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 |
|---|---|---|---|---|
| X-ray pelvis complete > 3 views CPT 72190 | not published | not published | $75.25 – $179.58 | 33 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $591.67 – $626.94 | 12 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $672.02 – $712.08 | 12 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $130.97 – $603.09 | 33 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $65.43 – $148.70 | 33 |
| X-ray ribs 3 views bilateral CPT 71110 | not published | not published | $75.25 – $179.58 | 33 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $73.62 – $179.58 | 33 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | not published | not published | $92.48 – $183.18 | 33 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | not published | not published | $71.16 – $179.58 | 33 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | not published | not published | $60.51 – $148.70 | 33 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $37.58 – $179.58 | 33 |
| X-ray sella turcica CPT 70240 | not published | not published | $59.69 – $148.70 | 33 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $35.94 – $148.70 | 33 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | not published | not published | $67.88 – $148.70 | 33 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $87.54 – $925.93 | 33 |
| X-ray skull < 4 views CPT 70250 | not published | not published | $67.88 – $179.58 | 33 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $77.71 – $179.58 | 33 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $105.31 – $466.98 | 33 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | not published | not published | $124.92 – $411.19 | 33 |
| X-ray small intestine follow-through study CPT 74248 | not published | not published | $125.24 – $242.06 | 15 |
| X-ray spine single view CPT 72020 | not published | not published | $42.49 – $148.70 | 33 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $75.43 – $148.70 | 33 |
| X-ray sternum > 2 views CPT 71120 | not published | not published | $60.51 – $148.70 | 33 |
| X-ray surgical specimen CPT 76098 | not published | not published | $67.06 – $925.93 | 33 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | not published | not published | $124.92 – $509.63 | 33 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | not published | not published | $75.43 – $198.15 | 33 |
| X-ray thoracic spine 2 views CPT 72070 | not published | not published | $58.06 – $179.58 | 33 |
| X-ray thoracic spine 3 views CPT 72072 | not published | not published | $71.16 – $179.58 | 33 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $61.33 – $148.70 | 33 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $75.25 – $162.54 | 33 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | not published | not published | $105.31 – $259.47 | 33 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $59.69 – $148.70 | 33 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $57.24 – $148.70 | 33 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | not published | not published | $124.92 – $477.33 | 33 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | not published | not published | $124.92 – $411.15 | 33 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $124.92 – $397.32 | 12 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $238.17 – $598.56 | 12 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $64.61 – $148.70 | 33 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $99.23 – $335.35 | 23 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $96.14 – $490.20 | 12 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $9.68 – $57.19 | 35 |
| Yersinia antibody CPT 86793 | not published | not published | $9.89 – $58.43 | 35 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $38.48 – $227.30 | 24 |
| Zika virus igm antibody CPT 86794 | not published | not published | $12.64 – $74.65 | 24 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $491.84 – $521.16 | 12 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $144.94 – $856.10 | 22 |
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.