Northwestern Lake Forest Hospital
Northwestern Lake Forest Hospital in Lake Forest, Illinois charges 6.6x the Medicare reimbursement rate across 94 analyzed procedures at this nonprofit facility.
Lake Forest, IL 60045 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
No credit card required. Results in 60 seconds.
Pricing grade
D
High
Avg markup vs Medicare
6.61x
Charge / Medicare rate
Max markup
11.08x
Worst procedure
Procedures analyzed
94
With pricing data
Outlier procedures
1.1%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $52,962 | $26,481 | — | 11.1x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $67,545 | $33,772 | — | 10x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $57,253 | $28,627 | — | 10x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $28,450 | $14,225 | — | 10x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $142,229 | $71,115 | — | 9.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $145,840 | $72,920 | — | 9.6x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $51,581 | $25,790 | — | 9.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $90,330 | $45,165 | — | 8.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $123,953 | $61,976 | — | 8.9x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $130,166 | $65,083 | — | 8.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $138,911 | $69,455 | — | 8.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $202,715 | $101,357 | — | 8.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $65,665 | $32,833 | — | 8.3x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $106,657 | $53,328 | — | 8.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $51,677 | $25,839 | — | 8.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $58,951 | $29,475 | — | 8.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $66,780 | $33,390 | — | 7.9x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $60,224 | $30,112 | — | 7.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $88,809 | $44,405 | — | 7.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $191,946 | $95,973 | — | 7.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $52,330 | $26,165 | — | 7.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $127,667 | $63,834 | — | 7.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $28,533 | $14,266 | — | 7.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $56,624 | $28,312 | — | 7.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $40,073 | $20,037 | — | 7.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $162,965 | $81,483 | — | 7.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $49,972 | $24,986 | — | 7.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $50,254 | $25,127 | — | 7.3x |
| HYPERTENSION WITHOUT MCC | 305 | $39,436 | $19,718 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $49,191 | $24,595 | — | 7.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $48,074 | $24,037 | — | 7.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $94,076 | $47,038 | — | 7.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $117,478 | $58,739 | — | 7.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $47,828 | $23,914 | — | 7.1x |
| HEADACHES WITHOUT MCC | 103 | $43,113 | $21,556 | — | 7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $42,666 | $21,333 | — | 7x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $117,667 | $58,833 | — | 6.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $40,343 | $20,172 | — | 6.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $37,767 | $18,884 | — | 6.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $45,306 | $22,653 | — | 6.7x |
| RENAL FAILURE WITH CC | 683 | $39,814 | $19,907 | — | 6.6x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $45,946 | $22,973 | — | 6.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $49,235 | $24,618 | — | 6.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $45,879 | $22,940 | — | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $101,099 | $50,549 | — | 6.5x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $134,504 | $67,252 | — | 6.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $36,475 | $18,238 | — | 6.4x |
| DIABETES WITH CC | 638 | $37,974 | $18,987 | — | 6.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $47,598 | $23,799 | — | 6.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $50,051 | $25,026 | — | 6.3x |
Showing 50 of 94 procedures
Got a bill from NORTHWESTERN LAKE FOREST HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Northwestern Lake Forest Hospital?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use