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 |
|---|---|---|---|---|
| Sterile water/saline, 10 ml HCPCS A4216 | $16.80 | $24.00 | not published | 0 |
| Sterile water/saline, 500 ml HCPCS A4217 | $187.77 | $268.25 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $787.50 | $1,125.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $564.20 | $806.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $893.90 | $1,277.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $709.10 | $1,013.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $592.90 | $847.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $337.40 | $482.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $131.60 | $188.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $343.70 | $491.00 | not published | 0 |
| Stress tte complete CPT 93351 | $4,490.50 | $6,415.00 | not published | 0 |
| Str markers spec anal addl CPT 81266 | $703.50 | $1,005.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $1,036.70 | $1,481.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $355.60 | $508.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $517.30 | $739.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $136.50 | $195.00 | not published | 0 |
| Sugars single quant CPT 84378 | $202.30 | $289.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $20,946.45 | $29,923.50 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $25.72 | $36.75 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $266.00 | $380.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $42.17 | $60.25 | not published | 0 |
| Surg dx exam anorectal CPT 45990 | $11,172.32 | $15,960.46 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $27,233.16 | $38,904.51 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $33,857.68 | $48,368.11 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $20,514.21 | $29,306.01 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $6,357.35 | $9,081.93 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $34,751.23 | $49,644.61 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $64,207.77 | $91,725.39 | not published | 0 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $28,607.42 | $40,867.74 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $114.10 | $163.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $86.80 | $124.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $744.10 | $1,063.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $80.50 | $115.00 | not published | 0 |
| Svc venogram s&i CPT 75827 | $2,644.60 | $3,778.00 | not published | 0 |
| Sympathectomy digital artery CPT 64820 | $13,643.17 | $19,490.24 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $91.00 | $130.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $8,119.04 | $11,598.63 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $21,744.48 | $31,063.55 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $538.35 | $769.07 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $159.60 | $228.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $135.10 | $193.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $121.10 | $173.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $108.50 | $155.00 | not published | 0 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $116.90 | $167.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.55 | $6.50 | not published | 0 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $729.05 | $1,041.50 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $238.00 | $340.00 | not published | 0 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $3,575.07 | $5,107.25 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,246.30 | $3,209.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,585.20 | $10,836.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $2,202.20 | $3,146.00 | not published | 0 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $61,887.70 | $88,411.00 | not published | 0 |
| Tas congenital car anomal CPT 33741 | $11,511.50 | $16,445.00 | not published | 0 |
| Tavr perq femoral CPT 33361 | $45,506.30 | $65,009.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,605.10 | $2,293.00 | not published | 0 |
| Tbp gene detc abnor alleles CPT 81344 | $316.40 | $452.00 | not published | 0 |
| Tbs techl calculation only CPT 77091 | $196.00 | $280.00 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $227.50 | $325.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $318.50 | $455.00 | not published | 0 |
| Tc-99m bicisate HCPCS A9557 | $5,133.10 | $7,333.00 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $4,007.50 | $5,725.00 | not published | 0 |
| Tc-99m exametazime diag HCPCS A9521 | $4,383.40 | $6,262.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $581.00 | $830.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $1,454.60 | $2,078.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $275.10 | $393.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $220.50 | $315.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $2,244.20 | $3,206.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $9.10 | $13.00 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $256.20 | $366.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $1,134.70 | $1,621.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $4.20 | $6.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $333.90 | $477.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $581.00 | $830.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,318.10 | $1,883.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $1,098.30 | $1,569.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $339.50 | $485.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $985.60 | $1,408.00 | not published | 0 |
| Tcd emboli detect w/inj CPT 93893 | $1,429.40 | $2,042.00 | not published | 0 |
| Tcd emboli detect without inj CPT 93892 | $835.10 | $1,193.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $250.60 | $358.00 | not published | 0 |
| T cells total count CPT 86359 | $145.60 | $208.00 | not published | 0 |
| Tcranial magn stim tx deli CPT 90868 | $262.50 | $375.00 | not published | 0 |
| Tcranial magn stim tx plan CPT 90867 | $350.00 | $500.00 | not published | 0 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $8,627.50 | $12,325.00 | not published | 0 |
| Telavancin injection HCPCS J3095 | $2,259.42 | $3,227.75 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $49.00 | $70.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $2,180.50 | $3,115.00 | not published | 0 |
| Temozolomide HCPCS J8700 | $95.55 | $136.50 | not published | 0 |
| Temperature gradient studies CPT 93740 | $614.60 | $878.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $31,730.65 | $45,329.50 | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $3,664.50 | $5,235.00 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $53.55 | $76.50 | not published | 0 |
| Tert gene targeted seq alys CPT 81345 | $428.40 | $612.00 | not published | 0 |
| Test for chlorohydrocarbons CPT 82441 | $136.50 | $195.00 | not published | 0 |
| Test for urine cystines CPT 82615 | $25.20 | $36.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $1,036.70 | $1,481.00 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $1,010.80 | $1,444.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $2,204.65 | $3,149.50 | not published | 0 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $6,744.50 | $9,635.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $160.30 | $229.00 | 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.