Visits & medical services prices at Uchicago Medicine AdventHealth La Grange

La Grange, IL · every code in this section with a posted price and a Medicare benchmark.

194 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure		 $2,837.50 $11,350 0.3×
Airway Inhalation Treatment (94640) $50 $200 0.2×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $25 $100 0.6×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $142.50 $570 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $32.50 $130 2.3×
Application on-body injector (96377) $37.50 $150 0.7×
Assessment of aphasia per hr (96105) $125 $500 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $200 $800 0.5×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure		 $2,837.50 $11,350 0.3×
Canalith repositioning proc (95992) $53.75 $215 1.3×
Car seat/bed test 60 min (94780) $26.25 $105 0.7×
Cardiac Stress Tst,Tracing Only (93017) $537.50 $2,150 2.3×
Cardiopulmonary resuscitation (92950) $400 $1,600 1.7×
Cardioversion (92960) $425 $1,700 0.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $2,375 $9,500 0.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,650 $14,600 1.1×
Cbt 1st hour (94644) $56.25 $225 0.4×
Chemo Anti-Neopl Sq/Im (96401) $62.50 $250 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $62.50 $250 0.8×
Chemo IV infusion addl hr (96415) $68.75 $275 0.9×
Chemo IV push addl drug (96411) $187.50 $750 2.4×
Chemother Prolong Infuse W/Pump (96416) $237.50 $950 0.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $62.50 $250 0.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $243.75 $975 0.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $187.50 $750 0.5×
Chest Wall Manipulation (94668) $37.50 $150 0.3×
Color/duplex Doppler, complete (93975) $400 $1,600 1.6×
Color/duplex Doppler, limited (93976) $325 $1,300 2.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $32.50 $130 1.0×
Continuous Pulse Ox (94762) $93.75 $375 0.7×
Coronary Art/Grft Angio S&I (93455) $2,375 $9,500 0.7×
Coronary Artery Angio S&I (93454) $2,375 $9,500 0.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $310 $1,240 1.3×
Cpt initial (94667) $56.25 $225 0.4×
Critical care first hour (99291) $1,137.50 $4,550 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $168.75 $675 0.8×
Dialysis One Evaluation (90945) $405 $1,620 0.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $400 $1,600 1.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $325 $1,300 2.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $500 $2,000 2.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $375 $1,500 3.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $500 $2,000 2.0×
Dup-scan xtr veins unilateral/limited study (93971) $375 $1,500 3.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $325 $1,300 2.9×
Duplex Scan Hemodialysis Access (93990) $325 $1,300 2.9×
Duplex up extrem art bilat (93930) $500 $2,000 2.0×
Duplex up extrem art unilat/ltd (93931) $375 $1,500 3.3×
ECG/monitoring and analysis (93271) $250 $1,000 2.5×
Echo Congenital Complete (93303) $375 $1,500 0.6×
Echo Heart Xthoracic,Limited (93308) $225 $900 0.9×
Echo transesophag montr cardiac pump functj (93318) $800 $3,200 1.4×
Echo transesophageal (93312) $800 $3,200 1.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $550 $2,200 0.9×
Eeg 41-60 Minutes (95812) $221.25 $885 1.0×
EEG awake and asleep (95819) $367.50 $1,470 1.6×
EEG awake drowsy (95816) $237.50 $950 1.0×
EEG extended monitoring 61-119 minutes (95813) $262.50 $1,050 1.1×
Eeg Sleep Only (95822) $804.50 $3,218 3.5×
Electrical Stimulation Ea 15 Min (97032) $32.50 $130 2.2×
Electrocardiogram Tracing (93005) $112.50 $450 1.8×
Emergency Dept Visit Level 2 (99282) $222.50 $890 1.4×
Emergency Dept Visit Level 3 (99283) $387.50 $1,550 1.3×
Emergency Dept Visit Level 4 (99284) $715 $2,860 1.6×
