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 |
|---|---|---|---|---|
| Hla i typing high res 1 allele grp ea CPT 81381 | $855.40 | $1,222.00 | not published | 0 |
| Hla i typing low res one locus ea CPT 81373 | $681.80 | $974.00 | not published | 0 |
| Hla typing a b or c CPT 86813 | $312.90 | $447.00 | not published | 0 |
| Hla x-math non-cytotoxic CPT 86825 | $515.20 | $736.00 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $292.95 | $418.50 | not published | 0 |
| Home/res vst est high mdm 60 CPT 99350 | $243.60 | $348.00 | not published | 0 |
| Home/res vst est mod mdm 40 CPT 99349 | $166.60 | $238.00 | not published | 0 |
| Home/res vst est sf mdm 20 CPT 99347 | $57.40 | $82.00 | not published | 0 |
| Home/res vst new high mdm 75 CPT 99345 | $264.60 | $378.00 | not published | 0 |
| Home/res vst new low mdm 30 CPT 99342 | $98.00 | $140.00 | not published | 0 |
| Home/res vst new mod mdm 60 CPT 99344 | $184.10 | $263.00 | not published | 0 |
| Home/res vst new sf mdm 15 CPT 99341 | $60.90 | $87.00 | not published | 0 |
| Home sleep test/type 4 porta HCPCS G0400 | $692.30 | $989.00 | not published | 0 |
| Home visit est patient 99348 CPT 99348 | $98.00 | $140.00 | not published | 0 |
| Homocysteine CPT 83090 | $158.90 | $227.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $48.30 | $69.00 | not published | 0 |
| Homovanillic acid (hva) CPT 83150 | $75.60 | $108.00 | not published | 0 |
| Hopd covid-19 spec collect HCPCS C9803 | $31.50 | $45.00 | not published | 0 |
| Hpa-15 genotyping CPT 81112 | $256.90 | $367.00 | not published | 0 |
| Hpa-1 genotyping CPT 81105 | $282.80 | $404.00 | not published | 0 |
| Hpa-2 genotyping CPT 81106 | $256.90 | $367.00 | not published | 0 |
| Hpa-3 genotyping CPT 81107 | $256.90 | $367.00 | not published | 0 |
| Hpa-4 genotyping CPT 81108 | $256.90 | $367.00 | not published | 0 |
| Hpa-5 genotyping CPT 81109 | $256.90 | $367.00 | not published | 0 |
| Hpa-6 genotyping CPT 81110 | $256.90 | $367.00 | not published | 0 |
| Hpa-9 genotyping CPT 81111 | $256.90 | $367.00 | not published | 0 |
| Hpv low-risk types CPT 87623 | $184.10 | $263.00 | not published | 0 |
| Hpv types 16 & 18 only CPT 87625 | $184.10 | $263.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $312.90 | $447.00 | not published | 0 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $2,738.40 | $3,912.00 | not published | 0 |
| Hrdtry cardmypy gene panel CPT 81439 | $1,228.50 | $1,755.00 | not published | 0 |
| Hrdtry perph neurphy panel CPT 81448 | $1,446.20 | $2,066.00 | not published | 0 |
| Human epididymis protein 4 (he4) CPT 86305 | $245.70 | $351.00 | not published | 0 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $128.62 | $183.75 | not published | 0 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $196.35 | $280.50 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $57.40 | $82.00 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $91.00 | $130.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $501.20 | $716.00 | not published | 0 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $2.04 | $2.92 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $317.45 | $453.50 | not published | 0 |
| Hydrogel drsg gel filler HCPCS A6248 | $26.69 | $38.13 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $90.65 | $129.50 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $84.70 | $121.00 | not published | 0 |
| Hydromorphone injection HCPCS J1170 | $125.82 | $179.75 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $87.32 | $124.75 | not published | 0 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $91.00 | $130.00 | not published | 0 |
| Hymenotomy CPT 56442 | $11,783.27 | $16,833.24 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $74.20 | $106.00 | not published | 0 |
| Hyperthermia ext gen supfc CPT 77600 | $6,412.00 | $9,160.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $1,134.70 | $1,621.00 | not published | 0 |
| Hysteroscopy ablation CPT 58563 | $21,352.51 | $30,503.59 | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | $17,592.47 | $25,132.10 | not published | 0 |
| Hysteroscopy dx sep proc CPT 58555 | $24,568.38 | $35,097.69 | not published | 0 |
| Hysteroscopy remove fb CPT 58562 | $14,455.17 | $20,650.24 | not published | 0 |
| Hysteroscopy remove myoma CPT 58561 | $19,882.44 | $28,403.49 | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $186.20 | $266.00 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | $8,227.80 | $11,754.00 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $10,017.70 | $14,311.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $361.20 | $516.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $250.60 | $358.00 | not published | 0 |
| I131 iodide sol, rx HCPCS A9530 | $254.80 | $364.00 | not published | 0 |
| I131 max 100uci HCPCS A9531 | $177.10 | $253.00 | not published | 0 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $693.00 | $990.00 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | $109.20 | $156.00 | not published | 0 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $142.80 | $204.00 | not published | 0 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $5,656.70 | $8,081.00 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,143.97 | $1,634.25 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $33,035.72 | $47,193.88 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $43,898.76 | $62,712.52 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $21,297.46 | $30,424.94 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $8,608.66 | $12,298.08 | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | $274.22 | $391.75 | not published | 0 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $2,965.20 | $4,236.00 | not published | 0 |
| I&d lacrimal sac CPT 68420 | $4,734.80 | $6,764.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $328.82 | $469.75 | not published | 0 |
| Igh gene rearrang dir probe CPT 81262 | $777.70 | $1,111.00 | not published | 0 |
| Igh gene rearrange amp meth CPT 81261 | $937.30 | $1,339.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $749.70 | $1,071.00 | not published | 0 |
| Igk rearrangeabn clonal pop CPT 81264 | $576.80 | $824.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $13,809.33 | $19,727.61 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $333.20 | $476.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $8,191.40 | $11,702.00 | $142.00 – $152.32 | 3 |
| Ikbkap gene CPT 81260 | $1,662.50 | $2,375.00 | not published | 0 |
| Iliac/fem angio cath insert HCPCS G0278 | $3,850.00 | $5,500.00 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $126.70 | $181.00 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $75.59 | $107.99 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $32.44 | $46.34 | not published | 0 |
| Immune complex assay CPT 86332 | $135.10 | $193.00 | not published | 0 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $14,314.12 | $20,448.75 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $168.00 | $240.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $182.70 | $261.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $76.30 | $109.00 | not published | 0 |
| Immunodiffusion nes CPT 86329 | $107.80 | $154.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $165.20 | $236.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $10,703.31 | $15,290.44 | $728.08 – $1,515.00 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $10,703.31 | $15,290.44 | $251.08 – $297.45 | 3 |
| Immunoglobulin assay CPT 86023 | $127.40 | $182.00 | not published | 0 |
| Immunology procedure CPT 86849 | $2,226.70 | $3,181.00 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $21,342.29 | $30,488.99 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $2,731.10 | $3,901.57 | 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.