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 |
|---|---|---|---|---|
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $5.61 – $33.14 | 35 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $395.66 – $674.70 | 18 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $395.66 – $674.70 | 18 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $395.66 – $674.70 | 18 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $395.66 – $674.70 | 18 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $196.77 – $335.55 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $196.77 – $335.55 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $196.77 – $335.55 | 18 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $196.77 – $335.55 | 18 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $196.77 – $335.55 | 18 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $154.94 – $264.22 | 18 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $308.38 – $525.87 | 30 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $525.45 – $896.04 | 18 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $46.47 – $280.83 | 30 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $292.32 – $498.49 | 18 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $127.65 – $227.04 | 30 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $98.56 – $306.13 | 30 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $38.86 – $74.82 | 30 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $127.65 – $224.46 | 30 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $69.76 – $394.74 | 30 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $45.70 – $83.49 | 30 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $184.69 – $513.42 | 30 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $606.20 – $1,033.72 | 18 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $395.66 – $674.70 | 18 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $5.48 – $32.34 | 35 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $237.56 – $405.10 | 18 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $237.56 – $405.10 | 18 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $18.23 – $107.65 | 35 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $11.03 – $65.17 | 35 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $525.45 – $896.04 | 18 |
| Ghs windowing of cast CPT 29730 | not published | not published | $156.26 – $266.46 | 30 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $11.04 – $65.21 | 26 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $190.54 – $408.19 | 32 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $7.08 – $41.82 | 35 |
| Gi protein loss CPT 78282 | not published | not published | $266.43 – $1,178.03 | 32 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $928.46 – $3,317.88 | 30 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $902.86 – $1,539.62 | 18 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $928.46 – $2,592.90 | 30 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $928.46 – $1,583.27 | 18 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $75.84 – $447.96 | 26 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $46.14 – $272.53 | 26 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $26.25 – $155.05 | 26 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $10.72 – $63.30 | 35 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $3.56 – $21.04 | 35 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $4.54 – $26.80 | 26 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $2.46 – $14.53 | 35 |
| Glucose blood quantitative CPT 82947 | not published | not published | $1.28 – $17.41 | 35 |
| Glucose body fluid CPT 82945 | not published | not published | $2.95 – $17.41 | 35 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $58.82 – $1,101.03 | 30 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $9.65 – $57.01 | 35 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $2.94 – $17.37 | 35 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $13.94 – $82.31 | 35 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $13.89 – $82.04 | 35 |
| Gonioscopy CPT 92020 | not published | not published | $80.35 – $217.68 | 30 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $237.56 – $405.10 | 18 |
| Growth hormone antibody CPT 86277 | not published | not published | $11.81 – $69.73 | 35 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $23.76 – $334.91 | 26 |
| G-tube reposition CPT 43761 | not published | not published | $240.85 – $410.72 | 18 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $198.95 – $1,868.92 | 15 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $696.77 – $1,188.17 | 18 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $49.80 – $428.28 | 14 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $9,654.00 – $9,654.00 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $606.20 – $1,033.72 | 18 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $395.66 – $674.70 | 18 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $395.66 – $674.70 | 18 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $73.37 | 16 |
| Hand X-ray CPT 73130 | not published | not published | $71.16 – $148.70 | 33 |
| Haptoglobin quantitative CPT 83010 | not published | not published | $9.44 – $55.73 | 35 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $432.94 – $738.28 | 18 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $127.65 – $308.66 | 30 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $127.65 – $312.18 | 30 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $570.00 – $2,658.00 | 24 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $192.28 – $896.63 | 24 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $356.49 – $1,662.36 | 24 |
| Hbb full gene sequence CPT 81364 | not published | not published | $243.44 – $1,437.89 | 24 |
| Hbb gene com variants CPT 81361 | not published | not published | $131.11 – $774.41 | 24 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $151.80 – $896.63 | 24 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $281.44 – $1,662.36 | 24 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $185.05 – $533.83 | 12 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $176.29 – $1,660.23 | 33 |
| Hcg free betachain test CPT 84704 | not published | not published | $14.53 – $67.73 | 35 |
| Hcg qualitative CPT 84703 | not published | not published | $5.64 – $33.31 | 35 |
| Hcg quantitative CPT 84702 | not published | not published | $11.29 – $66.67 | 35 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $63.31 – $387.09 | 12 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $63.31 – $192.28 | 12 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $65.78 – $196.08 | 12 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $65.78 – $196.08 | 12 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $606.20 – $1,033.72 | 18 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $606.20 – $1,033.72 | 18 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $300.25 – $908.98 | 33 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $397.94 – $678.59 | 20 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $397.94 – $941.11 | 33 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $409.17 – $908.98 | 33 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $162.15 – $6,041.63 | 15 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $600.87 – $17,406.00 | 34 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $687.08 – $17,406.00 | 34 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $687.08 – $17,406.00 | 34 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $241.12 – $17,406.00 | 24 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $241.12 – $17,406.00 | 24 |
| Head CT scan (with and without contrast) CPT 70470 | not published | not published | $176.29 – $1,215.18 | 33 |
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.