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 |
|---|---|---|---|---|
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $196.77 – $335.55 | 18 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $196.77 – $335.55 | 18 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $196.77 – $335.55 | 18 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $196.77 – $335.55 | 18 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $196.77 – $335.55 | 18 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $606.20 – $1,033.72 | 18 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $395.66 – $674.70 | 18 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $395.66 – $674.70 | 18 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $196.77 – $335.55 | 18 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $881.66 – $1,503.46 | 18 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $196.77 – $335.55 | 18 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $395.66 – $674.70 | 18 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $395.66 – $674.70 | 18 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $395.66 – $674.70 | 18 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $395.66 – $674.70 | 18 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $395.66 – $674.70 | 18 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $395.66 – $674.70 | 18 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $21.67 – $133.03 | 35 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $32.75 – $193.46 | 35 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $60.87 – $344.08 | 12 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $154.94 – $469.56 | 30 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $202.55 – $240.35 | 12 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $53.96 – $148.70 | 33 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $16.67 – $98.48 | 35 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $7.28 – $43.02 | 35 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $395.17 – $673.87 | 18 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $127.65 – $217.68 | 18 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $153.07 – $541.88 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $119.55 – $424.08 | 4 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $192.26 – $327.86 | 18 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $192.26 – $327.86 | 18 |
| Diagnostic Mammogram (both breasts) CPT 77066 | not published | not published | $105.92 – $601.14 | 33 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $83.29 – $485.04 | 33 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $75.43 – $148.70 | 20 |
| Dialysis one evaluation CPT 90945 | not published | not published | $248.35 – $719.09 | 30 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.19 – $45.54 | 31 |
| Diffusing capacity CPT 94729 | not published | not published | $134.09 – $296.70 | 12 |
| Digital analysis of eeg CPT 95957 | not published | not published | $866.81 – $7,293.99 | 12 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $9.96 – $58.83 | 35 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $928.46 – $1,583.27 | 18 |
| Dilate tear duct opening CPT 68801 | not published | not published | $395.17 – $673.87 | 18 |
| Dilate urethra stricture CPT 53600 | not published | not published | $240.85 – $410.72 | 18 |
| Dilate urethra stricture CPT 53601 | not published | not published | $127.65 – $217.68 | 18 |
| Dilate urethra stricture CPT 53621 | not published | not published | $240.85 – $410.72 | 18 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $154.94 – $264.22 | 18 |
| Dilation of salivary duct CPT 42660 | not published | not published | $504.31 – $859.98 | 18 |
| Dilation of urethra CPT 53661 | not published | not published | $127.65 – $217.68 | 18 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $660.99 – $1,127.16 | 18 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $37.95 – $74.82 | 30 |
| Disability dlco CPT 94727 | not published | not published | $15.18 – $264.22 | 30 |
| Disaccharidases CPT 82657 | not published | not published | $16.63 – $98.21 | 35 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $181.75 – $3,373.10 | 15 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $1,113.20 – $1,602.18 | 12 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $643.77 – $643.77 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $10.49 – $111.37 | 4 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $111.13 – $1,235.97 | 26 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $130.15 – $606.91 | 24 |
| Dna antibody native/double stranded CPT 86225 | not published | not published | $10.31 – $60.87 | 35 |
| Dna gardnerella CPT 87510 | not published | not published | $15.04 – $88.82 | 35 |
| Dna probe chlamydia CPT 87490 | not published | not published | $17.06 – $100.78 | 35 |
| Dna probe gc CPT 87590 | not published | not published | $20.16 – $119.08 | 35 |
| Dna trichomonas CPT 87660 | not published | not published | $15.04 – $88.82 | 35 |
| Doppler echo complete CPT 93320 | not published | not published | $299.49 – $1,085.37 | 12 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $642.62 – $1,132.62 | 12 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $154.94 – $812.13 | 30 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $113.12 – $647.68 | 30 |
| Dpyd gene common variants CPT 81232 | not published | not published | $131.11 – $774.41 | 24 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $696.77 – $1,188.17 | 18 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $696.77 – $1,188.17 | 18 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $696.77 – $1,188.17 | 18 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $229.97 – $392.15 | 18 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $696.77 – $1,188.17 | 18 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $229.97 – $392.15 | 18 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $504.31 – $859.98 | 18 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $504.31 – $859.98 | 18 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $229.97 – $392.15 | 18 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $504.31 – $859.98 | 18 |
| Drainage of salivary gland CPT 42320 | not published | not published | $504.31 – $859.98 | 18 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $660.99 – $1,127.16 | 18 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $127.65 – $217.68 | 18 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $685.80 – $1,169.48 | 18 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $196.77 – $335.55 | 18 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $196.77 – $335.55 | 18 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $196.77 – $335.55 | 18 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $395.66 – $674.70 | 18 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $606.20 – $1,033.72 | 18 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $296.03 – $504.81 | 18 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $696.77 – $1,188.17 | 18 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $504.31 – $859.98 | 18 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,749.50 – $2,749.50 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $504.31 – $859.98 | 18 |
| Drug assay caffeine CPT 80155 | not published | not published | $15.28 – $170.87 | 26 |
| Drug assay posaconazole CPT 80187 | not published | not published | $20.33 – $120.10 | 24 |
| Drug assay rufinamide CPT 80210 | not published | not published | $20.33 – $120.10 | 22 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $28.93 – $170.87 | 24 |
| Drug assay voriconazole CPT 80285 | not published | not published | $20.33 – $120.10 | 24 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $17.71 – $30.20 | 20 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $9.45 – $55.82 | 35 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $19.51 – $120.10 | 26 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $12.86 – $75.93 | 35 |
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.