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 |
|---|---|---|---|---|
| Fresh frozen plasma thawing ea un CPT 86927 | $231.70 | $331.00 | not published | 0 |
| Frozen plasma, pooled, sd HCPCS P9023 | $255.50 | $365.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $63.70 | $91.00 | not published | 0 |
| Ftl cgen abnor four anal CPT 81511 | $259.00 | $370.00 | not published | 0 |
| Ftl cgen abnor three anal CPT 81510 | $584.50 | $835.00 | not published | 0 |
| Ftl cgen abnor two proteins CPT 81508 | $119.70 | $171.00 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $21.87 | $31.25 | not published | 0 |
| Fxn gene detc abnor alleles CPT 81284 | $287.70 | $411.00 | not published | 0 |
| Fxn gene full gene sequence CPT 81286 | $576.80 | $824.00 | not published | 0 |
| G6pc gene CPT 81250 | $503.30 | $719.00 | not published | 0 |
| G6pd full gene sequence CPT 81249 | $1,386.00 | $1,980.00 | not published | 0 |
| G6pd gene alys cmn variant CPT 81247 | $403.20 | $576.00 | not published | 0 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $291.90 | $417.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $240.10 | $343.00 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $76.47 | $109.25 | not published | 0 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $389.37 | $556.25 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $969.15 | $1,384.50 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $285.60 | $408.00 | not published | 0 |
| Galactose transferase test CPT 82776 | $18.20 | $26.00 | not published | 0 |
| Galectin-3 CPT 82777 | $112.70 | $161.00 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $30,679.12 | $43,827.31 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $2,375.10 | $3,393.00 | not published | 0 |
| Gallium locametz 1 millicuri HCPCS A9800 | $2,060.10 | $2,943.00 | not published | 0 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,805.47 | $2,579.25 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $89.60 | $128.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $141.40 | $202.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $79.80 | $114.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $5,656.17 | $8,080.25 | not published | 0 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $176.75 | $252.50 | not published | 0 |
| Gastric motility studies CPT 91020 | $2,331.70 | $3,331.00 | not published | 0 |
| Gastroesophageal reflux study CPT 78262 | $1,055.60 | $1,508.00 | not published | 0 |
| Gba gene CPT 81251 | $128.10 | $183.00 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $136.67 | $195.25 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $37,662.87 | $53,804.10 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $42,146.54 | $60,209.35 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $62,771.45 | $89,673.50 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $5,938.80 | $8,484.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $52,711.88 | $75,302.68 | not published | 0 |
| Genome sequence analysis CPT 81425 | $11,622.10 | $16,603.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $6,260.10 | $8,943.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $13.30 | $19.00 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $185.50 | $265.00 | not published | 0 |
| G-esoph reflx tst w/electrod CPT 91035 | $2,587.90 | $3,697.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $12,127.04 | $17,324.34 | not published | 0 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,594.20 | $3,706.00 | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $25.20 | $36.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $139.30 | $199.00 | not published | 0 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $590.80 | $844.00 | not published | 0 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $459.90 | $657.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $67.90 | $97.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $688.10 | $983.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,920.00 | $5,600.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $1,190.70 | $1,701.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $133.70 | $191.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $653.80 | $934.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $954.80 | $1,364.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,370.60 | $1,958.00 | not published | 0 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $653.10 | $933.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,874.90 | $4,107.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $10,514.00 | $15,020.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,431.40 | $4,902.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $721.00 | $1,030.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $531.30 | $759.00 | not published | 0 |
| Ghs community re-entry 15 minutes CPT 97537 | $157.50 | $225.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $363.30 | $519.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $386.40 | $552.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $432.60 | $618.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $1,806.70 | $2,581.00 | not published | 0 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $65.80 | $94.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $870.80 | $1,244.00 | not published | 0 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $476.00 | $680.00 | not published | 0 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $2,916.20 | $4,166.00 | not published | 0 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $555.80 | $794.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $2,678.20 | $3,826.00 | not published | 0 |
| Ghs fb removal foot - deep - left CPT 28192 | $4,672.50 | $6,675.00 | not published | 0 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,514.80 | $2,164.00 | not published | 0 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $82.60 | $118.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $754.60 | $1,078.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $287.00 | $410.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $290.50 | $415.00 | not published | 0 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $50.40 | $72.00 | not published | 0 |
| Ghs hgb stability-thal CPT 83068 | $63.70 | $91.00 | not published | 0 |
| Ghs histoplasma antigen CPT 87385 | $158.90 | $227.00 | not published | 0 |
| Ghs HIV antibody CPT 86703 | $121.80 | $174.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $7,662.20 | $10,946.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $13,887.03 | $19,838.61 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,093.00 | $2,990.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $618.10 | $883.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $688.80 | $984.00 | not published | 0 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $1,690.50 | $2,415.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $46,292.25 | $66,131.79 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $416.50 | $595.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $177.10 | $253.00 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $12,557.96 | $17,939.94 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,970.80 | $4,244.00 | $16.00 – $16.00 | 1 |
| Ghs insertion of needle - bone CPT 36680 | $434.00 | $620.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $33,869.53 | $48,385.04 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $58,107.33 | $83,010.47 | not published | 0 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $51,675.17 | $73,821.67 | not published | 0 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $70.70 | $101.00 | 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.