Emg 4 Extremities (95864) $187.50 $750 1.4×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure		 $7,500 $30,000 0.3×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure		 $7,500 $30,000 0.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure		 $2,837.50 $11,350 0.3×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure		 $2,837.50 $11,350 0.3×
Er level 1 (99281)
range across 2 matching MRF lines		 $75–$130 $300–$520 varies
Er level v (99285) $997.50 $3,990 1.6×
Esoph Atrial Electrogram (93615) $875 $3,500 0.7×
Evaluate pt use of inhaler (94664) $50 $200 0.2×
Evaluate Speech Production (92522) $95 $380 0.8×
Evaluate Swallowing Function (92610) $85 $340 1.0×
Evaluation of speech fluency (92521) $95 $380 0.7×
External ECG rec>48hr<7d recording (93242) $32.50 $130 0.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $150 $600 1.1×
External ECG rec>7d<15d recording (93246) $107.50 $430 2.7×
External ECG rec>7d<15d scanning alys w/report (93247) $217.50 $870 1.5×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines		 $205–$250 $820–$1,000 varies
Extracranial Bilat Study (93880) $500 $2,000 2.0×
Extracranial Uni/Ltd Study (93882) $250 $1,000 2.2×
F-up/limited tthrc echo congenital car anomaly (93304) $325 $1,300 0.6×
Flexible endoscopic eval swallow c/v rec (92612) $53.75 $215 0.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $2,375 $9,500 0.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $500 $2,000 0.7×
Holter monitor recording (93225)
range across 2 matching MRF lines		 $150–$217.50 $600–$870 varies
Immunization administration (90471) $28.75 $115 0.4×
Ingestion challenge test initial 120 minutes (95076) $175 $700 0.4×
Insert/Place Heart Catheter (93503) $625 $2,500 0.4×
Intracutaneous tests w/allergenic extracts (95024) $35 $140 0.6×
Irrig Drug Delivery Device (96523) $50 $200 0.8×
IV infusion hydration each additional hour (96361) $88.75 $355 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $175 $700 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $62.50 $250 0.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $93.75 $375 1.9×
IV push initial (96374) $101.25 $405 0.4×
L Hrt Art/Grft Angio (93459) $2,375 $9,500 0.7×
Lung Function Test (Mbc/Mvv) (94200) $37.50 $150 0.6×
Lwr Xtr Vasc Stdy Bilat (93924) $231.25 $925 1.0×
Mechanical chest wall oscillation per session (94669) $50 $200 0.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $16.25 $65 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $18.75 $75 0.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $27.50 $110 1.6×
Methacholine challenge (94070) $156.25 $625 0.4×
Motion Fluoroscopy/Swallow (92611) $85 $340 0.9×
Multiple Family Group Psychotherapy (90849) $93.75 $375 0.5×
Multiple Sleep Latency Test (95805) $766.25 $3,065 0.8×
Muscle Test 2 Limbs (95861) $187.50 $750 1.3×
Muscle Test Nonparaspinal (95870) $142.50 $570 1.0×
Muscle Test One Limb (95860) $142.50 $570 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $168.75 $675 0.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $112.50 $450 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $105 $420 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $112.50 $450 0.3×
Nerve Conduction Studies 11-12 Studies (95912) $1,375 $5,500 3.4×
Nerve conduction studies 13 or more studies (95913) $1,550 $6,200 3.9×
Nerve Conduction Studies 3-4 Studies (95908) $375 $1,500 1.6×
Nerve conduction studies 5-6 studies (95909) $550 $2,200 2.4×
Nerve conduction studies 7-8 studies (95910) $750 $3,000 1.9×
Nerve Conduction Studies 9-10 Studies (95911) $1,100 $4,400 2.8×
Neuromuscular Reeducation (97112) $32.50 $130 1.0×
Nitric oxide expired gas determination (95012) $25 $100 0.6×
Oral Function Therapy (92526) $85 $340 1.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $32.50 $130 0.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $32.50 $130 0.7×
Ot eval high complexity (97167) $100 $400 1.0×
Ot Eval Low Complex (97165) $75 $300 0.7×
Ot Eval Moderate Complexity (97166) $87.50 $350 0.9×
