865.20 | $1,236.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $81.20 | $116.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $48,557.81 | $69,368.30 | not published | 0 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | $48,681.57 | $69,545.10 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $6,239.97 | $8,914.25 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $53.90 | $77.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $4,862.90 | $6,947.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $40,206.45 | $57,437.79 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $34,878.68 | $49,826.69 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $32,461.17 | $46,373.10 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $52,603.51 | $75,147.87 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,658.90 | $5,227.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,201.10 | $4,573.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,576.00 | $3,680.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,385.50 | $6,265.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $3,770.20 | $5,386.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $3,700.20 | $5,286.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $3,564.04 | $5,091.49 | $350.32 – $350.32 | 1 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,772.40 | $2,532.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,604.40 | $2,292.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,822.10 | $2,603.00 | not published | 0 |
| Abl1 gene CPT 81170 | $803.60 | $1,148.00 | not published | 0 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $3,192.00 | $4,560.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $17,618.30 | $25,169.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $9,958.20 | $14,226.00 | not published | 0 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $21,600.92 | $30,858.46 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $4,677.40 | $6,682.00 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $37,655.10 | $53,793.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $10,561.60 | $15,088.00 | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $12,087.60 | $17,268.00 | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $33,525.02 | $47,892.89 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $26,448.96 | $37,784.23 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $52,955.99 | $75,651.41 | not published | 0 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $3,546.90 | $5,067.00 | not published | 0 |
| Abltj mal prst8 tiss hifu CPT 55880 | $42,347.72 | $60,496.74 | not published | 0 |
| Abortion (mpr) CPT 59866 | $606.90 | $867.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,114.39 | $7,306.27 | $24.24 – $24.24 | 1 |
| Access thoracic lymph duct CPT 38794 | $346.50 | $495.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $16.27 | $23.25 | not published | 0 |
| Acetaminophen level CPT 80143 | $207.20 | $296.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $152.95 | $218.50 | not published | 0 |
| Acetone qualitative CPT 82009 | $82.60 | $118.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $358.40 | $512.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $203.52 | $290.75 | not published | 0 |
| Acoustic immitance testing CPT 92570 | $305.90 | $437.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $338.10 | $483.00 | not published | 0 |
| Acyclovir 400 mg tablet HCPCS J8499 | $91.00 | $130.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $81.37 | $116.25 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $112.70 | $161.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,283.37 | $1,833.38 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $749.35 | $1,070.50 | not published | 0 |
| Adenovirus ag ia CPT 87301 | $78.40 | $112.00 | not published | 0 |
| Adenovirus antibody,serum - quest CPT 86603 | $140.00 | $200.00 | not published | 0 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $123,766.17 | $176,808.81 | not published | 0 |
| Adh-sendout CPT 84588 | $324.80 | $464.00 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $22,791.30 | $32,559.00 | not published | 0 |
| Adjustment gastric band HCPCS S2083 | $498.40 | $712.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $197.05 | $281.50 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $218.40 | $312.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $355.60 | $508.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,088.50 | $1,555.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $46.20 | $66.00 | not published | 0 |
| Administration immunization each additional component CPT 90461 | $46.90 | $67.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $46.20 | $66.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $40.60 | $58.00 | not published | 0 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $75.60 | $108.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $50.40 | $72.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $42.70 | $61.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $42.70 | $61.00 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $65.80 | $94.00 | not published | 0 |
| Adrenal cortex & medulla img CPT 78075 | $3,778.60 | $5,398.00 | not published | 0 |
| Aep neurodiagnostic i&r CPT 92653 | $541.10 | $773.00 | not published | 0 |
| Aep thrshld est mlt freq i&r CPT 92652 | $888.30 | $1,269.00 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $162.40 | $232.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $22.40 | $32.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $331.10 | $473.00 | not published | 0 |
| Ag detect nos ia single CPT 87450 | $74.90 | $107.00 | not published | 0 |
| Air conduction bilat CPT 92552 | $44.80 | $64.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $63.70 | $91.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $336.35 | $480.50 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $279.65 | $399.50 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $78.40 | $112.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $61.60 | $88.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $182.70 | $261.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $96.60 | $138.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $137.20 | $196.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $395.50 | $565.00 | not published | 0 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $29.40 | $42.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $54.60 | $78.00 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $4,711.45 | $6,730.64 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $14,747.70 | $21,068.15 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $7,882.30 | $11,260.43 | 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.