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 |
|---|---|---|---|---|
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $3,622.81 | $5,175.44 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $6,104.97 | $8,721.39 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $2,501.89 | $3,574.13 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $8,510.42 | $12,157.75 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $198.80 | $284.00 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $144.90 | $207.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $175.00 | $250.00 | not published | 0 |
| Als1-emergency HCPCS A0427 | $2,253.30 | $3,219.00 | not published | 0 |
| Als 2 HCPCS A0433 | $2,981.30 | $4,259.00 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $37,462.07 | $53,517.25 | not published | 0 |
| Alt/sgpt CPT 84460 | $70.70 | $101.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $74.20 | $106.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $211.40 | $302.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $328.30 | $469.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $44.62 | $63.75 | not published | 0 |
| Amino acids quant 2-5 CPT 82136 | $43.40 | $62.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $31.50 | $45.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $72.10 | $103.00 | not published | 0 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $176.05 | $251.50 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $56.70 | $81.00 | not published | 0 |
| Ammonia CPT 82140 | $145.60 | $208.00 | not published | 0 |
| Amniocentesis therapeutic CPT 59001 | $607.60 | $868.00 | not published | 0 |
| Amniotic fluid scan CPT 82143 | $231.70 | $331.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $207.20 | $296.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $145.25 | $207.50 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $407.05 | $581.50 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $27.30 | $39.00 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $29.75 | $42.50 | not published | 0 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $299.60 | $428.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $7,468.30 | $10,669.00 | not published | 0 |
| Amylase CPT 82150 | $137.20 | $196.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $108.50 | $155.00 | not published | 0 |
| Anal/urinary muscle study CPT 51785 | $617.40 | $882.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $357.70 | $511.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $266.00 | $380.00 | not published | 0 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $494.90 | $707.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $81.20 | $116.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $298.90 | $427.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $917.83 | $1,311.19 | $5.00 – $5.00 | 1 |
| Androstanediol CPT 82154 | $196.70 | $281.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $899.50 | $1,285.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $21,391.92 | $30,559.89 | not published | 0 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $39,425.27 | $56,321.81 | not published | 0 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $51,313.28 | $73,304.69 | not published | 0 |
| Angiotensin ii CPT 82163 | $43.40 | $62.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,372.52 | $1,960.75 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $39,410.21 | $56,300.30 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $3,962.70 | $5,661.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $32,277.59 | $46,110.84 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $33,786.95 | $48,267.07 | not published | 0 |
| Ankle X-ray CPT 73610 | $541.80 | $774.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | $25.20 | $36.00 | not published | 0 |
| Anora (draw only) CPT 99001 | $41.30 | $59.00 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $2,254.70 | $3,221.00 | not published | 0 |
| Anoscopy and dilation 46604 CPT 46604 | $3,705.80 | $5,294.00 | not published | 0 |
| Anoscopy control bleeding 46614 CPT 46614 | $36,203.34 | $51,719.06 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $340.20 | $486.00 | not published | 0 |
| Ans parasymp & symp w/tilt CPT 95924 | $205.10 | $293.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $32,923.32 | $47,033.31 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $59.50 | $85.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $219.10 | $313.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $85.40 | $122.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $121.80 | $174.00 | not published | 0 |
| Antibody htlv-ii CPT 86688 | $177.10 | $253.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $350.70 | $501.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $343.70 | $491.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $72.80 | $104.00 | not published | 0 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $27.30 | $39.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $137.20 | $196.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $75.60 | $108.00 | not published | 0 |
| Antidepressant not specified CPT 80338 | $207.20 | $296.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $5,466.65 | $7,809.50 | not published | 0 |
| Anti-inhibitor HCPCS J7198 | $11,067.70 | $15,811.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $1,056.30 | $1,509.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $288.40 | $412.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $68.60 | $98.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $141.40 | $202.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $118.30 | $169.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $100.10 | $143.00 | not published | 0 |
| Antipsychotics nos 1-3 CPT 80342 | $207.20 | $296.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $147.00 | $210.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $175.70 | $251.00 | not published | 0 |
| Antithrombin iii injection HCPCS J7197 | $7,582.22 | $10,831.75 | not published | 0 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $46,599.78 | $66,571.11 | not published | 0 |
| Aortic dysfunction/dilation CPT 81410 | $1,222.90 | $1,747.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81411 | $3,275.30 | $4,679.00 | not published | 0 |
| Apc gene dup/delet variants CPT 81203 | $462.00 | $660.00 | not published | 0 |
| Apc gene full sequence CPT 81201 | $1,801.80 | $2,574.00 | not published | 0 |
| Apheresis immunoads slctv CPT 36516 | $8,842.40 | $12,632.00 | not published | 0 |
| Apheresis plasma CPT 36514 | $5,313.70 | $7,591.00 | not published | 0 |
| Apheresis platelets CPT 36513 | $4,554.20 | $6,506.00 | not published | 0 |
| Apheresis rbc CPT 36512 | $5,313.70 | $7,591.00 | not published | 0 |
| Apheresis wbc CPT 36511 | $4,558.40 | $6,512.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $721.00 | $1,030.00 | not published | 0 |
| Appendectomy CPT 44950 | $26,789.59 | $38,270.84 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $31,985.58 | $45,693.69 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $1,727.60 | $2,468.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $4,857.30 | $6,939.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $2,429.70 | $3,471.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $1,599.50 | $2,285.00 | 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.