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 |
|---|---|---|---|---|
| Implant neuroelectrodes CPT 63655 | $97,969.79 | $139,956.84 | not published | 0 |
| Implant neuroelectrodes CPT 64555 | $8,836.80 | $12,624.00 | not published | 0 |
| Implant neuroelectrodes CPT 64561 | $73,550.83 | $105,072.61 | not published | 0 |
| Implant neurostim arrays CPT 61886 | $60,455.70 | $86,365.29 | not published | 0 |
| Implant tcat pulm vlv perq CPT 33477 | $8,855.00 | $12,650.00 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $1,883.15 | $2,690.21 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $106,434.39 | $152,049.12 | not published | 0 |
| Implt neurostim elctr each HCPCS L8680 | $107.61 | $153.73 | not published | 0 |
| In-111 autol wbc diag per dose HCPCS A9570 | $6,117.30 | $8,739.00 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $7,731.50 | $11,045.00 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $10,985.80 | $15,694.00 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,927.00 | $5,610.00 | not published | 0 |
| Incision of spinal nerve 64772 CPT 64772 | $25,572.78 | $36,532.54 | not published | 0 |
| Incision of tendon & muscle CPT 23405 | $6,385.40 | $9,122.00 | not published | 0 |
| Incision of tongue fold CPT 41010 | $2,961.70 | $4,231.00 | not published | 0 |
| Incision of urethra CPT 53020 | $12,141.70 | $17,345.29 | not published | 0 |
| Incisn of toe tndn CPT 28010 | $3,136.70 | $4,481.00 | not published | 0 |
| Incisn windpipe CPT 31600 | $4,725.00 | $6,750.00 | not published | 0 |
| Induced abortion d&c CPT 59840 | $6,291.60 | $8,988.00 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $453.60 | $648.00 | not published | 0 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,247.40 | $1,782.00 | not published | 0 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $482.30 | $689.00 | not published | 0 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $525.00 | $750.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $821.80 | $1,174.00 | not published | 0 |
| Infect ag if nos ea CPT 87299 | $135.80 | $194.00 | not published | 0 |
| Infect ag na hep b amp CPT 87516 | $173.60 | $248.00 | not published | 0 |
| Infect ag na herpes simplex quant CPT 87530 | $254.10 | $363.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $184.10 | $263.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $283.50 | $405.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $155.40 | $222.00 | not published | 0 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,032.50 | $1,475.00 | not published | 0 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,685.60 | $2,408.00 | not published | 0 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $158.90 | $227.00 | not published | 0 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $42.00 | $60.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $129.50 | $185.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $72.80 | $104.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $100.10 | $143.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $116.90 | $167.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $170.10 | $243.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $145.60 | $208.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $77.70 | $111.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $116.90 | $167.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $198.10 | $283.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $136.50 | $195.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $85.40 | $122.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $464.80 | $664.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $151.90 | $217.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $186.90 | $267.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,138.90 | $1,627.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $200.20 | $286.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $282.80 | $404.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $282.10 | $403.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $151.20 | $216.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $125.30 | $179.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $140.00 | $200.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $290.50 | $415.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $122.50 | $175.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $130.90 | $187.00 | not published | 0 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $303.10 | $433.00 | not published | 0 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $261.80 | $374.00 | not published | 0 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $490.70 | $701.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $833.70 | $1,191.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $310.80 | $444.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $781.90 | $1,117.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $1,099.70 | $1,571.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $415.80 | $594.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $480.90 | $687.00 | not published | 0 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $716.80 | $1,024.00 | not published | 0 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $4,699.10 | $6,713.00 | not published | 0 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,972.77 | $2,818.25 | not published | 0 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,912.40 | $2,732.00 | not published | 0 |
| Infuse radioactive materials CPT 77750 | $544.60 | $778.00 | not published | 0 |
| Ingest challenge ea addl 60 min CPT 95079 | $313.60 | $448.00 | not published | 0 |
| Ingest challenge ini 120 min CPT 95076 | $822.50 | $1,175.00 | not published | 0 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $449.40 | $642.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $574.70 | $821.00 | not published | 0 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $10,659.60 | $15,228.00 | not published | 0 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $16.10 | $23.00 | not published | 0 |
| Inj acetaminophen -fresenius HCPCS J0134 | $16.27 | $23.25 | not published | 0 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $19.95 | $28.50 | not published | 0 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $22,447.25 | $32,067.50 | not published | 0 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $24,124.10 | $34,463.00 | not published | 0 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $15,852.72 | $22,646.75 | not published | 0 |
| Inj, bupivacaine liposome HCPCS J0666 | $724.85 | $1,035.50 | not published | 0 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $25.02 | $35.75 | not published | 0 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $18.37 | $26.25 | not published | 0 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $890.22 | $1,271.75 | not published | 0 |
| Inj ceftolozane tazobactam HCPCS J0695 | $666.57 | $952.25 | not published | 0 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $88.20 | $126.00 | not published | 0 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $1,070.47 | $1,529.25 | not published | 0 |
| Inj daptomycin (xellia) HCPCS J0873 | $42.87 | $61.25 | not published | 0 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $2,906.22 | $4,151.75 | not published | 0 |
| Inj dx for sinogram CPT 20501 | $604.80 | $864.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $3,426.21 | $4,894.59 | $16.00 – $16.00 | 1 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $459.20 | $656.00 | not published | 0 |
| Injection, cangrelor HCPCS C9460 | $3,820.07 | $5,457.25 | not published | 0 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $423.50 | $605.00 | not published | 0 |
| Injection during cath supravalvular aortography CPT 93567 | $1,568.00 | $2,240.00 | not published | 0 |
| Injection epidural blood patch or clot CPT 62273 | $2,622.90 | $3,747.00 | not published | 0 |
| Injection eye drug CPT 67028 | $3,068.80 | $4,384.00 | 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.