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 |
|---|---|---|---|---|
| Unlisted ultrasound procedure CPT 76999 | $105.00 | $150.00 | not published | 0 |
| Unlisted urinalysis px CPT 81099 | $114.10 | $163.00 | not published | 0 |
| Unlstd laps px sprmatic cord CPT 55559 | $50,744.91 | $72,492.73 | not published | 0 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,262.80 | $1,804.00 | not published | 0 |
| Upgrade pm system CPT 33214 | $29,069.99 | $41,528.56 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,696.30 | $6,709.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,101.30 | $5,859.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,809.40 | $5,442.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $4,160.04 | $5,942.91 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $9,470.38 | $13,529.11 | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | $13,063.64 | $18,662.34 | not published | 0 |
| Urea nitrogen CPT 84520 | $63.70 | $91.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $56.00 | $80.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $839.30 | $1,199.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $897.40 | $1,282.00 | not published | 0 |
| Uric acid blood CPT 84550 | $79.10 | $113.00 | not published | 0 |
| Uric acid urine CPT 84560 | $79.10 | $113.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $32.90 | $47.00 | not published | 0 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $30.10 | $43.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $84.70 | $121.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $53.20 | $76.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $129.50 | $185.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $128.80 | $184.00 | not published | 0 |
| Urography, antegrade CPT 74425 | $1,262.80 | $1,804.00 | not published | 0 |
| Use 1st target lesion CPT 76982 | $482.30 | $689.00 | not published | 0 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $8,741.25 | $12,487.50 | not published | 0 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $58,677.85 | $83,825.50 | not published | 0 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $69.30 | $99.00 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $137.90 | $197.00 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $92.40 | $132.00 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $117.07 | $167.25 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $51.62 | $73.75 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $107.10 | $153.00 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $326.90 | $467.00 | not published | 0 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $273.87 | $391.25 | not published | 0 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $527.27 | $753.25 | not published | 0 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $112.00 | $160.00 | not published | 0 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,245.82 | $1,779.75 | not published | 0 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $347.20 | $496.00 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $81.20 | $116.00 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $33.60 | $48.00 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $33.60 | $48.00 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $861.70 | $1,231.00 | not published | 0 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $452.37 | $646.25 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $631.40 | $902.00 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $357.17 | $510.25 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $402.85 | $575.50 | not published | 0 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $275.80 | $394.00 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $887.95 | $1,268.50 | not published | 0 |
| Vaccine rabies im CPT 90675 | $1,578.50 | $2,255.00 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,828.57 | $2,612.25 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,828.57 | $2,612.25 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $189.00 | $270.00 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $77.00 | $110.00 | not published | 0 |
| Vag hyst including t/o CPT 58262 | $42,490.55 | $60,700.79 | not published | 0 |
| Vag hyst w/enterocele repair CPT 58270 | $39,597.17 | $56,567.39 | not published | 0 |
| Vaginal bx CPT 58999 | $132.30 | $189.00 | not published | 0 |
| Vaginal hysterectomy CPT 58260 | $30,655.39 | $43,793.41 | not published | 0 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $19.25 | $27.50 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $199.50 | $285.00 | not published | 0 |
| Valvuloplasty aortic CPT 92986 | $16,396.80 | $23,424.00 | not published | 0 |
| Valvuloplasty mitral CPT 92987 | $9,664.90 | $13,807.00 | not published | 0 |
| Valvuloplasty pulmonary CPT 92990 | $6,469.40 | $9,242.00 | not published | 0 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | $21,092.40 | $30,132.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $818.30 | $1,169.00 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $185.50 | $265.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $118.30 | $169.00 | not published | 0 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $31,976.00 | $45,680.00 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $91.87 | $131.25 | not published | 0 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $38,617.60 | $55,168.00 | not published | 0 |
| Veeg cont 2-12 hrs CPT 95713 | $4,044.60 | $5,778.00 | not published | 0 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,044.60 | $5,778.00 | not published | 0 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $3,707.20 | $5,296.00 | not published | 0 |
| Veeg unmon 12-26 hrs CPT 95714 | $3,623.90 | $5,177.00 | not published | 0 |
| Veeg unmon 2-12 hrs CPT 95711 | $2,364.60 | $3,378.00 | not published | 0 |
| Vein x-ray eye socket CPT 75880 | $1,353.10 | $1,933.00 | not published | 0 |
| Vein x-ray kidney CPT 75831 | $3,749.20 | $5,356.00 | not published | 0 |
| Vein x-ray liver CPT 75891 | $3,462.20 | $4,946.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,871.00 | $5,530.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,899.00 | $5,570.00 | not published | 0 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,452.80 | $3,504.00 | not published | 0 |
| Vein x-ray skull CPT 75870 | $1,862.00 | $2,660.00 | not published | 0 |
| Vein x-ray spleen/liver CPT 75810 | $1,512.70 | $2,161.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $2,072.17 | $2,960.24 | $12.66 – $12.66 | 1 |
| Venogram ext bil s&i CPT 75822 | $2,265.20 | $3,236.00 | not published | 0 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,736.00 | $2,480.00 | not published | 0 |
| Venous mech thrombectomy CPT 37187 | $44,156.52 | $63,080.74 | not published | 0 |
| Venous m-thrombectomy add-on CPT 37188 | $6,379.10 | $9,113.00 | not published | 0 |
| Venous sampling s&i CPT 75893 | $2,668.40 | $3,812.00 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $620.20 | $886.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $827.40 | $1,182.00 | not published | 0 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $1,391.60 | $1,988.00 | not published | 0 |
| Version cephalic external CPT 59412 | $5,041.57 | $7,202.24 | not published | 0 |
| Very long chain fatty acids CPT 82726 | $149.10 | $213.00 | not published | 0 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $197.92 | $282.75 | not published | 0 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $129.32 | $184.75 | not published | 0 |
| Visc & infraren abd 3 prosth CPT 34847 | $17,873.10 | $25,533.00 | not published | 0 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $201.60 | $288.00 | not published | 0 |
| Vital capacity test CPT 94150 | $203.70 | $291.00 | not published | 0 |
| Vitamin b-12 CPT 82607 | $135.10 | $193.00 | 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.