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 |
|---|---|---|---|---|
| Peri-proc device eval icd CPT 93287 | not published | not published | $136.35 – $161.92 | 12 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $102.26 – $126.50 | 12 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $261.45 – $925.93 | 32 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $397.94 – $1,002.42 | 33 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $696.77 – $1,188.17 | 18 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $696.77 – $1,188.17 | 18 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $240.85 – $410.72 | 18 |
| Pertussis ag if CPT 87265 | not published | not published | $8.99 – $53.07 | 35 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,594.43 – $14,997.23 | 14 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,594.43 – $14,997.23 | 14 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $165.25 – $11,997.81 | 15 |
| Pet image full body CPT 78813 | not published | not published | $1,594.43 – $11,997.81 | 14 |
| Pet image ltd area CPT 78811 | not published | not published | $1,594.43 – $11,997.81 | 4 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,594.43 – $11,997.81 | 14 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,594.43 – $14,997.23 | 14 |
| Pet scan brain perf study CPT 78609 | not published | not published | $4,594.56 – $11,977.17 | 14 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $22.03 – $79.98 | 30 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $31.18 – $116.10 | 30 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $11.18 – $41.28 | 30 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $182.61 – $193.50 | 12 |
| Ph body fluid CPT 83986 | not published | not published | $2.69 – $15.86 | 35 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $13.31 – $192.04 | 16 |
| Phenobarbital therapeutic drug level CPT 80184 | not published | not published | $11.48 – $67.78 | 35 |
| Phenytoin total therapeutic drug level CPT 80185 | not published | not published | $9.94 – $58.70 | 35 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $127.65 – $445.28 | 30 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $90.09 – $202.40 | 12 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $131.48 – $303.60 | 12 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $48.70 – $1,518.00 | 12 |
| Phosphorus CPT 84100 | not published | not published | $1.08 – $21.00 | 35 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $4.34 – $25.61 | 35 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $58.82 – $227.04 | 30 |
| Photochemotherapy puva CPT 96912 | not published | not published | $58.82 – $291.54 | 30 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $235.29 – $674.70 | 30 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $97.39 – $222.64 | 12 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $211.83 – $242.88 | 12 |
| Photo patch test CPT 95052 | not published | not published | $24.35 – $184.69 | 30 |
| Photosensitivity tests CPT 95056 | not published | not published | $114.44 – $217.68 | 30 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $17.81 – $251.71 | 35 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $32.52 – $289.38 | 35 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $17.81 – $253.35 | 35 |
| Physician standby services CPT 99360 | not published | not published | $197.34 – $239.94 | 12 |
| Phys review of motion tests CPT 96004 | not published | not published | $177.10 – $384.42 | 12 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $206.12 – $1,217.50 | 24 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $606.20 – $1,033.72 | 18 |
| Pinworm exam CPT 87172 | not published | not published | $3.20 – $18.92 | 35 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $434.61 – $2,567.10 | 35 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | not published | not published | $696.77 – $1,188.17 | 18 |
| Placental lactogen CPT 83632 | not published | not published | $15.17 – $89.57 | 35 |
| Plasma volume multiple CPT 78111 | not published | not published | $160.17 – $412.70 | 15 |
| Plasma volume single CPT 78110 | not published | not published | $147.01 – $412.70 | 5 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $23.22 – $110.35 | 35 |
| Platelet automated CPT 85049 | not published | not published | $3.36 – $19.85 | 35 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $432.94 – $738.28 | 18 |
| Platelet survival CPT 78191 | not published | not published | $247.62 – $722.40 | 33 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $276.79 – $1,290.72 | 24 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $696.77 – $1,188.17 | 18 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $180.18 – $525.87 | 30 |
| Pm device progr eval dual CPT 93280 | not published | not published | $36.93 – $389.62 | 30 |
| Pm device progr eval multi CPT 93281 | not published | not published | $36.93 – $301.86 | 30 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $155.48 – $918.38 | 26 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $321.45 – $3,359.53 | 26 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $398.09 – $3,409.24 | 26 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $34.95 – $391.95 | 26 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $36.93 – $247.68 | 30 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $152.63 – $901.50 | 26 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $507.38 – $2,996.89 | 26 |
| Pms2 known familial variants CPT 81318 | not published | not published | $146.17 – $1,466.33 | 26 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $612.27 – $1,044.07 | 18 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $17.81 – $214.14 | 18 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | not published | not published | $19.55 – $115.49 | 35 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $1,670.00 – $3,026.34 | 14 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $1,251.00 – $1,264.00 | 2 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $812.13 – $3,026.34 | 14 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $7.88 – $46.56 | 35 |
| Positional nystagmus test CPT 92532 | not published | not published | $97.39 – $103.20 | 12 |
| Potassium 24 hour urine CPT 84133 | not published | not published | $3.55 – $20.95 | 35 |
| Potassium serum/plasma/whole blood CPT 84132 | not published | not published | $1.08 – $21.09 | 35 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $130.15 – $606.91 | 24 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $433.40 – $599.11 | 14 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | not published | $145.71 – $402.48 | 15 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $612.27 – $1,044.07 | 18 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $1,029.94 – $1,091.34 | 12 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $8,407.54 – $8,908.74 | 12 |
| Pr application of long arm splint CPT 29105 | not published | not published | $156.26 – $327.66 | 30 |
| Pr application splint static short arm CPT 29125 | not published | not published | $127.65 – $250.26 | 30 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $38.86 – $66.27 | 18 |
| Pr biopsy skin punch single lesion CPT 11104 | not published | not published | $395.66 – $674.70 | 18 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | not published | not published | $29.50 – $65.78 | 30 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | not published | not published | $116.38 – $335.55 | 30 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $192.35 – $389.62 | 12 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $277.57 – $569.25 | 12 |
| Prealbumin CPT 84134 | not published | not published | $10.94 – $64.63 | 35 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $34.09 – $93.61 | 12 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $104.70 – $240.35 | 12 |
| Pregabalin - sendout CPT 80366 | not published | not published | $10.49 – $111.37 | 4 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $11.29 – $66.67 | 35 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | not published | not published | $105.31 – $534.06 | 33 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $105.31 – $482.46 | 33 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $288.42 – $412.80 | 12 |
| Preparation palate mold CPT 42280 | not published | not published | $504.31 – $859.98 | 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.