Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HB Fna W/O Image
Lake Forest, IL
See all hospitals reporting CPT 10021 →Price type
Northwestern Lake Forest Hospital’s median price of $569 is 23% above the median hospital's median price ($463), higher than 64% of the 2,193 hospitals reporting CPT 10021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna nlfh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $207.50 | $207.50 | $207.50 – $207.50 |
| 2 | Blue Cross Blue Shield nlfh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $264.88 | $264.88 | $264.88 – $264.88 |
| 3 | Blue Cross Blue Shield nlfh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $292.50 | $292.50 | $292.50 – $292.50 |
| 4 | Blue Cross Blue Shield nlfh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $292.50 | $292.50 | $292.50 – $292.50 |
| 5 | Blue Cross Blue Shield nlfh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $292.50 | $292.50 | $292.50 – $292.50 |
| 6 | Blue Cross Blue Shield nlfh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $341.25 | $341.25 | $341.25 – $341.25 |
| 7 | Cigna nlfh cigna alternative percent of total billed charges · outpatientfrom % of charges | $471.25 | $471.25 | $471.25 – $471.25 |
| 8 | Aetna nlfh aetna percent of total billed charges · outpatientfrom % of charges | $537.50 | $537.50 | $537.50 – $537.50 |
| 9 | Blue Cross Blue Shield nlfh bc lake county phys assoc ipa percent of total billed charges · outpatientfrom % of charges | $562.50 | $562.50 | $562.50 – $562.50 |
| 10 | Aetna nlfh aetna asa percent of total billed charges · outpatientfrom % of charges | $568.75 | $568.75 | $568.75 – $568.75 |
| 11 | Cigna nlfh cigna broad percent of total billed charges · outpatientfrom % of charges | $810.00 | $810.00 | $810.00 – $810.00 |
| 12 | Beechstreet nlfh phcs percent of total billed charges · outpatientfrom % of charges | $1,000 | $1,000 | $1,000 – $1,000 |
| 13 | MultiPlan nlfh phcs percent of total billed charges · outpatientfrom % of charges | $1,000 | $1,000 | $1,000 – $1,000 |
| 14 | First Health nlfh first health percent of total billed charges · outpatientfrom % of charges | $1,025 | $1,025 | $1,025 – $1,025 |
| 15 | Blue Cross Blue Shield nlfh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $1,250 | $1,250 | $1,250 – $1,250 |
| 16 | MultiPlan nlfh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $1,250 | $1,250 | $1,250 – $1,250 |
| 17 | UnitedHealthcare nlfh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $1,250 | $1,250 | $1,250 – $1,250 |
Last updated: Apr 1, 2026
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