Northwestern Medicine Valley West Hospital
1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931
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 |
|---|---|---|---|---|
| Acyclovir 400 mg tablet HCPCS J8499 | $291.55 | $416.50 | not published | 0 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $444.15 | $634.50 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $11,897.55 | $16,996.50 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $3,657.85 | $5,225.50 | $74.90 – $74.90 | 6 |
| Blood draw capillary 36416 CPT 36416 | $137.20 | $196.00 | $3.11 – $4.10 | 7 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $3,276.87 | $4,681.25 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $11,142.93 | $15,918.47 | $5.90 – $5.90 | 6 |
| Bundled special stain group 2 CPT 88313 | $12,294.46 | $17,563.51 | $3.35 – $3.35 | 6 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $326,524.44 | $466,463.50 | not published | 0 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $1,359.57 | $1,942.25 | not published | 0 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $19,812.27 | $28,303.25 | not published | 0 |
| Chemodenerv musc migraine 64615 CPT 64615 | $3,159.62 | $4,513.74 | $79.37 – $79.37 | 6 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $3,549.35 | $5,070.50 | $66.54 – $66.54 | 6 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $870.10 | $1,243.00 | $8.17 – $8.17 | 1 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $768.60 | $1,098.00 | $10.56 – $10.56 | 1 |
| Collection of venous blood by venipuncture CPT 36415 | $675.50 | $965.00 | $3.00 – $30.71 | 9 |
| Colonoscopy (diagnostic) CPT 45378 | $4,292.57 | $6,132.24 | $270.70 – $270.70 | 6 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $10,156.52 | $14,509.31 | $285.40 – $285.40 | 6 |
| Colonoscopy submucous njx CPT 45381 | $11,448.50 | $16,355.00 | $184.28 – $184.28 | 6 |
| Colonoscopy w/ablation CPT 45388 | $15,808.76 | $22,583.94 | $173.35 – $173.35 | 6 |
| Colonoscopy w/balloon dilat CPT 45386 | $20,123.08 | $28,747.26 | $108.86 – $108.86 | 6 |
| Colonoscopy w/band ligation CPT 45398 | $10,976.27 | $15,680.39 | $151.15 – $151.15 | 6 |
| Colonoscopy w/control bleed CPT 45382 | $9,385.79 | $13,408.27 | $340.10 – $340.10 | 6 |
| Colonoscopy (with biopsy) CPT 45380 | $12,261.91 | $17,517.01 | $270.70 – $270.70 | 6 |
| Colonoscopy (with polyp removal) CPT 45385 | $8,121.99 | $11,602.84 | $342.10 – $342.10 | 6 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $17,098.33 | $24,426.19 | $17.90 – $17.90 | 6 |
| #creutz-prot.,western blot CPT 84182 | $154.70 | $221.00 | not published | 0 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,359.05 | $1,941.50 | not published | 0 |
| Decalcification CPT 88311 | $9,891.80 | $14,131.14 | $5.75 – $5.75 | 6 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $276.32 | $394.75 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $2,195.72 | $3,136.74 | $112.40 – $310.70 | 7 |
| Dilate esophagus 1/mult pass CPT 43450 | $7,590.56 | $10,843.66 | $74.90 – $74.90 | 6 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $73,737.12 | $105,338.75 | not published | 0 |
| Egd control bleeding any CPT 43255 | $11,411.99 | $16,302.84 | $306.40 – $306.40 | 6 |
| Egd lesion ablation CPT 43270 | $15,224.52 | $21,749.31 | $151.95 – $151.95 | 6 |
| Egd remove foreign body CPT 43247 | $8,605.83 | $12,294.04 | $306.40 – $306.40 | 6 |
| Egd remove lesion snare CPT 43251 | $14,426.89 | $20,609.84 | $306.40 – $306.40 | 6 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $12,889.18 | $18,413.11 | $249.70 – $249.70 | 6 |
| Egd varices ligation CPT 43244 | $4,797.30 | $6,853.29 | $256.60 – $256.60 | 6 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $7,629.12 | $10,898.74 | $20.72 – $2,320.80 | 7 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,897.57 | $11,282.25 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $1,781.15 | $2,544.50 | $32.20 – $32.20 | 6 |
| ER Visit (level 4) CPT 99284 | $4,134.37 | $5,906.24 | $44.00 – $44.00 | 6 |
| ER Visit (level 5, high severity) CPT 99285 | $10,081.05 | $14,401.50 | $69.25 – $69.25 | 6 |
| Esophagoscopy flex biopsy CPT 43202 | $9,375.11 | $13,393.01 | $256.20 – $256.20 | 6 |
| Esoph egd dilation <30 mm CPT 43249 | $10,082.25 | $14,403.21 | $113.40 – $113.40 | 6 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $29.75 | $42.50 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $17,287.72 | $24,696.75 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $8,821.94 | $12,602.77 | $141.00 – $141.00 | 6 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $1,892.62 | $2,703.75 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $2,053.45 | $2,933.50 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $64,809.28 | $92,584.69 | $52.70 – $52.70 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $2,449.81 | $3,499.73 | not published | 0 |
