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 |
|---|---|---|---|---|
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $87.20 – $354.71 | 33 |
| Ultrasound joint complete left CPT 76881 | not published | not published | $27.75 – $436.02 | 33 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | not published | not published | $23.66 – $436.02 | 33 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $36.76 – $179.58 | 19 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $103.12 – $371.52 | 15 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $52.42 – $268.32 | 15 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $190.54 – $815.28 | 33 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $105.31 – $387.00 | 33 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | not published | not published | $105.31 – $319.92 | 33 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | not published | not published | $105.31 – $379.26 | 33 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $105.31 – $737.15 | 33 |
| Ultrasound retroperitoneal limited CPT 76775 | not published | not published | $78.53 – $407.64 | 33 |
| Ultrasound scrotum and contents CPT 76870 | not published | not published | $105.31 – $420.54 | 33 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $105.31 – $428.28 | 33 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $266.85 – $737.88 | 15 |
| Ultrasound transvaginal non obstetric CPT 76830 | not published | not published | $105.31 – $441.18 | 33 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $176.29 – $1,129.34 | 21 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $313.63 – $829.16 | 3 |
| Ultraviolet therapy CPT 97028 | not published | not published | $8.12 – $20.76 | 20 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $301.24 – $513.69 | 18 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $24.25 – $41.36 | 18 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $24.25 – $41.36 | 18 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $45.70 – $77.92 | 18 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted CT procedure CPT 76497 | not published | not published | $75.43 – $368.00 | 20 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $397.94 – $678.59 | 20 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $6.07 – $90.23 | 21 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $6.07 – $90.23 | 21 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $154.94 – $264.22 | 18 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $397.94 – $678.59 | 20 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $199.21 – $339.71 | 18 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $75.43 – $148.70 | 20 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $397.94 – $678.59 | 20 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $397.94 – $678.59 | 20 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $6.07 – $20.21 | 3 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $199.21 – $339.71 | 18 |
| Unlisted maaa CPT 81599 | not published | not published | $284.70 – $371.36 | 2 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted misc path test CPT 89240 | not published | not published | $6.07 – $90.23 | 21 |
| Unlisted mr procedure CPT 76498 | not published | not published | $87.20 – $540.00 | 20 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $397.94 – $678.59 | 20 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $154.94 – $264.22 | 18 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $397.94 – $678.59 | 20 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $24.25 – $41.36 | 18 |
| Unlisted orl service/px CPT 92700 | not published | not published | $24.25 – $41.36 | 18 |
| Unlisted procedure colon CPT 45399 | not published | not published | $902.86 – $1,539.62 | 18 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $928.46 – $1,583.27 | 18 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $296.03 – $504.81 | 18 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted procedure liver CPT 47399 | not published | not published | $696.77 – $1,188.17 | 18 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $6.07 – $20.21 | 3 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $296.03 – $504.81 | 18 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $696.77 – $1,188.17 | 18 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $902.86 – $1,539.62 | 18 |
| Unlisted procedure spine CPT 22899 | not published | not published | $237.56 – $405.10 | 18 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $2,749.50 – $2,749.50 | 1 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $29.50 – $50.30 | 18 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $237.56 – $405.10 | 18 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $237.56 – $405.10 | 18 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $928.46 – $1,583.27 | 18 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $156.26 – $266.46 | 18 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $296.03 – $504.81 | 18 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $696.77 – $1,188.17 | 18 |
| Unlisted px external ear CPT 69399 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $296.03 – $504.81 | 18 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $237.56 – $405.10 | 18 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $237.56 – $405.10 | 18 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $237.56 – $405.10 | 18 |
| Unlisted px inner ear CPT 69949 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $296.03 – $504.81 | 18 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $237.56 – $405.10 | 18 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $240.85 – $410.72 | 18 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $131.48 – $224.21 | 20 |
| Unlisted px middle ear CPT 69799 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $237.56 – $405.10 | 18 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted px small intestine CPT 44799 | not published | not published | $928.46 – $1,583.27 | 18 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $131.48 – $224.21 | 20 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $229.97 – $392.15 | 18 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $12.50 – $90.23 | 19 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $397.94 – $678.59 | 20 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $196.77 – $335.55 | 18 |
| Unlisted surgical path px CPT 88399 | not published | not published | $6.07 – $90.23 | 21 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $15.49 – $41.36 | 21 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $87.20 – $149.00 | 20 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $6.07 – $20.21 | 3 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $612.27 – $1,044.07 | 18 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $397.94 – $678.59 | 20 |
| Upgrade pm system CPT 33214 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | not published | not published | $353.67 – $2,925.72 | 33 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | not published | not published | $353.67 – $2,100.12 | 33 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | not published | not published | $239.37 – $1,909.20 | 33 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $928.46 – $1,583.27 | 18 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $928.46 – $1,583.27 | 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.