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 |
|---|---|---|---|---|
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $928.46 – $1,583.27 | 18 |
| Urea nitrogen CPT 84520 | not published | not published | $1.08 – $17.50 | 35 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $4.17 – $24.63 | 35 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $5.40 – $31.90 | 35 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $3.85 – $22.73 | 35 |
| Ureteral reflux study CPT 78740 | not published | not published | $397.94 – $926.62 | 33 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $238.17 – $408.19 | 32 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $221.06 – $436.35 | 33 |
| Uric acid blood CPT 84550 | not published | not published | $1.08 – $20.02 | 35 |
| Uric acid urine CPT 84560 | not published | not published | $3.81 – $22.50 | 35 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.53 – $20.82 | 35 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.29 – $13.51 | 35 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.63 – $9.61 | 35 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $2.38 – $14.04 | 35 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $1.69 – $9.97 | 35 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $91.01 – $330.48 | 15 |
| Urinary reflex study CPT 51792 | not published | not published | $58.82 – $100.31 | 18 |
| Urine Culture Test CPT 87086 | not published | not published | $6.05 – $35.75 | 35 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $127.65 – $217.68 | 18 |
| Urine pregnancy test CPT 81025 | not published | not published | $6.46 – $38.14 | 35 |
| Urine screen for bacteria CPT 81007 | not published | not published | $2.77 – $132.81 | 35 |
| Urography, antegrade CPT 74425 | not published | not published | $239.04 – $603.09 | 33 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $176.29 – $554.81 | 33 |
| Use 1st target lesion CPT 76982 | not published | not published | $105.31 – $335.31 | 21 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $178.02 – $178.02 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $178.02 – $178.02 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $159.94 – $159.94 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $107.09 – $107.09 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $79.97 – $79.97 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $90.09 – $95.46 | 12 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $289.75 – $307.02 | 12 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $187.48 – $198.66 | 12 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $284.88 – $301.86 | 12 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $90.09 – $95.46 | 12 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $90.09 – $95.46 | 12 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $248.35 – $263.16 | 12 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $340.88 – $361.20 | 12 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $124.18 – $131.58 | 12 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $112.00 – $118.68 | 12 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $56.58 – $95.46 | 13 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $53.22 – $250.26 | 13 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $195.54 – $2,420.00 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $21.04 – $95.46 | 13 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $382.27 – $405.06 | 12 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $39.48 – $89.55 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $35.27 – $1,564.00 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $70.61 – $74.82 | 12 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $15.58 – $51.60 | 13 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $14.80 – $25.47 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $94.38 – $2,420.00 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $17.06 – $1,564.00 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $18.49 – $27.27 | 2 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $7.44 – $12.74 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $24.65 – $33.90 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $89.55 – $89.55 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $16.64 – $1,564.00 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $4.85 – $74.82 | 13 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $389.58 – $412.80 | 12 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $389.58 – $412.80 | 12 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $189.92 – $201.24 | 12 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $161.88 – $412.80 | 13 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $87.60 – $162.83 | 13 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $167.75 – $314.75 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $309.34 – $2,420.00 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $352.17 – $2,420.00 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $109.57 – $116.10 | 12 |
| Vaccine rabies im CPT 90675 | not published | not published | $301.79 – $639.84 | 31 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $404.19 – $428.28 | 12 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $280.01 – $296.70 | 12 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $146.09 – $154.80 | 12 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $75.48 – $79.98 | 12 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $185.05 – $196.08 | 12 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $333.57 – $353.46 | 12 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $294.62 – $312.18 | 12 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 19 |
| Vaginal bx CPT 58999 | not published | not published | $199.21 – $339.71 | 18 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | not published | not published | $10.16 – $59.98 | 35 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $4,252.93 – $5,446.38 | 12 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $680.57 – $5,642.46 | 12 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $2,398.44 – $4,336.98 | 12 |
| Vancomycin peak therapeutic drug level CPT 80202 | not published | not published | $10.16 – $59.98 | 35 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $26.32 – $155.45 | 35 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $9.66 – $57.06 | 35 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $316.53 – $2,752.26 | 13 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $525.45 – $896.04 | 18 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $308.38 – $525.87 | 18 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $525.45 – $896.04 | 18 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $308.38 – $525.87 | 18 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $186.57 – $3,373.10 | 15 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $218.51 – $3,373.10 | 15 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $185.75 – $3,373.10 | 33 |
| Vein x-ray kidney CPT 75831 | not published | not published | $171.01 – $3,373.10 | 15 |
| Vein x-ray liver CPT 75891 | not published | not published | $180.84 – $3,373.10 | 15 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $179.20 – $3,373.10 | 15 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $180.02 – $3,373.10 | 15 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $181.65 – $1,047.48 | 15 |
| Vein x-ray skull CPT 75870 | not published | not published | $243.08 – $993.30 | 15 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $186.57 – $3,373.10 | 33 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $1,852.56 – $3,373.10 | 14 |
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.