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 |
|---|---|---|---|---|
| External chromosome analysis 20-25 cells CPT 88264 | $585.90 | $837.00 | not published | 0 |
| External recharg sys intern HCPCS L8689 | $2,514.75 | $3,592.50 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $1,016.40 | $1,452.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $308.70 | $441.00 | not published | 0 |
| Extraction erupted tooth/exr HCPCS D7140 | $328.30 | $469.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $859.05 | $1,227.22 | not published | 0 |
| Ezh2 gene full gene sequence CPT 81236 | $686.00 | $980.00 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $1,603.00 | $2,290.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $7,214.20 | $10,306.00 | not published | 0 |
| F-18 fluciclovine per mci HCPCS A9588 | $1,282.40 | $1,832.00 | not published | 0 |
| F-18 sodium fluoride HCPCS A9580 | $1,064.00 | $1,520.00 | not published | 0 |
| F9 full gene sequence CPT 81238 | $1,455.30 | $2,079.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $408.10 | $583.00 | not published | 0 |
| Factor ix CPT 85250 | $232.40 | $332.00 | not published | 0 |
| Factor ix recombinant nos HCPCS J7195 | $2,090.20 | $2,986.00 | not published | 0 |
| Factor viii CPT 85240 | $196.70 | $281.00 | not published | 0 |
| Family therapy without pt 50min 90846 CPT 90846 | $303.80 | $434.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $303.80 | $434.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $20.12 | $28.75 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $12,734.40 | $18,192.00 | not published | 0 |
| Fancc gene CPT 81242 | $300.30 | $429.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $60.20 | $86.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $185.50 | $265.00 | not published | 0 |
| #fecal-sodium CPT 84302 | $41.30 | $59.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $154.00 | $220.00 | not published | 0 |
| Fem/popl revasc w/stent CPT 37226 | $44,483.84 | $63,548.34 | not published | 0 |
| Feno poc CPT 95012 | $217.70 | $311.00 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $73.32 | $104.75 | not published | 0 |
| Fern test HCPCS Q0114 | $32.90 | $47.00 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $4,375.70 | $6,251.00 | not published | 0 |
| Ferritin CPT 82728 | $144.20 | $206.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $724.85 | $1,035.50 | not published | 0 |
| Fetal aneuploidy trisom risk CPT 81507 | $1,925.00 | $2,750.00 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,409.80 | $2,014.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $1,841.00 | $2,630.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $2,207.80 | $3,154.00 | not published | 0 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $403.20 | $576.00 | not published | 0 |
| Fetal cord puncture prenatal CPT 59012 | $648.90 | $927.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $406.70 | $581.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $387.80 | $554.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $32.90 | $47.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $1,657.60 | $2,368.00 | not published | 0 |
| #_fet/norfentcnfrmur CPT 80354 | $40.60 | $58.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $140.70 | $201.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $175.00 | $250.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $112.70 | $161.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $59.50 | $85.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $185.50 | $265.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $131.60 | $188.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $98.00 | $140.00 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $5,951.57 | $8,502.25 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $3,004.06 | $4,291.52 | not published | 0 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $536.20 | $766.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $5,220.60 | $7,458.00 | $304.64 – $304.64 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $7,208.95 | $10,298.50 | not published | 0 |
| Fixation of knee joint CPT 27570 | $4,830.00 | $6,900.00 | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $39.20 | $56.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,115.23 | $1,593.19 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $4,624.78 | $6,606.83 | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $8,003.80 | $11,434.00 | not published | 0 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | $7,791.00 | $11,130.00 | not published | 0 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $1,355.20 | $1,936.00 | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $337.40 | $482.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $334.60 | $478.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $696.50 | $995.00 | not published | 0 |
| #flow interp 9 - 15 markers CPT 88188 | $247.80 | $354.00 | not published | 0 |
| Flt3 gene CPT 81245 | $494.20 | $706.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $256.20 | $366.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $21.70 | $31.00 | not published | 0 |
| Fluidotherapy charges pt CPT 97022 | $221.90 | $317.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $1,124.20 | $1,606.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $231.70 | $331.00 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $2,907.10 | $4,153.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,043.70 | $1,491.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $1,008.70 | $1,441.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $1,040.90 | $1,487.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $52.85 | $75.50 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $59.32 | $84.75 | not published | 0 |
| Fmri brain by phys/psych CPT 70555 | $4,162.20 | $5,946.00 | not published | 0 |
| Fmri brain by tech CPT 70554 | $3,640.00 | $5,200.00 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,666.30 | $3,809.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $2,434.60 | $3,478.00 | not published | 0 |
| Folic acid CPT 82746 | $124.60 | $178.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $88.20 | $126.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $1,761.20 | $2,516.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,407.00 | $2,010.00 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $364.87 | $521.25 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $368.90 | $527.00 | not published | 0 |
| Foot X-ray CPT 73630 | $594.30 | $849.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $2,034.20 | $2,906.00 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,257.90 | $1,797.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,279.25 | $1,827.50 | not published | 0 |
| Foscarnet sodium injection HCPCS J1455 | $584.15 | $834.50 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $39.72 | $56.75 | not published | 0 |
| Fractionation ketosteroids CPT 83593 | $275.10 | $393.00 | not published | 0 |
| Fracture assessment via dxa CPT 77086 | $411.60 | $588.00 | not published | 0 |
| _fragile x methylation-sendout CPT 81244 | $772.10 | $1,103.00 | not published | 0 |
| Fragmenting of kidney stone CPT 50590 | $19,560.27 | $27,943.24 | not published | 0 |
| Frenectomy 41115 CPT 41115 | $2,961.70 | $4,231.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $287.00 | $410.00 | 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.