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 |
|---|---|---|---|---|
| Injection for arthrography wrist (both sides) CPT 25246 | $361.20 | $516.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $2,467.67 | $3,525.24 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $372.40 | $532.00 | not published | 0 |
| Injection for spleen x-ray CPT 38200 | $2,619.40 | $3,742.00 | not published | 0 |
| Injection for ureter x-ray CPT 50684 | $1,450.40 | $2,072.00 | not published | 0 |
| Injection for ureter x-ray CPT 50690 | $406.70 | $581.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $7,806.22 | $11,151.75 | not published | 0 |
| Injection, glucarpidase HCPCS C9293 | $178,372.42 | $254,817.75 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $14,802.55 | $21,146.50 | not published | 0 |
| Injection into brain canal CPT 61026 | $1,261.40 | $1,802.00 | not published | 0 |
| Injection into hemorrhoid(s) CPT 46500 | $12,401.00 | $17,715.71 | not published | 0 |
| Injection jugular CPT 36299 | $4,524.10 | $6,463.00 | not published | 0 |
| Injection of sinus tract CPT 20500 | $1,732.50 | $2,475.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,715.82 | $3,879.75 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $51,629.23 | $73,756.04 | not published | 0 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,727.20 | $3,896.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $57,876.72 | $82,681.03 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $48,709.41 | $69,584.87 | not published | 0 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $3,017.70 | $4,311.00 | $16.00 – $16.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $6,386.27 | $9,123.24 | $20.00 – $20.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $6,386.27 | $9,123.24 | $20.00 – $20.00 | 1 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,053.40 | $4,362.00 | $16.00 – $16.00 | 1 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,940.40 | $2,772.00 | $16.00 – $16.00 | 1 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $954.80 | $1,364.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $991.20 | $1,416.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,004.50 | $1,435.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $157.50 | $225.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $140.70 | $201.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $157.50 | $225.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $163.10 | $233.00 | not published | 0 |
| Injection treatment of eye CPT 66030 | $4,273.50 | $6,105.00 | not published | 0 |
| Injection treatment of nerve CPT 64610 | $4,208.40 | $6,012.00 | not published | 0 |
| Inject sacroiliac joint CPT 27096 | $957.60 | $1,368.00 | not published | 0 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | $18,838.75 | $26,912.50 | not published | 0 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | $24,221.75 | $34,602.50 | not published | 0 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,876.30 | $4,109.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $3,347.40 | $4,782.00 | not published | 0 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $9,790.72 | $13,986.75 | not published | 0 |
| Inj., fibryga, 1 mg HCPCS J7177 | $3,813.07 | $5,447.25 | not published | 0 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $364.70 | $521.00 | not published | 0 |
| Inj for ext venography CPT 36005 | $5,654.33 | $8,077.61 | not published | 0 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $60,068.92 | $85,812.75 | not published | 0 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $3,875.20 | $5,536.00 | not published | 0 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $3,314.50 | $4,735.00 | not published | 0 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $1,657.60 | $2,368.00 | not published | 0 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,657.60 | $2,368.00 | not published | 0 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $4,006.62 | $5,723.75 | not published | 0 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $186,355.22 | $266,221.75 | not published | 0 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $5,803.00 | $8,290.00 | not published | 0 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $371.00 | $530.00 | not published | 0 |
| Inj ivig privigen 500 mg HCPCS J1459 | $9,537.50 | $13,625.00 | not published | 0 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $14.17 | $20.25 | not published | 0 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $71.75 | $102.50 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $36.75 | $52.50 | not published | 0 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $26.07 | $37.25 | not published | 0 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $914.72 | $1,306.75 | not published | 0 |
| Inj meropenem (wg crit care) HCPCS J2183 | $104.12 | $148.75 | not published | 0 |
| Inj, micafungin (par pharm) HCPCS J2247 | $91.87 | $131.25 | not published | 0 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $39,580.10 | $56,543.00 | not published | 0 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $99.22 | $141.75 | not published | 0 |
| Inj multihance HCPCS A9577 | $113.40 | $162.00 | not published | 0 |
| Inj. mycophenolate mofetil HCPCS J7519 | $434.70 | $621.00 | not published | 0 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $3,247.12 | $4,638.74 | not published | 0 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $4,634.70 | $6,621.00 | not published | 0 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $10.85 | $15.50 | not published | 0 |
| Inj peritoneal venous shunt CPT 49427 | $1,262.80 | $1,804.00 | not published | 0 |
| Inj proc ankle arthr CPT 27648 | $128.80 | $184.00 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $269.50 | $385.00 | not published | 0 |
| Inj proc sialogram CPT 42550 | $1,299.20 | $1,856.00 | not published | 0 |
| Inj progesterone per 50 mg HCPCS J2675 | $119.00 | $170.00 | not published | 0 |
| Inj retro urethrocysto CPT 51610 | $2,371.42 | $3,387.74 | not published | 0 |
| Inj scleros sol mult veins CPT 36471 | $645.40 | $922.00 | not published | 0 |
| Inj scleros sol sgl vein CPT 36470 | $465.50 | $665.00 | not published | 0 |
| Inj secretin synthetic human HCPCS J2850 | $2,757.65 | $3,939.50 | not published | 0 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $43,104.95 | $61,578.50 | not published | 0 |
| Inj testostero enanthate 1mg HCPCS J3121 | $0.01 | $0.01 | not published | 0 |
| Inj testosterone cypionate HCPCS J1071 | $7.70 | $11.00 | not published | 0 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $3,438.40 | $4,912.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $76,937.33 | $109,910.47 | not published | 0 |
| Inj. tigecycline (accord) HCPCS J3244 | $129.85 | $185.50 | not published | 0 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | $59,363.85 | $84,805.50 | not published | 0 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $7,726.42 | $11,037.75 | not published | 0 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $40.07 | $57.25 | not published | 0 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | $152.95 | $218.50 | not published | 0 |
| Inj, vasopressin (baxter) HCPCS J2601 | $163.97 | $234.25 | not published | 0 |
| Inj w/fluor eval cv device CPT 36598 | $484.78 | $692.54 | $2.50 – $2.50 | 1 |
| Ins cath ren art 1st bi CPT 36252 | $22,822.30 | $32,603.29 | not published | 0 |
| Ins cath ren art 1st uni CPT 36251 | $4,536.00 | $6,480.00 | not published | 0 |
| Ins cath ren art 2nd+ bi CPT 36254 | $6,309.80 | $9,014.00 | not published | 0 |
| Ins cath ren art 2nd+ uni CPT 36253 | $22,832.77 | $32,618.24 | not published | 0 |
| Ins cerv dilator (sep proc) CPT 59200 | $669.20 | $956.00 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $6,751.67 | $9,645.24 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $32,758.33 | $46,797.61 | not published | 0 |
| Insert hepatic shunt (tips) CPT 37182 | $34,949.73 | $49,928.19 | not published | 0 |
| Insert intrauterine device iud CPT 58300 | $21,245.10 | $30,350.14 | not published | 0 |
| Insertion catheter bladder non indwelling CPT 51701 | $3,599.40 | $5,142.00 | not published | 0 |
| Insertion catheter bladder temporary simple CPT 51702 | $80,050.97 | $114,358.53 | not published | 0 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $9,606.70 | $13,723.86 | not published | 0 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $86,645.21 | $123,778.87 | not published | 0 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | $2,826.60 | $4,038.00 | 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.