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 |
|---|---|---|---|---|
| Radiology port images(s) CPT 77417 | $314.30 | $449.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $7,774.90 | $11,107.00 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $1,186.50 | $1,695.00 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,396.80 | $3,424.00 | not published | 0 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,998.80 | $4,284.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,655.80 | $3,794.00 | not published | 0 |
| Radphm quant measure sgl area add-on CPT 78835 | $795.90 | $1,137.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $30,960.12 | $44,228.75 | not published | 0 |
| Rapid Strep Test CPT 87880 | $133.00 | $190.00 | not published | 0 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $22,836.45 | $32,623.50 | not published | 0 |
| Rb82 rubidium HCPCS A9555 | $2,771.30 | $3,959.00 | not published | 0 |
| Rbc count only automated CPT 85041 | $19.60 | $28.00 | not published | 0 |
| Rbc deglycerolized each unit HCPCS P9039 | $882.70 | $1,261.00 | not published | 0 |
| Rbc irradiated each unit HCPCS P9038 | $648.90 | $927.00 | not published | 0 |
| Rbc osmotic fragility CPT 85555 | $109.20 | $156.00 | not published | 0 |
| Rbc serum pretx incubj drugs CPT 86975 | $138.60 | $198.00 | not published | 0 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $13,281.80 | $18,974.00 | not published | 0 |
| Reconstruction of anus CPT 46753 | $21,037.93 | $30,054.19 | not published | 0 |
| Reconstruction of eyelid CPT 67975 | $20,952.92 | $29,932.74 | not published | 0 |
| Reconstruction of nose CPT 30420 | $46,466.88 | $66,381.26 | not published | 0 |
| Rectal sensation test CPT 91120 | $860.30 | $1,229.00 | not published | 0 |
| Red blood cells each unit HCPCS P9021 | $449.40 | $642.00 | not published | 0 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $1,045.10 | $1,493.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $588.00 | $840.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $882.00 | $1,260.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $808.50 | $1,155.00 | not published | 0 |
| Redo endovas vena cava filtr CPT 37192 | $4,610.90 | $6,587.00 | not published | 0 |
| Refill/maint pump/resvr syst CPT 96522 | $591.50 | $845.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $778.57 | $1,112.25 | not published | 0 |
| Relieve bladder contracture CPT 52640 | $19,199.82 | $27,428.31 | not published | 0 |
| Relocation skin pocket aicd CPT 33223 | $12,328.40 | $17,612.00 | not published | 0 |
| Relocation skin pocket pm CPT 33222 | $11,058.82 | $15,798.31 | not published | 0 |
| Rem/biv cast full arm/leg CPT 29705 | $237.30 | $339.00 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $2,714.77 | $3,878.25 | not published | 0 |
| Rem endovas vena cava filter CPT 37193 | $6,185.91 | $8,837.01 | $10.00 – $10.00 | 1 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $162.40 | $232.00 | not published | 0 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $268.10 | $383.00 | not published | 0 |
| Removal anal seton other marker 46030 CPT 46030 | $11,493.52 | $16,419.31 | not published | 0 |
| Removal biliary drg cath CPT 47537 | $1,744.04 | $2,491.49 | $3.75 – $3.75 | 1 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $2,200.23 | $3,143.19 | not published | 0 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $4,193.78 | $5,991.11 | $10.00 – $10.00 | 1 |
| Removal cerclage w/anes CPT 59871 | $5,912.20 | $8,446.00 | not published | 0 |
| Removal cerclage without anes CPT 59899 | $6,693.40 | $9,562.00 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $161.70 | $231.00 | not published | 0 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $13,806.80 | $19,724.00 | not published | 0 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $169.40 | $242.00 | not published | 0 |
| Removal duct glbldr calculi CPT 47544 | $2,319.10 | $3,313.00 | not published | 0 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,831.90 | $2,617.00 | not published | 0 |
| Removal of anal fissure CPT 46200 | $21,820.18 | $31,171.69 | not published | 0 |
| Removal of anal tags CPT 46230 | $15,596.04 | $22,280.06 | not published | 0 |
