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 |
|---|---|---|---|---|
| Lap ing hernia repair init CPT 49650 | not published | not published | $9,654.00 – $9,654.00 | 1 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $9,654.00 – $9,654.00 | 1 |
| Lap myotomy heller CPT 43279 | not published | not published | $5,754.60 – $5,754.60 | 1 |
| Lap place gastr adj device CPT 43770 | not published | not published | $4,414.00 – $16,933.00 | 5 |
| Lap radical hyst CPT 58548 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $4,414.00 – $4,414.00 | 1 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $2,080.11 – $2,080.11 | 1 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $4,414.00 – $14,231.00 | 3 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $4,414.00 – $4,414.00 | 1 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $4,414.00 – $14,231.00 | 4 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $4,800.60 – $4,800.60 | 1 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $384.54 – $655.74 | 18 |
| Laryngeal function studies CPT 92520 | not published | not published | $127.65 – $229.62 | 30 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $66.08 – $645.15 | 30 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $384.54 – $655.74 | 18 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $384.54 – $655.74 | 18 |
| Laser surgery eye strands CPT 67031 | not published | not published | $543.28 – $926.43 | 18 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $229.97 – $392.15 | 18 |
| Lead capillary CPT 83655 | not published | not published | $9.08 – $53.65 | 35 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | not published | not published | $190.54 – $861.72 | 30 |
| Leishmania antibody CPT 86717 | not published | not published | $9.19 – $54.27 | 35 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $5.63 – $364.72 | 33 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $7.79 – $46.03 | 35 |
| Levetiracetam therapeutic drug level CPT 80177 | not published | not published | $9.94 – $58.70 | 26 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $11.02 – $65.08 | 35 |
| Limb exercise test CPT 95875 | not published | not published | $154.94 – $528.77 | 30 |
| Limited visual field xm CPT 92081 | not published | not published | $58.82 – $172.86 | 30 |
| Lipase CPT 83690 | not published | not published | $5.17 – $30.52 | 35 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $25.40 – $150.00 | 35 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $25.64 – $151.46 | 35 |
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $6.14 – $36.28 | 35 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $7.88 – $46.52 | 35 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $25.64 – $151.46 | 35 |
| Lip surgery procedure CPT 40799 | not published | not published | $229.97 – $392.15 | 18 |
| Listeria monocytogenes CPT 86723 | not published | not published | $9.89 – $58.43 | 26 |
| Lithium therapeutic drug level CPT 80178 | not published | not published | $4.96 – $29.28 | 35 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $167.38 – $285.43 | 19 |
| Liver elastography 91200 CPT 91200 | not published | not published | $154.94 – $264.22 | 18 |
| Liver Function Test CPT 80076 | not published | not published | $7.59 – $36.19 | 35 |
| Liver imaging CPT 78201 | not published | not published | $392.79 – $908.98 | 33 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $412.70 – $908.98 | 33 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $397.94 – $824.91 | 33 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $253.54 – $678.59 | 33 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $211.83 – $224.46 | 12 |
| Loudness balance test CPT 92562 | not published | not published | $87.65 – $525.87 | 30 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $176.29 – $1,480.92 | 33 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | not published | not published | $290.60 – $1,212.60 | 33 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | not published | not published | $105.31 – $1,011.36 | 33 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | not published | not published | $353.67 – $3,031.50 | 33 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $353.67 – $2,262.66 | 33 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | not published | not published | $239.37 – $1,973.70 | 33 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | not published | not published | $72.80 – $179.58 | 33 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $196.77 – $335.55 | 18 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $16.49 – $97.42 | 35 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $176.83 – $3,373.10 | 15 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $58.82 – $146.74 | 30 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $133.92 – $264.22 | 30 |
| Lung perfusion imaging CPT 78580 | not published | not published | $397.94 – $962.11 | 33 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $24.25 – $41.36 | 18 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $412.70 – $1,423.31 | 33 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $27.42 – $170.28 | 35 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $36.77 – $217.20 | 35 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $56.48 – $839.53 | 35 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $238.17 – $1,237.34 | 32 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $828.66 – $1,237.34 | 14 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $828.66 – $1,395.67 | 14 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,033.35 – $3,373.10 | 14 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $504.31 – $859.98 | 18 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $7.38 – $39.82 | 8 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.20 – $18.92 | 35 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $3.23 – $19.09 | 35 |
| Magnesium CPT 83735 | not published | not published | $5.03 – $29.68 | 35 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $239.37 – $2,053.68 | 33 |
| Malaria antibody CPT 86750 | not published | not published | $9.89 – $58.43 | 35 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | not published | not published | $127.65 – $217.68 | 18 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | not published | not published | $87.65 – $290.95 | 30 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $237.56 – $405.10 | 18 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.80 – $22.46 | 35 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $169.51 – $768.84 | 12 |
| Map tachycard site(s) CPT 93609 | not published | not published | $260.59 – $6,080.00 | 13 |
| Mastoids complete CPT 70130 | not published | not published | $105.31 – $219.15 | 33 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $26.32 – $155.45 | 35 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $20.47 – $120.89 | 35 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $10.85 – $64.06 | 35 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $11.49 – $67.87 | 35 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $11.49 – $67.87 | 35 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $28.93 – $170.87 | 24 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $10.49 – $59.67 | 4 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $9.70 – $111.37 | 16 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $11.09 – $65.48 | 35 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $14.54 – $111.37 | 16 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $10.08 – $59.54 | 35 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $11.31 – $66.80 | 35 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $12.98 – $57.59 | 16 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $8.43 – $111.37 | 4 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $91.22 – $538.82 | 26 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $68.75 – $406.05 | 26 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $102.75 – $606.91 | 24 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $591.54 – $5,138.80 | 9 |
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.