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 |
|---|---|---|---|---|
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $102.20 | $146.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $791.00 | $1,130.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $513.80 | $734.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $464.80 | $664.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $5,055.40 | $7,222.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $37,692.94 | $53,847.06 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $1,465.80 | $2,094.00 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $186.02 | $265.75 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $94.15 | $134.50 | not published | 0 |
| Diffusing capacity CPT 94729 | $450.80 | $644.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $21.17 | $30.25 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $19,015.50 | $27,165.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $163.10 | $233.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $80.67 | $115.25 | not published | 0 |
| Dilate biliary duct/ampulla CPT 47542 | $1,680.00 | $2,400.00 | not published | 0 |
| Dilate esophagus CPT 43453 | $10,752.30 | $15,360.43 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $10,813.42 | $15,447.74 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $1,451.10 | $2,073.00 | not published | 0 |
| Dilate urethra stricture CPT 53605 | $24,450.74 | $34,929.63 | not published | 0 |
| Dilation of anal sphincter CPT 45905 | $4,790.10 | $6,843.00 | not published | 0 |
| Dilation of cervical canal 57800 CPT 57800 | $20,016.41 | $28,594.87 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $13,830.95 | $19,758.50 | not published | 0 |
| Dilation of salivary duct CPT 42660 | $6,040.30 | $8,629.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $450.69 | $643.85 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $56,053.56 | $80,076.51 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $7,464.80 | $10,664.00 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $33.60 | $48.00 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.40 | $2.00 | not published | 0 |
| Disability dlco CPT 94727 | $501.20 | $716.00 | not published | 0 |
| Disaccharidases CPT 82657 | $623.70 | $891.00 | not published | 0 |
| Dise eval slp do brth flx dx CPT 42975 | $8,455.30 | $12,079.00 | not published | 0 |
| Dissolve clot heart vessel CPT 92975 | $1,688.40 | $2,412.00 | not published | 0 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $4,795.00 | $6,850.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $644.70 | $921.00 | not published | 0 |
| Dmpk gene detc abnor allele CPT 81234 | $316.40 | $452.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $163.10 | $233.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $77.00 | $110.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $88.90 | $127.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $110.60 | $158.00 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,663.02 | $2,375.75 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $86.62 | $123.75 | not published | 0 |
| Doppler echo complete CPT 93320 | $1,038.10 | $1,483.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,260.20 | $6,086.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,325.80 | $1,894.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $939.40 | $1,342.00 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $7,416.00 | $10,594.28 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,005.72 | $1,436.75 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $4,778.72 | $6,826.75 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $74.02 | $105.75 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $1,582.70 | $2,261.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,531.60 | $2,188.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $3,717.00 | $5,310.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $708.40 | $1,012.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $1,015.00 | $1,450.00 | not published | 0 |
| Drainage of eye CPT 65800 | $5,379.50 | $7,685.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $6,156.31 | $8,794.73 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $751.80 | $1,074.00 | not published | 0 |
| Drainage of mouth lesion CPT 41017 | $22,628.80 | $32,326.86 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $742.70 | $1,061.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $3,307.50 | $4,725.00 | not published | 0 |
| Drainage of salivary gland CPT 42305 | $5,553.10 | $7,933.00 | not published | 0 |
| Drainage of urethra abscess 53060 CPT 53060 | $3,805.20 | $5,436.00 | not published | 0 |
| Drain bladder by trocar/cath CPT 51101 | $556.50 | $795.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $301.00 | $430.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $18,215.86 | $26,022.66 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $16,382.74 | $23,403.91 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $541.10 | $773.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,505.50 | $7,865.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $555.80 | $794.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $417.20 | $596.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,060.50 | $1,515.00 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,912.40 | $2,732.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,556.00 | $5,080.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $2,342.20 | $3,346.00 | not published | 0 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $5,700.80 | $8,144.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $50,590.06 | $72,271.51 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $32.20 | $46.00 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $516.84 | $738.34 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $15,122.55 | $21,603.65 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $6,052.96 | $8,647.09 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $492.80 | $704.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $184.80 | $264.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $217.00 | $310.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $509.60 | $728.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $228.20 | $326.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $367.50 | $525.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $81.90 | $117.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $100.80 | $144.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $257.60 | $368.00 | not published | 0 |
| Drug test def 22+ classes HCPCS G0483 | $405.30 | $579.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $289.80 | $414.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $437.50 | $625.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $116.20 | $166.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $5,910.10 | $8,443.00 | not published | 0 |
| Duodenal motility study CPT 91022 | $1,143.10 | $1,633.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $352.10 | $503.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,166.90 | $1,667.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,732.50 | $2,475.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $10,289.85 | $14,699.78 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $550.20 | $786.00 | 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.