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 |
|---|---|---|---|---|
| Mayo proinsulin CPT 84206 | $362.60 | $518.00 | not published | 0 |
| Mayo psaft prostate specific antigen free CPT 84154 | $112.70 | $161.00 | not published | 0 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $1,190.70 | $1,701.00 | not published | 0 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $182.00 | $260.00 | not published | 0 |
| Mayo receptor assay transferrin soluble CPT 84238 | $242.90 | $347.00 | not published | 0 |
| Mayo renin CPT 84244 | $141.40 | $202.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $116.90 | $167.00 | not published | 0 |
| Mayo selenium CPT 84255 | $120.40 | $172.00 | not published | 0 |
| Mayo serotonin CPT 84260 | $252.00 | $360.00 | not published | 0 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $122.50 | $175.00 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $163.10 | $233.00 | not published | 0 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $1,262.80 | $1,804.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $89.60 | $128.00 | not published | 0 |
| Mayo tau phosphorylated 217 each CPT 84393 | $392.00 | $560.00 | not published | 0 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $533.40 | $762.00 | not published | 0 |
| Mayo tgrp testosterone free CPT 84402 | $144.20 | $206.00 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $148.40 | $212.00 | not published | 0 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $203.70 | $291.00 | not published | 0 |
| Mayo thyroglobulin CPT 84432 | $92.40 | $132.00 | not published | 0 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $102.20 | $146.00 | not published | 0 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $132.30 | $189.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $77.00 | $110.00 | not published | 0 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $64.40 | $92.00 | not published | 0 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $114.80 | $164.00 | not published | 0 |
| Mayo vasoactive intestinal peptide CPT 84586 | $144.90 | $207.00 | not published | 0 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $144.20 | $206.00 | not published | 0 |
| Mayo vitamin b3 (niacin) CPT 84591 | $184.80 | $264.00 | not published | 0 |
| Mayo vitamin k CPT 84597 | $151.90 | $217.00 | not published | 0 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $286.30 | $409.00 | not published | 0 |
| Mcoln1 gene CPT 81290 | $539.00 | $770.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $46,737.96 | $66,768.51 | not published | 0 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.70 | $1.00 | not published | 0 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $273.70 | $391.00 | not published | 0 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,062.49 | $2,946.42 | not published | 0 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $26.77 | $38.25 | not published | 0 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $13,378.40 | $19,112.00 | not published | 0 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $105.00 | $150.00 | not published | 0 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $17,195.42 | $24,564.88 | not published | 0 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $32.37 | $46.25 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $219.80 | $314.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $306.60 | $438.00 | not published | 0 |
| Metabolic panel ionized ca CPT 80047 | $288.40 | $412.00 | not published | 0 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $3,167.32 | $4,524.75 | not published | 0 |
| Methadone injection HCPCS J1230 | $10.15 | $14.50 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $18.37 | $26.25 | not published | 0 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $7.87 | $11.25 | not published | 0 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $192.67 | $275.25 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $183.40 | $262.00 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $458.85 | $655.50 | not published | 0 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $85.57 | $122.25 | not published | 0 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $433.12 | $618.75 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $39.90 | $57.00 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $75.42 | $107.75 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $97.12 | $138.75 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $12.95 | $18.50 | not published | 0 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $10.50 | $15.00 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $13.47 | $19.25 | not published | 0 |
| Mgmt promoter methylation analysis CPT 81287 | $602.70 | $861.00 | not published | 0 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $122.50 | $175.00 | not published | 0 |
| Microbe susceptible mlc CPT 87187 | $678.30 | $969.00 | not published | 0 |
| Microdissection laser CPT 88380 | $762.30 | $1,089.00 | not published | 0 |
| Microdissection manual CPT 88381 | $254.80 | $364.00 | not published | 0 |
| Microsatellite instability CPT 81301 | $768.60 | $1,098.00 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $22.75 | $32.50 | not published | 0 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $91.87 | $131.25 | not published | 0 |
| Middle cerebral artery echo CPT 76821 | $1,052.10 | $1,503.00 | not published | 0 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $60.55 | $86.50 | not published | 0 |
| Minocycline hydrochloride HCPCS J2265 | $1,065.05 | $1,521.50 | not published | 0 |
| Mitochondrial gene CPT 81440 | $7,678.30 | $10,969.00 | not published | 0 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $4,850.12 | $6,928.75 | not published | 0 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $708.22 | $1,011.75 | not published | 0 |
| Mlh1 gene CPT 81288 | $653.80 | $934.00 | not published | 0 |
| Mlh1 gene dup/delete variant CPT 81294 | $490.70 | $701.00 | not published | 0 |
| Mlh1 gene full seq CPT 81292 | $1,638.00 | $2,340.00 | not published | 0 |
| Mnl appl strs jt radiography CPT 77071 | $367.50 | $525.00 | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $837.20 | $1,196.00 | not published | 0 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $8,330.66 | $11,900.95 | not published | 0 |
| Mopath procedure level 1 CPT 81400 | $305.90 | $437.00 | not published | 0 |
| Mopath procedure level 3 CPT 81402 | $560.70 | $801.00 | not published | 0 |
| Mopath procedure level 5 CPT 81404 | $3,234.00 | $4,620.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $3,266.20 | $4,666.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $3,220.70 | $4,601.00 | not published | 0 |
| Mopath procedure level 8 CPT 81407 | $1,955.10 | $2,793.00 | not published | 0 |
| Mopath procedure level 9 CPT 81408 | $4,620.00 | $6,600.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $1,229.72 | $1,756.75 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $9.45 | $13.50 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $154.00 | $220.00 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $8,559.60 | $12,228.00 | $152.32 – $560.38 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $352.80 | $504.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $11,914.80 | $17,021.14 | $152.32 – $166.40 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $364.70 | $521.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $9,063.60 | $12,948.00 | $152.32 – $716.68 | 4 |
| M/phmtrc alysishquant/semiq CPT 88369 | $364.70 | $521.00 | not published | 0 |
| Mpl gene analysis common variants CPT 81338 | $808.50 | $1,155.00 | not published | 0 |
| MRA abdomen post contrast CPT 74185 | $3,472.70 | $4,961.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,724.00 | $5,320.00 | not published | 0 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $4,027.10 | $5,753.00 | not published | 0 |
| MRA pelvis CPT 72198 | $3,775.80 | $5,394.00 | not published | 0 |
| MRA spinal canal CPT 72159 | $1,988.00 | $2,840.00 | not published | 0 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,196.90 | $4,567.00 | 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.