Northwestern Medicine Lake Forest Hospital — price list
← Hospital overviewVerified from Northwestern Medicine Lake Forest Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
152 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1.5MM TI CORTEX SCREW SELF-TAPPING 6MM Outpatient | C1713 HCPCS | $733 | $513 | $122 – $733 | — | |
| 10 DEG ILIAC SCREW 7.5X100 TI Outpatient | C1713 HCPCS | — | — | — | — | |
| 105MM PRE BENT SPHERX ROD Outpatient | C1889 HCPCS | $3,069 | $2,148 | $509 – $3,069 | — | |
| 16MM X10 CROSSLINK FIXED Outpatient | C1713 HCPCS | $3,332 | $2,332 | $553 – $3,332 | — | |
| 2.4MM VA-LCP VOLAR RIM DSTL RAD PLT 6H HD 5H SHAFT RT Outpatient | C1713 HCPCS | $7,653 | $5,357 | $1,270 – $7,653 | — | |
| 2.7MM CORT SCR SELF-TAP SMALL HEX 12MM Outpatient | C1713 HCPCS | $197 | $138 | $32.75 – $197 | — | |
| 2.7MM CORT SCR SELF-TAP SMALL HEX 42MM Outpatient | C1713 HCPCS | $197 | $138 | $32.75 – $197 | — | |
| 20 DEG ILIAC SCREW 8.5X50 TI Outpatient | C1713 HCPCS | — | — | — | — | |
| 21GA X 15CM NEEDLE PERC ENTRY ECHOTP W/O BASEPLT Outpatient | SUP-150868 CDM | $25.34 | $17.74 | $4.21 – $25.34 | — | |
| 25G RETROBULBAR NEEDLE Outpatient | SUP-348208 CDM | $17.54 | $12.28 | $2.91 – $17.54 | — | |
| 25MM X10 CROSSLINK FIXED Outpatient | C1713 HCPCS | $3,332 | $2,332 | $553 – $3,332 | — | |
| 3.2MM TITANIUM ROD 240MM Outpatient | C1713 HCPCS | $1,041 | $729 | $173 – $1,041 | — | |
| 3.5MM CANN SCR FULL THD 34MM Outpatient | C1713 HCPCS | $1,543 | $1,080 | $256 – $1,543 | — | |
| 3.5MM CANN SCR PARTIAL THD 18MM Outpatient | C1713 HCPCS | $1,543 | $1,080 | $256 – $1,543 | — | |
| 3D THREAD SCRW 5.5MMX45 TI Outpatient | C1713 HCPCS | $3,481 | $2,437 | $578 – $3,481 | — | |
| 4.0 X 15 SELF-DRILL FIX SCREW Outpatient | C1713 HCPCS | $833 | $583 | $138 – $833 | — | |
| 4.0MM CANC SCR SMALL HEX 32MM FULLY THD Outpatient | C1713 HCPCS | $195 | $137 | $32.39 – $195 | — | |
| 4.0MM CANN SCR 1/3 THD 10MM Outpatient | C1713 HCPCS | $1,640 | $1,148 | $272 – $1,640 | — | |
| 4.0MM CANN SCR 1/3 THD 26MM Outpatient | C1713 HCPCS | $1,640 | $1,148 | $272 – $1,640 | — | |
| 4.0MM CANN SCRW-LONG THRD 52MM Outpatient | C1713 HCPCS | $1,096 | $767 | $182 – $1,096 | — | |
| 4.5X15MM PK PAPYRUS COVERED STENT Outpatient | C1874 HCPCS | $23,675 | $16,573 | $3,930 – $23,675 | — | |
| 5.5/6.35 CLS LAT CON 20MMTI Outpatient | C1889 HCPCS | $3,332 | $2,332 | $553 – $3,332 | — | |
| 5.5MM X 500MM OFFSET SRT COCR RELINE ROD Outpatient | C1713 HCPCS | $2,192 | $1,535 | $364 – $2,192 | — | |
| 5.5MM X 50MM POLY RELINE SPINAL BONE SCREW Outpatient | C1713 HCPCS | $5,042 | $3,529 | $837 – $5,042 | — | |
| 58-80MM X10 CROSSLINK MULTI Outpatient | C1713 HCPCS | $3,332 | $2,332 | $553 – $3,332 | — | |
| 6.5 HEALIX ADVANCE BR W OCORD Outpatient | C1713 HCPCS | $2,762 | $1,933 | $459 – $2,762 | — | |
| 6F 13CM INTRO SYS W/INFUS SIDE PORT SAFESHEATH II Outpatient | C1892 HCPCS | $670 | $469 | $111 – $670 | — | |
| 6FR X 110CM TUOHY BORST SIDE ARM INTRODUCER FLEXOR SHUTTLE Outpatient | C1894 HCPCS | $908 | $635 | $151 – $908 | — | |
| ACCESSORY KT ARTHSCP ANT CRUC LIG ACL DISP Outpatient | C1713 HCPCS | $4,770 | $3,339 | $792 – $4,770 | — | |
| ACETAMINOPHEN 32 MG/ML ORAL SUSP Outpatient | RX-181460 CDM | $8.25 | $5.77 | $1.37 – $8.25 | — |