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 |
|---|---|---|---|---|
| Chylomicron screen, bf - sendout CPT 82664 | $171.50 | $245.00 | not published | 0 |
| Cidofovir injection HCPCS J0740 | $1,801.97 | $2,574.25 | not published | 0 |
| Ciliary transsleral therapy CPT 66710 | $5,567.80 | $7,954.00 | not published | 0 |
| Cine/video x-rays CPT 76120 | $440.30 | $629.00 | not published | 0 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $26.77 | $38.25 | not published | 0 |
| Circum 28 days or older CPT 54161 | $19,729.32 | $28,184.74 | not published | 0 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $4,342.10 | $6,203.00 | not published | 0 |
| Circumcision (newborn) CPT 54150 | $954.80 | $1,364.00 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $262.15 | $374.50 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $739.20 | $1,056.00 | not published | 0 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $413.00 | $590.00 | not published | 0 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $14,441.48 | $20,630.68 | not published | 0 |
| Clearance of airways CPT 31720 | $397.60 | $568.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $41.47 | $59.25 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $410.75 | $586.78 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $60.20 | $86.00 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $935.20 | $1,336.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,339.80 | $1,914.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,556.00 | $5,080.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,967.70 | $2,811.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $533.40 | $762.00 | not published | 0 |
| Closed tx septal&nose fx CPT 21337 | $4,728.50 | $6,755.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $445.20 | $636.00 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,115.10 | $1,593.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $41,293.70 | $58,991.00 | not published | 0 |
| Clot factor fletcher fact CPT 85292 | $242.90 | $347.00 | not published | 0 |
| Clot factor viii reltd antgn CPT 85244 | $377.30 | $539.00 | not published | 0 |
| Clot factor wght kininogen CPT 85293 | $262.50 | $375.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $254.80 | $364.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $86.10 | $123.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $341.60 | $488.00 | not published | 0 |
| Clotting assay whole blood CPT 85396 | $161.00 | $230.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $854.00 | $1,220.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $849.10 | $1,213.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $3,256.40 | $4,652.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $586.60 | $838.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,104.60 | $1,578.00 | not published | 0 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $808.50 | $1,155.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $653.80 | $934.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,651.30 | $2,359.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $336.70 | $481.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $1,522.50 | $2,175.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,617.00 | $2,310.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $930.30 | $1,329.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,378.30 | $1,969.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $991.20 | $1,416.00 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $1,141.70 | $1,631.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $1,150.80 | $1,644.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $829.50 | $1,185.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $829.50 | $1,185.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,790.50 | $5,415.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $735.70 | $1,051.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $5,644.80 | $8,064.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $609.00 | $870.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,157.40 | $3,082.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,827.00 | $2,610.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,084.20 | $4,406.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $693.00 | $990.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $495.60 | $708.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,489.60 | $2,128.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $1,519.00 | $2,170.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $760.90 | $1,087.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $829.50 | $1,185.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,967.30 | $4,239.00 | not published | 0 |
| Cltx post ankle fx CPT 27767 | $525.00 | $750.00 | not published | 0 |
| Cltx thigh fx w/mnpj CPT 27268 | $2,366.70 | $3,381.00 | not published | 0 |
| Cmbn ant pst colprhy CPT 57260 | $45,028.74 | $64,326.77 | not published | 0 |
| C motor evoked lwr limbs CPT 95929 | $1,332.10 | $1,903.00 | not published | 0 |
| C motor evoked uppr limbs CPT 95928 | $1,332.10 | $1,903.00 | not published | 0 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,631.30 | $3,759.00 | not published | 0 |
| #cms hgb-sulfhemoglobin CPT 83060 | $16.10 | $23.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $191.80 | $274.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $257.60 | $368.00 | not published | 0 |
| Cnbp gene detc abnor allele CPT 81187 | $434.00 | $620.00 | not published | 0 |
| Co2 monitor per day CPT 94681 | $1,104.60 | $1,578.00 | not published | 0 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $11,517.45 | $16,453.50 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $39.20 | $56.00 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $81.90 | $117.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $70.00 | $100.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | $108.50 | $155.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $16.10 | $23.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $67.90 | $97.00 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $731.50 | $1,045.00 | $10.56 – $10.56 | 1 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $921.20 | $1,316.00 | $10.56 – $10.56 | 1 |
| Collection of venous blood by venipuncture CPT 36415 | $653.80 | $934.00 | $3.00 – $31.50 | 5 |
| Colonoscopy (diagnostic) CPT 45378 | $4,111.88 | $5,874.11 | not published | 0 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $3,290.70 | $4,701.00 | not published | 0 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $6,436.93 | $9,195.61 | not published | 0 |
| Colonoscopy for bleeding 44391 CPT 44391 | $2,580.90 | $3,687.00 | not published | 0 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $6,458.43 | $9,226.33 | not published | 0 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $4,469.49 | $6,384.99 | not published | 0 |
| Colonoscopy submucous njx CPT 45381 | $15,716.17 | $22,451.67 | not published | 0 |
| Colonoscopy thru stoma spx CPT 44388 | $4,862.03 | $6,945.76 | not published | 0 |
| Colonoscopy w/ablation CPT 45388 | $3,633.70 | $5,191.00 | not published | 0 |
| Colonoscopy w/balloon dilat CPT 45386 | $7,961.77 | $11,373.96 | not published | 0 |
| Colonoscopy w/band ligation CPT 45398 | $5,759.33 | $8,227.61 | not published | 0 |
| Colonoscopy w/control bleed CPT 45382 | $10,364.62 | $14,806.60 | not published | 0 |
| Colonoscopy w/decompression CPT 44408 | $1,572.20 | $2,246.00 | not published | 0 |
| Colonoscopy w/dilation CPT 44405 | $1,415.40 | $2,022.00 | not published | 0 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $6,267.60 | $8,953.71 | 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.