| Removal of arm artery clot 34111 CPT 34111 | $34,128.36 | $48,754.80 | not published | 0 |
| Removal of bladder lesion CPT 51530 | $63,330.32 | $90,471.89 | not published | 0 |
| Removal of bladder stone CPT 51050 | $89,786.56 | $128,266.51 | not published | 0 |
| Removal of hydrocele CPT 55040 | $18,332.11 | $26,188.73 | not published | 0 |
| Removal of hydroceles CPT 55041 | $22,594.85 | $32,278.36 | not published | 0 |
| Removal of lung lesion(s) 32150 CPT 32150 | $1,169.00 | $1,670.00 | not published | 0 |
| Removal of lymph nodes neck CPT 38724 | $41,622.75 | $59,461.07 | not published | 0 |
| Removal of nerve lesion CPT 64790 | $19,078.15 | $27,254.50 | not published | 0 |
| Removal of ovary/tube(s) CPT 58720 | $51,100.94 | $73,001.34 | not published | 0 |
| Removal of prostate CPT 55821 | $48,669.11 | $69,527.30 | not published | 0 |
| Removal of scrotum CPT 55150 | $17,514.73 | $25,021.04 | not published | 0 |
| Removal of testis CPT 54530 | $19,546.61 | $27,923.73 | not published | 0 |
| Removal of thyroid CPT 60240 | $44,451.69 | $63,502.41 | not published | 0 |
| Removal of thyroid CPT 60252 | $52,874.50 | $75,535.00 | not published | 0 |
| Removal of thyroid CPT 60271 | $49,054.77 | $70,078.24 | not published | 0 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $17,253.15 | $24,647.36 | not published | 0 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $662.90 | $947.00 | not published | 0 |
| Removal tunnled intprtnl cath CPT 49422 | $15,637.74 | $22,339.63 | not published | 0 |
| Remove anal fist complex CPT 46280 | $22,403.41 | $32,004.87 | not published | 0 |
| Remove anal fist inter CPT 46275 | $14,925.42 | $21,322.03 | not published | 0 |
| Remove anal fist subq CPT 46270 | $13,753.55 | $19,647.93 | not published | 0 |
| Remove bladder stone CPT 52317 | $34,704.97 | $49,578.53 | not published | 0 |
| Remove bladder stone CPT 52318 | $35,327.30 | $50,467.57 | not published | 0 |
| Remove brain cavity shunt 62256 CPT 62256 | $30,551.08 | $43,644.40 | not published | 0 |
| Remove cva lumen obstruct CPT 75902 | $763.70 | $1,091.00 | not published | 0 |
| Remove digit nerve lesion 64776 CPT 64776 | $6,034.82 | $8,621.17 | not published | 0 |
| Remove epididymis lesion CPT 54830 | $17,539.49 | $25,056.41 | not published | 0 |
| Remove epididymis lesion CPT 54840 | $22,476.00 | $32,108.57 | not published | 0 |
| Remove ext hem groups 2+ CPT 46250 | $18,449.93 | $26,357.04 | not published | 0 |
| Remove eyelid lesion CPT 67800 | $6,308.99 | $9,012.84 | not published | 0 |
| Remove hip/pelvis lesion 27047 CPT 27047 | $6,335.00 | $9,050.00 | not published | 0 |
| Remove in/ex hem groups 2+ CPT 46260 | $21,622.07 | $30,888.67 | not published | 0 |
| Remove int/ext hem 1 group CPT 46255 | $15,446.63 | $22,066.61 | not published | 0 |
| Remove limb nerve lesion CPT 64782 | $14,995.49 | $21,422.13 | not published | 0 |
| Remove prostate regrowth CPT 52630 | $21,945.20 | $31,350.29 | not published | 0 |
| Remove renal tube w/fluoro CPT 50389 | $1,392.03 | $1,988.61 | $8.46 – $8.46 | 1 |
| Remove/replace penis prosth CPT 54410 | $76,978.51 | $109,969.30 | not published | 0 |
| Remove skin nerve lesion CPT 64774 | $8,795.58 | $12,565.11 | not published | 0 |
| Remove skin nerve lesion 64788 CPT 64788 | $5,509.00 | $7,870.00 | not published | 0 |
| Remove spinal canal catheter 62355 CPT 62355 | $9,067.80 | $12,954.00 | not published | 0 |
| Remove spinal lamina add-on 63048 CPT 63048 | $54,887.22 | $78,410.31 | not published | 0 |
| Remove spine eltrd perq aray CPT 63661 | $30,520.64 | $43,600.91 | not published | 0 |
| Remove spine lamina 1/2 thrc CPT 63003 | $97,113.55 | $138,733.64 | not published | 0 |
| Remove stent via transureth CPT 50386 | $4,777.50 | $6,825.00 | not published | 0 |
| Remove tonsils and adenoids CPT 42820 | $15,524.16 | $22,177.37 | not published | 0 |
| Remove tonsils and adenoids CPT 42821 | $19,170.79 | $27,386.84 | not published | 0 |
| Remove ureter stent percut CPT 50384 | $4,746.00 | $6,780.00 | not published | 0 |
| Remove vagina tissue part CPT 57107 | $40,687.16 | $58,124.51 | not published | 0 |
| Renal cyst study s&i CPT 74470 | $940.80 | $1,344.00 | not published | 0 |
| Renal function panel CPT 80069 | $177.10 | $253.00 | 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.