Northwestern Medicine Valley West Hospital
Sandwich, IL · Critical Access Hospital
Posts prices for 43 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Shoulder arthroscopy with decompression (29826) | $66,414.12 | $94,877.31 | — |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$2,743.30–$4,852.22 | $3,919–$6,931.74 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$3,217.90–$10,335.13 | $4,597–$14,764.47 | varies |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$2,524.90–$4,292.57 | $3,607–$6,132.24 | varies |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$4,094.30–$12,261.91 | $5,849–$17,517.01 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$4,094.30–$8,121.99 | $5,849–$11,602.84 | varies |
| Colonoscopy with endoscopic ultrasound (45391) | $4,094.30 | $5,849 | 3.2× |
| Laparoscopic gallbladder removal (47562) | $15,822.80 | $22,604 | 2.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $2,927.40 | $4,182 | 3.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $3,148.22 | $4,497.46 | 3.3× |
| CT head/brain without contrast (70450) | $2,474.50 | $3,535 | 22.1× |
| MRI brain without contrast (70551) | $3,887.10 | $5,553 | 15.2× |
| MRI brain with contrast (70552) | $4,291 | $6,130 | 11.5× |
| MRI brain without and with contrast (70553) | $5,385.10 | $7,693 | 14.4× |
| X-ray lower spine, 4+ views (72110) | $909.30 | $1,299 | 8.1× |
| MRI lumbar spine without contrast (72148) | $3,837.40 | $5,482 | 15.0× |
| CT pelvis with contrast (72193) | $2,907.80 | $4,154 | 15.5× |
| MRI lower-extremity joint without contrast (73721) | $3,835.30 | $5,479 | 15.0× |
| CT abdomen and pelvis with contrast (74177) | $6,049.40 | $8,642 | 16.2× |
| Ultrasound, abdomen complete (76700) | $1,772.40 | $2,532 | 15.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,206.10 | $1,723 | 10.8× |
| Ultrasound, transvaginal (76830) | $1,079.40 | $1,542 | 9.6× |
| Mammography, one breast (diagnostic) (77065) | $464.80 | $664 | 5.4× |
| Mammography, both breasts (diagnostic) (77066) | $513.80 | $734 | 4.6× |
| Mammography, screening (bilateral) (77067) | $523.60 | $748 | 5.7× |
| Basic metabolic panel (80048) | $219.80 | $314 | 26.0× |
| Comprehensive metabolic panel (80053) | $306.60 | $438 | 29.0× |
| Lipid panel (80061) | $184.10 | $263 | 13.7× |
| Renal function panel (80069) range across 2 matching MRF lines |
$137.20–$148.40 | $196–$212 | varies |
| Hepatic function panel (80076) range across 3 matching MRF lines |
$120.40–$165.90 | $172–$237 | varies |
| Urinalysis, non-automated, without microscopy (81002) | $21.70 | $31 | 6.2× |
| PSA, total (84153) range across 7 matching MRF lines |
$116.20–$284.90 | $166–$407 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $162.40 | $232 | 9.7× |
| CBC with automated differential (85025) range across 3 matching MRF lines |
$78.40–$126.70 | $112–$181 | varies |
| CBC, automated (85027) range across 3 matching MRF lines |
$65.10–$91.70 | $93–$131 | varies |
| Prothrombin time (PT) (85610) range across 14 matching MRF lines |
$27.30–$91 | $39–$130 | varies |
| Partial thromboplastin time (PTT) (85730) range across 20 matching MRF lines |
$51.10–$92.40 | $73–$132 | varies |
| Group psychotherapy (90853) range across 2 matching MRF lines |
$82.60–$84.70 | $118–$121 | varies |
| Sleep study (attended polysomnography) (95810) | $4,582.20 | $6,546 | 5.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $165.20 | $236 | 5.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $380.10 | $543 | 2.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $438.20 | $626 | 3.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $640.50 | $915 | 4.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 357 codes with posted prices and Medicare benchmarks
- Lab & pathology: 995 codes with posted prices and Medicare benchmarks
- Visits & medical services: 243 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 637 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 89 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 317.0 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.