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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52300 | $24,089.21 | $34,413.16 | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $15,985.25 | $22,836.07 | not published | 0 |
| Cystoscopy and treatment CPT 52320 | $21,281.69 | $30,402.41 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $11,545.57 | $16,493.67 | not published | 0 |
| Cystoscopy chemodenervation CPT 52287 | $14,890.98 | $21,272.83 | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | $60,134.54 | $85,906.49 | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | $15,939.17 | $22,770.24 | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | $20,053.73 | $28,648.19 | not published | 0 |
| Cysto/uretero stricture tx CPT 52344 | $20,718.45 | $29,597.79 | not published | 0 |
| Cystouretero w/biopsy CPT 52354 | $29,996.94 | $42,852.77 | not published | 0 |
| Cysto/uretero w/lithotripsy CPT 52356 | $28,741.29 | $41,058.99 | not published | 0 |
| Cystouretero w/lithotripsy CPT 52353 | $25,609.04 | $36,584.34 | not published | 0 |
| Cystouretero w/stone remove CPT 52352 | $23,484.01 | $33,548.59 | not published | 0 |
| Cysto/uretero w/up stricture CPT 52345 | $29,714.50 | $42,449.29 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $20,532.82 | $29,332.60 | not published | 0 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $22,332.45 | $31,903.50 | not published | 0 |
| Cysto w/ureter stricture tx CPT 52341 | $19,695.65 | $28,136.64 | not published | 0 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $72.27 | $103.25 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $230.30 | $329.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $6,578.60 | $9,398.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $125.30 | $179.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $105.00 | $150.00 | not published | 0 |
| Cyto/molecular report CPT 88291 | $121.10 | $173.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $254.10 | $363.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $83.30 | $119.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $407.40 | $582.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $91.00 | $130.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $311.50 | $445.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $484.40 | $692.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $112.00 | $160.00 | not published | 0 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $45.15 | $64.50 | not published | 0 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $11,175.15 | $15,964.50 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,461.52 | $9,230.75 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,704.85 | $2,435.50 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $435.92 | $622.75 | not published | 0 |
| D&c after delivery 59160 CPT 59160 | $5,761.00 | $8,230.00 | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $18,850.38 | $26,929.11 | not published | 0 |
| Dch glucoscan CPT 82948 | $37.80 | $54.00 | not published | 0 |
| Dch pulmonary stress test CPT 94621 | $3,059.00 | $4,370.00 | not published | 0 |
| Dch validity tests CPT 81002 | $34.30 | $49.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $163.10 | $233.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,899.80 | $2,714.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $475.30 | $679.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,603.30 | $3,719.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,104.60 | $1,578.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,472.80 | $2,104.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,679.30 | $2,399.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $160.30 | $229.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $1,523.20 | $2,176.00 | not published | 0 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,899.80 | $2,714.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $723.10 | $1,033.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,985.90 | $2,837.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,114.00 | $3,020.00 | not published | 0 |
| Decalcification CPT 88311 | $32,521.66 | $46,459.51 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,510.25 | $2,157.50 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $7,688.62 | $10,983.74 | not published | 0 |
| Decompression of leg CPT 27894 | $7,102.90 | $10,147.00 | not published | 0 |
| Decompression of lower leg CPT 27600 | $7,102.90 | $10,147.00 | not published | 0 |
| Decompress spinal cord lmbr CPT 63056 | $29,979.04 | $42,827.20 | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $42.87 | $61.25 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $3,787.52 | $5,410.75 | not published | 0 |
| Delivery of placenta 59414 CPT 59414 | $2,444.40 | $3,492.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $187.60 | $268.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $13,886.42 | $19,837.75 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $547.40 | $782.00 | not published | 0 |
| Design mlc device for imrt CPT 77338 | $2,744.70 | $3,921.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $2,273.95 | $3,248.50 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $65.10 | $93.00 | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $425.60 | $608.00 | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $29,683.16 | $42,404.51 | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | $22,968.43 | $32,812.04 | not published | 0 |
| Destruction anal lesion(s) CPT 46910 | $16,436.24 | $23,480.34 | not published | 0 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $678.30 | $969.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $154.70 | $221.00 | not published | 0 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $2,856.00 | $4,080.00 | not published | 0 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $25,984.45 | $37,120.64 | not published | 0 |
| Destruction vag lesions complex 57065 CPT 57065 | $48,465.30 | $69,236.14 | not published | 0 |
| Destruction vag lesions simple 57061 CPT 57061 | $15,372.99 | $21,961.41 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $105.00 | $150.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $209.30 | $299.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $399.00 | $570.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $4,785.34 | $6,836.20 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,933.87 | $4,191.25 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $5,067.12 | $7,238.75 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $855.45 | $1,222.07 | not published | 0 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $199.50 | $285.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $368.20 | $526.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $5.60 | $8.00 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $13.30 | $19.00 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $16.80 | $24.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $525.70 | $751.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $18.90 | $27.00 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $36.05 | $51.50 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $184.10 | $263.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $116.90 | $167.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $27,494.26 | $39,277.51 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | $9,011.85 | $12,874.07 | not published | 0 |
| Diagnostic anoscopy & biopsy CPT 46607 | $12,361.52 | $17,659.31 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $23,560.54 | $33,657.91 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $112.70 | $161.00 | 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.