NORTHWESTERN LAKE FOREST HOSPITAL
Acute Care Hospitals
Procedure Prices at NORTHWESTERN LAKE FOREST HOSPITAL
INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE
CPT 36415
$2.67
COMPLETE BLOOD CELL COUNT (RED CELLS, WHITE BLOOD CELL, PLATELETS), AUTOMATED
CPT 85025
$12.25
BLOOD TEST, COMPREHENSIVE GROUP OF BLOOD CHEMICALS
CPT 80053
$16.85
Chest X-Ray (1 view)
CPT 71045
$22.91
Chest X-Ray (2 views)
CPT 71046
$30.04
Therapeutic Exercises
CPT 97110
$34.78
Therapeutic Activities
CPT 97530
$35.28
Mechanical Traction
CPT 97012
$35.95
Thoracic Spine X-Ray
CPT 72072
$36.69
PSYTX W PT 60 MINUTES
CPT 90837
$43.09
OFFICE O/P EST LOW 20-29 MIN
CPT 99213
$61.15
EKG Tracing
CPT 93005
$61.49
Abdominal Ultrasound — Limited
CPT 76705
$88.76
Retroperitoneal Ultrasound
CPT 76770
$109.18
Abdominal Ultrasound
CPT 76700
$116.83
OB Ultrasound
CPT 76805
$130.11
Diagnostic Mammogram (unilateral)
CPT 77065
$133.68
Diagnostic Mammogram (bilateral)
CPT 77066
$139
Screening Mammogram (bilateral)
CPT 77067
$139
ER Visit — Low-Moderate Complexity
CPT 99283
$268.8
CT Chest
CPT 71250
$300
CT Abdomen & Pelvis
CPT 74177
$300
Echocardiogram
CPT 93307
$394.97
NJX AA&/STRD TFRM EPI L/S 1
CPT 64483
$493.92
ER Visit — Moderate Complexity
CPT 99284
$504
Colonoscopy
CPT 45378
$529.2
MRI Brain w/o Contrast
CPT 70551
$565
MRI Brain w/ Contrast
CPT 70553
$565
MRI Joint of Lower Extremity
CPT 73721
$565
Echocardiogram w/ Doppler
CPT 93306
$667
Upper GI Endoscopy w/ Biopsy
CPT 43239
$749.62
Colonoscopy w/ Biopsy
CPT 45380
$858.14
ER Visit — High Complexity
CPT 99285
$898.8
Laparoscopic Cholecystectomy
CPT 47562
$3,270
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.