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 |
|---|---|---|---|---|
| Electrogastrography CPT 91132 | not published | not published | $155.83 – $525.87 | 30 |
| Electrogastrography w/test CPT 91133 | not published | not published | $127.65 – $217.68 | 30 |
| Electrolyte panel CPT 80051 | not published | not published | $4.34 – $31.05 | 35 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $145.41 – $349.14 | 12 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $90.90 – $298.54 | 30 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $213.79 – $1,891.14 | 35 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $127.65 – $296.70 | 30 |
| Electrophysiologic study CPT 93624 | not published | not published | $1,309.95 – $1,841.84 | 12 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $832.37 – $2,917.98 | 12 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $1,361.14 – $3,459.78 | 12 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $594.10 – $6,080.00 | 13 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $864.37 – $6,080.00 | 13 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $2,371.54 – $6,080.00 | 13 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $1,772.57 – $6,914.49 | 13 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $6,080.00 – $6,080.00 | 1 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $1,463.34 – $6,080.00 | 13 |
| Embolization s&i CPT 75894 | not published | not published | $3,272.44 – $5,506.53 | 14 |
| Embryo hatching CPT 89253 | not published | not published | $54.32 – $289.38 | 21 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $862.30 – $1,470.44 | 18 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $199.21 – $339.71 | 18 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $127.65 – $415.38 | 30 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $154.94 – $495.36 | 30 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $159.39 – $525.87 | 30 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $127.65 – $389.62 | 30 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $154.94 – $575.34 | 30 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $149.27 – $525.87 | 30 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $9.89 – $58.43 | 35 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $9.89 – $58.43 | 35 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $9.89 – $58.43 | 35 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $550.28 – $720.41 | 14 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $343.31 – $720.41 | 14 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $301.24 – $513.69 | 18 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $862.30 – $1,470.44 | 18 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $1,071.33 – $5,340.83 | 12 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $654.97 – $5,533.11 | 12 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $902.86 – $1,539.62 | 18 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $902.86 – $1,539.62 | 18 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $66.76 – $539.22 | 30 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $8.99 – $53.07 | 35 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $19.51 – $195.05 | 26 |
| Enzyme histochemistry CPT 88319 | not published | not published | $32.52 – $1,379.51 | 35 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $784.30 – $7,947.00 | 13 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $65.78 – $7,947.00 | 13 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $881.66 – $1,503.46 | 18 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $881.66 – $1,503.46 | 18 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $1,836.42 – $10,847.12 | 5 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $898.15 – $6,080.00 | 13 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $9.84 – $58.12 | 35 |
| Epstein barr nuclear antigen antibody CPT 86664 | not published | not published | $11.47 – $67.73 | 35 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $13.61 – $80.36 | 35 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $572.19 – $720.41 | 14 |
| ER Visit (level 1, minor) CPT 99281 | not published | not published | $65.74 – $576.84 | 30 |
| ER Visit (level 2) CPT 99282 | not published | not published | $126.61 – $538.89 | 30 |
| ER Visit (level 3) CPT 99283 | not published | not published | $202.09 – $794.42 | 30 |
| ER Visit (level 4) CPT 99284 | not published | not published | $359.26 – $719.09 | 30 |
| ER Visit (level 5, high severity) CPT 99285 | not published | not published | $285.89 – $1,035.36 | 30 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $530.80 – $720.41 | 14 |
| Esophageal motility CPT 78258 | not published | not published | $397.94 – $860.44 | 33 |
| Esophageal recording CPT 93615 | not published | not published | $250.79 – $6,080.00 | 13 |
| Esophageal recording CPT 93616 | not published | not published | $6,080.00 – $6,080.00 | 1 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $928.46 – $1,583.27 | 18 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $928.46 – $1,583.27 | 18 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $928.46 – $1,583.27 | 18 |
| Esophagus motility study CPT 91010 | not published | not published | $525.45 – $896.04 | 30 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $525.45 – $1,406.10 | 30 |
| Esoph imped function test CPT 91037 | not published | not published | $308.38 – $598.56 | 30 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $496.71 – $896.04 | 30 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $60.87 – $389.62 | 12 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $116.87 – $222.64 | 12 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $172.87 – $209.99 | 12 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | not published | $260.53 – $346.61 | 12 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | not published | $374.97 – $488.29 | 12 |
| Estradiol total CPT 82670 | not published | not published | $20.96 – $123.77 | 35 |
| Estrogens total-sendout CPT 82672 | not published | not published | $16.28 – $96.13 | 35 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $11.18 – $66.01 | 35 |
| Euglobulin lysis CPT 85360 | not published | not published | $6.31 – $37.26 | 35 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $154.94 – $276.06 | 30 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $117.89 – $544.38 | 30 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $69.58 – $434.63 | 26 |
| Evaluation heart device CPT 93640 | not published | not published | $1,865.10 – $6,080.00 | 13 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $127.43 – $580.50 | 31 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $159.12 – $534.06 | 30 |
| Event monitor CPT 93270 | not published | not published | $36.93 – $217.58 | 30 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $192.28 – $525.87 | 30 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $155.83 – $525.87 | 30 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $105.01 – $450.93 | 12 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $308.38 – $675.51 | 30 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $202.40 – $525.87 | 30 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $301.24 – $513.69 | 18 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,197.80 – $2,197.80 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $5,227.20 – $5,227.20 | 1 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $696.77 – $1,188.17 | 18 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $696.77 – $1,188.17 | 18 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $696.77 – $1,188.17 | 18 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $696.77 – $1,188.17 | 18 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $395.66 – $674.70 | 18 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $696.77 – $1,188.17 | 18 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $5,227.20 – $5,227.20 | 1 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $696.77 – $1,188.17 | 18 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $432.94 – $738.28 | 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.