Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center)
800 Biesterfield Rd, Elk Grove Village, IL · Ascension · · NPI 1265577191
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $176.29 – $1,483.50 | 33 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $353.67 – $1,145.52 | 33 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $105.31 – $954.60 | 33 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $176.29 – $1,465.44 | 33 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $54.32 – $4,810.67 | 23 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $54.32 – $5,004.31 | 23 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $6.06 – $35.79 | 35 |
| Culture afb any source CPT 87116 | not published | not published | $8.10 – $47.84 | 35 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $6.06 – $35.79 | 35 |
| Culture anaerobic except blood CPT 87075 | not published | not published | $7.10 – $41.95 | 35 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $7.08 – $41.82 | 35 |
| Culture body fluid CPT 87070 | not published | not published | $6.47 – $38.19 | 35 |
| Culture fungi definitive id mold CPT 87107 | not published | not published | $7.74 – $45.72 | 35 |
| Culture fungi definitive id yeast CPT 87106 | not published | not published | $7.74 – $45.72 | 35 |
| Culture fungi other (except blood) CPT 87102 | not published | not published | $6.31 – $37.26 | 35 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $5.78 – $34.16 | 35 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $10.96 – $64.72 | 35 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $11.54 – $68.18 | 35 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $7.42 – $43.81 | 35 |
| Culture screening strep group a CPT 87081 | not published | not published | $4.97 – $29.37 | 35 |
| Culture typing added method CPT 87158 | not published | not published | $5.65 – $34.29 | 26 |
| Culture typing immunologic CPT 87147 | not published | not published | $3.89 – $22.95 | 35 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $207.16 – $353.26 | 20 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $26.32 – $155.45 | 26 |
| Culture urine each isolate CPT 87088 | not published | not published | $6.07 – $35.84 | 35 |
| Culture virus isolation CPT 87250 | not published | not published | $14.67 – $86.65 | 35 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $58.44 – $493.35 | 12 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $90.09 – $827.31 | 12 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $10.74 – $63.44 | 26 |
| Cyclic citrullinated peptide antibody CPT 86200 | not published | not published | $9.71 – $57.37 | 35 |
| Cyclosporine 2 hour CPT 80158 | not published | not published | $13.54 – $79.96 | 35 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $218.52 – $1,290.72 | 26 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $131.11 – $774.41 | 26 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $338.18 – $1,997.53 | 26 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $131.11 – $774.41 | 24 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $131.11 – $774.41 | 24 |
| Cystatin c CPT 82610 | not published | not published | $13.89 – $82.04 | 35 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $362.94 – $2,210.57 | 26 |
| Cystine urine quantitative CPT 82131 | not published | not published | $17.24 – $101.80 | 35 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | not published | not published | $65.43 – $603.09 | 33 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $660.99 – $1,127.16 | 18 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $660.99 – $1,127.16 | 18 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $660.99 – $1,127.16 | 18 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $660.99 – $1,127.16 | 18 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $31.79 – $187.74 | 35 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $28.92 – $180.30 | 35 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $870.00 – $5,138.80 | 7 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $489.77 – $3,987.00 | 26 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | not published | not published | $10.79 – $63.75 | 35 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | not published | not published | $12.64 – $74.65 | 35 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.07 – $59.45 | 35 |
| Cyto/molecular report CPT 88291 | not published | not published | $25.56 – $158.99 | 18 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $19.03 – $112.39 | 35 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $6.46 – $64.90 | 35 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $17.81 – $220.75 | 35 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | not published | not published | $32.52 – $185.22 | 35 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $19.96 – $117.88 | 35 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $15.20 – $89.75 | 35 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $17.81 – $191.69 | 35 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $17.81 – $185.26 | 35 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $5.97 – $33.89 | 8 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | not published | not published | $15.90 – $289.38 | 35 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | not published | not published | $32.52 – $397.90 | 35 |
| Cytopath smear other source CPT 88160 | not published | not published | $17.81 – $214.28 | 35 |
| Cytopath smear other source CPT 88162 | not published | not published | $17.81 – $304.34 | 35 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $17.81 – $215.87 | 35 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $11.36 – $67.11 | 35 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $42.75 – $348.42 | 35 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $22.26 – $131.48 | 35 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $67.70 – $1,889.39 | 25 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $196.77 – $335.55 | 18 |
| Dch glucoscan CPT 82948 | not published | not published | $3.43 – $22.33 | 35 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $58.19 – $688.86 | 30 |
| Dch validity tests CPT 81002 | not published | not published | $2.61 – $15.42 | 35 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $11.45 – $19.52 | 20 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $606.20 – $1,033.72 | 18 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $108.79 – $232.20 | 12 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $395.66 – $674.70 | 18 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $58.82 – $100.31 | 18 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $58.82 – $100.31 | 18 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $696.77 – $1,188.17 | 18 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $196.77 – $335.55 | 18 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $696.77 – $1,188.17 | 18 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $606.20 – $1,033.72 | 18 |
| Decalcification CPT 88311 | not published | not published | $6.82 – $41.60 | 18 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $328.47 – $560.13 | 18 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $63.31 – $343.47 | 30 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $127.65 – $217.68 | 18 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $696.77 – $1,188.17 | 18 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $395.66 – $674.70 | 18 |
| Design mlc device for imrt CPT 77338 | not published | not published | $361.98 – $1,182.50 | 23 |
| Desoxycorticosterone CPT 82633 | not published | not published | $23.24 – $137.24 | 35 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $196.77 – $335.55 | 18 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $196.77 – $335.55 | 18 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $196.77 – $335.55 | 18 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $196.77 – $335.55 | 18 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $196.77 – $335.55 | 18 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $196.77 – $335.55 | 18 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $196.77 – $335.55 | 18 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.