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 |
|---|---|---|---|---|
| Atxn3 gene detc abnor allele CPT 81180 | $316.40 | $452.00 | not published | 0 |
| Atxn7 gene detc abnor allele CPT 81181 | $316.40 | $452.00 | not published | 0 |
| Atxn8os gen detc abnor allel CPT 81182 | $316.40 | $452.00 | not published | 0 |
| Audiometry air + bone CPT 92553 | $182.00 | $260.00 | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $7,231.27 | $10,330.39 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $4,234.30 | $6,049.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $6,882.40 | $9,832.00 | not published | 0 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,589.00 | $2,270.00 | not published | 0 |
| Autologous blood process CPT 86890 | $977.90 | $1,397.00 | not published | 0 |
| Autolog prp diab wound ulcer HCPCS G0465 | $4,004.00 | $5,720.00 | not published | 0 |
| Automated diff wbc count CPT 85004 | $39.90 | $57.00 | not published | 0 |
| Autonomic nrv adrenrg inervj CPT 95922 | $952.70 | $1,361.00 | not published | 0 |
| Autonomic nrv syst funj test CPT 95923 | $1,099.00 | $1,570.00 | not published | 0 |
| Av fistula revision CPT 36833 | $36,824.69 | $52,606.70 | not published | 0 |
| Av fuse uppr arm basilic CPT 36819 | $43,098.57 | $61,569.39 | not published | 0 |
| Av fuse uppr arm cephalic CPT 36818 | $28,212.22 | $40,303.17 | not published | 0 |
| Av fusion direct any site CPT 36821 | $27,032.06 | $38,617.23 | not published | 0 |
| Av fusion/forearm vein 36820 CPT 36820 | $27,952.51 | $39,932.16 | not published | 0 |
| Avul nail plate addl CPT 11732 | $1,981.70 | $2,831.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $364.70 | $521.00 | not published | 0 |
| Azacitidine injection HCPCS J9025 | $74.55 | $106.50 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $2.10 | $3.00 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $32.37 | $46.25 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $227.32 | $324.75 | not published | 0 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $604.97 | $864.25 | not published | 0 |
| Baclofen eval charges CPT 97750 | $185.50 | $265.00 | not published | 0 |
| Bacterial meningitis antigen CPT 86403 | $132.30 | $189.00 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $1,701.00 | $2,430.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $106.40 | $152.00 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $5,342.40 | $7,632.00 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $13,926.65 | $19,895.21 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $252.70 | $361.00 | not published | 0 |
| Bausch health Ultrasound surg HCPCS V2788 | $1,820.37 | $2,600.53 | not published | 0 |
| B cells total count CPT 86355 | $152.60 | $218.00 | not published | 0 |
| Bckdhb gene CPT 81205 | $230.30 | $329.00 | not published | 0 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $105.00 | $150.00 | not published | 0 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,001.72 | $5,716.75 | not published | 0 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $6,137.42 | $8,767.75 | not published | 0 |
| Benign lesion paring 2-4 CPT 11056 | $264.60 | $378.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $217.70 | $311.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $95.72 | $136.75 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $151.90 | $217.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $128.10 | $183.00 | not published | 0 |
| Beta-amyloid 1-40 CPT 82233 | $331.10 | $473.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $392.00 | $560.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $66.85 | $95.50 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $13,152.30 | $18,789.00 | not published | 0 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $9,662.62 | $13,803.75 | not published | 0 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $7,408.27 | $10,583.25 | not published | 0 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $185.50 | $265.00 | not published | 0 |
| B-hexosaminidase ea assay CPT 83080 | $69.30 | $99.00 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,335.60 | $1,908.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $842.10 | $1,203.00 | not published | 0 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $2,525.60 | $3,608.00 | not published | 0 |
| Biliary endo perq dx w/speci CPT 47552 | $2,288.30 | $3,269.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47553 | $6,700.40 | $9,572.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47555 | $3,804.50 | $5,435.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47556 | $6,652.10 | $9,503.00 | not published | 0 |
| Bilicheck CPT 88720 | $15.40 | $22.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $68.60 | $98.00 | not published | 0 |
| Bilirubin total CPT 82247 | $71.40 | $102.00 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $8,864.41 | $12,663.44 | not published | 0 |
| Biopsy, bone open deep CPT 20245 | $7,266.70 | $10,381.00 | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,146.60 | $1,638.00 | not published | 0 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $30,343.60 | $43,348.00 | not published | 0 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $24,648.74 | $35,212.49 | $1,784.70 – $1,784.70 | 1 |
| Biopsy lower leg soft tissue CPT 27613 | $3,856.30 | $5,509.00 | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,146.60 | $1,638.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $12,102.17 | $17,288.81 | not published | 0 |
| Biopsy needle lymph node superficial CPT 38505 | $10,303.30 | $14,719.00 | $420.85 – $420.85 | 1 |
| Biopsy of inestine 44100 CPT 44100 | $2,052.40 | $2,932.00 | not published | 0 |
| Biopsy of nail unit 11755 CPT 11755 | $2,163.00 | $3,090.00 | not published | 0 |
| Biopsy of nerve CPT 64795 | $10,018.46 | $14,312.09 | not published | 0 |
| Biopsy of penis 54100 CPT 54100 | $13,367.92 | $19,097.03 | not published | 0 |
| Biopsy of prostate CPT 55700 | $24,176.49 | $34,537.84 | not published | 0 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $6,904.80 | $9,864.00 | not published | 0 |
| Biopsy of salivary gland 42400 CPT 42400 | $2,587.90 | $3,697.00 | not published | 0 |
| Biopsy of urethra CPT 53200 | $20,245.74 | $28,922.49 | not published | 0 |
| Biopsy/removal lymph nodes CPT 38525 | $54,884.04 | $78,405.77 | not published | 0 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $11,753.97 | $16,791.39 | not published | 0 |
| Biopsy roof of mouth CPT 42100 | $2,534.00 | $3,620.00 | not published | 0 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $1,097.60 | $1,568.00 | not published | 0 |
| Biospy of bladder CPT 53899 | $48,643.68 | $69,490.97 | not published | 0 |
| Biotinidase - quest CPT 82261 | $35.70 | $51.00 | not published | 0 |
| Bivalirudin HCPCS J0583 | $554.92 | $792.75 | not published | 0 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $23,897.05 | $34,138.64 | not published | 0 |
| Bld exchange truj oth thn nb CPT 36455 | $851.90 | $1,217.00 | not published | 0 |
| Bld prd mix CPT 86965 | $172.90 | $247.00 | not published | 0 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $322.17 | $460.25 | not published | 0 |
| Blink reflex test CPT 95933 | $368.90 | $527.00 | not published | 0 |
| Blm gene CPT 81209 | $95.20 | $136.00 | not published | 0 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $9,656.14 | $13,794.48 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $3,850.92 | $5,501.32 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $5,742.02 | $8,202.88 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $11,467.45 | $16,382.07 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,614.12 | $2,305.89 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $343.00 | $490.00 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $7,686.00 | $10,980.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $58.10 | $83.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $83.30 | $119.00 | 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.