Ot manual therapy 15 min (97140) $32.50 $130 1.2×
Ot Re-Eval Est Plan Care (97168) $52.50 $210 0.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $103.75 $415 0.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $72.50 $290 0.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $50 $200 0.2×
Percutaneous tests w/allergenic extracts (95004) $25 $100 0.0×
Perq transcath closure pda (93582)
unusually low: confirm this is the full procedure		 $6,125 $24,500 0.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
unusually low: confirm this is the full procedure		 $3,000 $12,000 0.5×
Phlebotomy therapeutic (99195) $58.75 $235 0.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $70 $280 1.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $70 $280 1.1×
Physical Performance Test (97750) $32.50 $130 1.0×
Plethysmography (94726) $200 $800 0.5×
Pm device progr eval dual (93280) $93.75 $375 2.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,700 $6,800 1.8×
Polysom <6 yrs 4/> paramtrs (95782) $1,700 $6,800 1.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $93.75 $375 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $26.25 $105 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $43.75 $175 0.9×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure		 $3,750 $15,000 0.3×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure		 $6,125 $24,500 0.3×
Pt Eval High Complex (97163) $106.25 $425 1.1×
Pt eval low complex 20 min (97161) $93.75 $375 1.0×
Pt Eval Mod Complex (97162) $100 $400 1.0×
Pt gait training 15 min (97116) $32.50 $130 1.1×
Pt mechanical traction (97012) $32.50 $130 2.3×
Pt Re-Eval Est Plan Care (97164) $52.50 $210 0.8×
Pulm function test by gas (94727) $101.25 $405 0.4×
Pulmonary Stress Testing (94618) $142.50 $570 1.0×
R Hrt Art/Grft Angio (93457) $2,375 $9,500 0.7×
R hrt coronary artery angio (93456) $2,375 $9,500 0.7×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,375 $9,500 0.7×
Remote 30 Day Ecg Rev/Report (93270) $425 $1,700 10.6×
Respiratory flow volume loop (94375) $112.50 $450 0.5×
Right Heart Cath (93451) $2,375 $9,500 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $105 $420 0.5×
Self Care Mngment Training (97535) $32.50 $130 1.0×
Sensory Integration Ea 15 Min (97533) $32.50 $130 0.5×
Sleep study unattended (95806) $450 $1,800 1.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $450 $1,800 1.9×
Speech sound lang comprehen (92523) $95 $380 0.4×
Spin/Brain Pump Refil & Main (95991) $150 $600 0.5×
Spirometry (94010) $72.50 $290 0.3×
Stress Tte Only (93350) $800 $3,200 1.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $32.50 $130 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $68.75 $275 0.9×
Ther/Proph/Diag Iv Inf Init (96365) $190 $760 0.8×
Therapeutic Activities (97530) $32.50 $130 0.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $750 $3,000 1.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $30 $120 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $18.75 $75 0.5×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure		 $6,125 $24,500 0.3×
Tte w/doppler, complete (93306) $800 $3,200 1.4×
Tte W/O Doppler Complete (93307) $300 $1,200 1.2×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure		 $9,150 $36,600 0.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $85 $340 1.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $42.50 $170 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $76.25 $305 1.5×
Upr/L Xtremity Art 2 Levels (93922) $187.50 $750 1.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $231.25 $925 1.0×
Valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure		 $3,000 $12,000 0.5×
Vent Mgmt Inpat Init Day (94002) $346.25 $1,385 0.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $247.50 $990 0.4×
Vital capacity, total (94150) $25 $100 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $32.50 $130 1.0×

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.