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 |
|---|---|---|---|---|
| Ins icd gen exist sgl lead CPT 33240 | not published | not published | $22,794.00 – $22,794.00 | 1 |
| Insitu hybridization auto CPT 88367 | not published | not published | $54.16 – $614.04 | 35 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $103.54 – $1,070.86 | 35 |
| Insitu hybridization manual CPT 88368 | not published | not published | $54.16 – $607.47 | 35 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | not published | not published | $79.49 – $507.99 | 18 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | not published | not published | $54.16 – $659.36 | 35 |
| Ins lv lead exist pm/icd CPT 33224 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | not published | not published | $612.27 – $1,044.07 | 18 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $22,794.00 – $22,794.00 | 1 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $612.27 – $1,044.07 | 18 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $612.27 – $1,044.07 | 18 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $660.99 – $1,127.16 | 18 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $240.85 – $410.72 | 18 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $612.27 – $1,044.07 | 18 |
| Insulin total CPT 83525 | not published | not published | $8.57 – $50.63 | 35 |
| Ins vag brachytx device CPT 57156 | not published | not published | $301.24 – $513.69 | 18 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $696.77 – $1,188.17 | 18 |
| Intermediate visual field xm CPT 92082 | not published | not published | $58.82 – $229.62 | 30 |
| Interrogate subq defib CPT 93261 | not published | not published | $36.93 – $62.97 | 18 |
| Interrogation vad in person CPT 93750 | not published | not published | $90.90 – $155.00 | 18 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $36.93 – $141.68 | 30 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $24.25 – $165.12 | 30 |
| Interrog device eval heart CPT 93289 | not published | not published | $36.93 – $260.58 | 30 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $36.93 – $242.88 | 30 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $90.90 – $155.00 | 18 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $90.90 – $155.00 | 18 |
| Interstitial brachy inter CPT 77799 | not published | not published | $108.43 – $184.91 | 20 |
| Intra-atrial pacing CPT 93610 | not published | not published | $844.89 – $6,080.00 | 13 |
| Intra-atrial recording CPT 93602 | not published | not published | $618.45 – $6,080.00 | 13 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $151.80 – $799.80 | 12 |
| Intracranial complete study CPT 93886 | not published | not published | $190.54 – $1,003.62 | 30 |
| Intracranial limited study CPT 93888 | not published | not published | $105.31 – $683.70 | 30 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $2,079.36 – $6,080.00 | 13 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $504.31 – $859.98 | 18 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $201.42 – $343.47 | 30 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $432.94 – $738.28 | 18 |
| Intraventricular pacing CPT 93612 | not published | not published | $878.98 – $6,080.00 | 13 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $11.31 – $66.80 | 35 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $127.62 – $252.84 | 30 |
| Intro long gi tube CPT 44500 | not published | not published | $928.46 – $1,583.27 | 18 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $595.06 – $599.11 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $229.97 – $392.15 | 18 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $58.82 – $207.46 | 30 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $36.93 – $301.07 | 30 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $9,376.47 – $12,230.53 | 2 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $9,376.47 – $12,230.53 | 2 |
| Iron CPT 83540 | not published | not published | $4.85 – $28.66 | 35 |
| Iron binding capacity CPT 83550 | not published | not published | $6.56 – $38.72 | 35 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.16 – $30.48 | 35 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $6.96 – $140.39 | 33 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $58.82 – $100.31 | 30 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $58.82 – $100.31 | 18 |
| Ivc venogram s&i CPT 75825 | not published | not published | $152.26 – $3,373.10 | 15 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | not published | not published | $70.48 – $242.88 | 30 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | not published | not published | $68.18 – $72.24 | 12 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | not published | not published | $45.70 – $77.92 | 30 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | not published | not published | $208.65 – $503.47 | 30 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $97.77 – $678.59 | 23 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $395.17 – $673.87 | 18 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $176.29 – $645.19 | 33 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $176.29 – $533.86 | 33 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $138.90 – $820.44 | 22 |
| John cunningham antibody CPT 86711 | not published | not published | $12.67 – $74.82 | 26 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $10.49 – $111.37 | 4 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $11.60 – $68.53 | 26 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | not published | not published | $6.13 – $36.19 | 35 |
| Kidney function study CPT 78725 | not published | not published | $237.16 – $678.59 | 33 |
| Kidney imaging morphology CPT 78700 | not published | not published | $346.11 – $720.05 | 33 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $533.04 – $1,441.03 | 33 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $431.29 – $908.98 | 33 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | not published | not published | $105.31 – $459.24 | 33 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $93.65 – $553.17 | 26 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $9,654.00 – $9,654.00 | 1 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $9,654.00 – $9,654.00 | 1 |
| Knee MRI (with and without contrast) CPT 73723 | not published | not published | $353.67 – $2,887.02 | 33 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $563.65 – $2,087.22 | 33 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $239.37 – $1,991.76 | 33 |
| Knee X-ray CPT 73564 | not published | not published | $88.36 – $179.58 | 33 |
| Kras gene addl variants CPT 81276 | not published | not published | $144.94 – $856.10 | 26 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $144.94 – $856.10 | 26 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $31.23 – $31.23 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $26.54 – $26.54 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | not published | not published | $1.08 – $26.76 | 35 |
| Lactic acid CPT 83605 | not published | not published | $8.68 – $51.26 | 35 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $14.78 – $87.27 | 35 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $14.72 – $86.96 | 35 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $5,987.70 – $5,987.70 | 1 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $9,654.00 – $9,654.00 | 1 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $9,654.00 – $9,654.00 | 1 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $9,654.00 – $9,654.00 | 1 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $2,080.11 – $2,080.11 | 1 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $9,654.00 – $9,654.00 | 1 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $2,080.11 – $2,080.11 | 1 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $643.77 – $643.77 | 1 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $2,080.11 – $2,080.11 | 1 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $6,129.90 – $6,129.90 | 1 |
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.