| Hopd covid-19 spec collect HCPCS C9803 | $31.50 | $45.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $11,240.80 | $16,058.29 | $12.79 – $12.79 | 6 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $15,763.10 | $22,518.71 | $23.42 – $23.42 | 6 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $11,784.83 | $16,835.47 | $5.65 – $5.65 | 6 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $4,431.70 | $6,331.00 | $16.79 – $189.38 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $4,431.70 | $6,331.00 | $7.25 – $251.08 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $46,923.68 | $67,033.83 | $53.20 – $53.20 | 6 |
| Inj ogivri 10 mg HCPCS Q5114 | $3,538.50 | $5,055.00 | not published | 0 |
| Insitu hybridization (fish) CPT 88366 | $1,936.90 | $2,767.00 | $36.81 – $468.43 | 9 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $4,131.22 | $5,901.74 | $24.40 – $83.85 | 7 |
| Intubation endotracheal emergency procedure CPT 31500 | $14,097.11 | $20,138.73 | $55.50 – $55.50 | 6 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $299.25 | $427.50 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $264.60 | $378.00 | not published | 0 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $25.37 | $36.25 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $16,476.09 | $23,537.27 | $17.56 – $17.56 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $17,426.50 | $24,895.00 | $26.46 – $560.38 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $17,426.50 | $24,895.00 | $29.08 – $594.90 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $12,727.57 | $18,182.24 | $30.91 – $30.91 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $12,727.57 | $18,182.24 | $38.50 – $38.50 | 6 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $44,490.07 | $63,557.25 | not published | 0 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $59,610.77 | $85,158.25 | not published | 0 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,646.22 | $2,351.75 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $745.32 | $1,064.75 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,151.75 | $4,502.50 | not published | 0 |
| Palonosetron hcl HCPCS J2469 | $323.22 | $461.75 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $39,600.22 | $56,571.75 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $33,694.50 | $48,135.00 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $8,064.17 | $11,520.25 | not published | 0 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $45,173.62 | $64,533.75 | not published | 0 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $92,171.97 | $131,674.25 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $12,808.77 | $18,298.24 | $306.40 – $306.40 | 6 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $16.80 | $24.00 | not published | 0 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $70.00 | $100.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $2,034.20 | $2,906.00 | $78.77 – $78.77 | 1 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $5,627.82 | $8,039.75 | not published | 0 |
| Sgmdsc w/band ligation CPT 45350 | $4,965.65 | $7,093.79 | $65.93 – $65.93 | 6 |
| Sigmoidoscopy and biopsy CPT 45331 | $4,149.26 | $5,927.51 | $176.70 – $176.70 | 6 |
| Sigmoidoscopy for bleeding CPT 45334 | $5,653.97 | $8,077.10 | $176.70 – $176.70 | 6 |
| Sigmoidoscopy w/ablation CPT 45346 | $6,384.64 | $9,120.91 | $103.55 – $103.55 | 6 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $10,196.33 | $14,566.19 | $161.20 – $161.20 | 6 |
| Sig w/tndsc balloon dilation CPT 45340 | $6,956.90 | $9,938.43 | $42.30 – $42.30 | 6 |
| Small bowel endoscopy CPT 44376 | $14,834.80 | $21,192.57 | $318.30 – $318.30 | 6 |
| Small bowel endoscopy CPT 44382 | $10,424.41 | $14,892.01 | $274.70 – $274.70 | 6 |
| Small bowel endoscopy/biopsy CPT 44361 | $8,437.13 | $12,053.04 | $342.10 – $342.10 | 6 |
| Surgical pathology level 1 gross examination only CPT 88300 | $21,477.83 | $30,682.61 | $6.52 – $6.52 | 6 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $17,987.56 | $25,696.51 | $10.47 – $10.47 | 6 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $11,240.80 | $16,058.29 | $18.67 – $18.67 | 6 |
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.