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 |
|---|---|---|---|---|
| Control of nosebleedantersmpl 30901 CPT 30901 | not published | not published | $127.65 – $217.68 | 18 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $504.31 – $859.98 | 18 |
| Coombs direct CPT 86880 | not published | not published | $4.04 – $100.31 | 35 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $4.29 – $289.38 | 25 |
| Coombs indirect titer reference CPT 86886 | not published | not published | $3.89 – $289.38 | 35 |
| Cor artery disease mrna CPT 81493 | not published | not published | $787.50 – $4,651.50 | 7 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $58.82 – $100.31 | 18 |
| Corneal smear CPT 65430 | not published | not published | $395.17 – $673.87 | 18 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | not published | not published | $6,855.00 – $9,654.00 | 2 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $6,855.00 – $9,654.00 | 2 |
| Coronary angio/lv gram/rt< heart CPT 93460 | not published | not published | $6,855.00 – $9,654.00 | 2 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $6,855.00 – $6,855.00 | 1 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $6,855.00 – $6,855.00 | 1 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | not published | not published | $328.47 – $680.57 | 30 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $296.03 – $504.81 | 18 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $127.65 – $217.68 | 18 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $606.20 – $1,033.72 | 18 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $24.47 – $144.51 | 35 |
| Cortisol total am CPT 82533 | not published | not published | $12.23 – $72.21 | 35 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $23.09 – $116.10 | 31 |
| Counseling smoke cess interm >10mins CPT 99407 | not published | not published | $29.50 – $85.14 | 30 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | not published | not published | $41.12 – $70.11 | 18 |
| #covid19rsv-rsv CPT 87634 | not published | not published | $52.65 – $310.99 | 24 |
| #coxa-coxsackie a serotype a16 CPT 86658 | not published | not published | $9.77 – $57.72 | 35 |
| C-peptide CPT 84681 | not published | not published | $15.61 – $92.19 | 35 |
| Cptrized corneal topography CPT 92025 | not published | not published | $58.82 – $113.52 | 30 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $58.82 – $152.22 | 30 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $308.38 – $525.87 | 18 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $533.04 – $1,455.57 | 33 |
| C-reactive protein CPT 86140 | not published | not published | $3.89 – $22.95 | 35 |
| C-reactive protein high sensitivity CPT 86141 | not published | not published | $9.71 – $57.37 | 35 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $7.98 – $47.14 | 35 |
| Creatine isoforms CPT 82554 | not published | not published | $8.90 – $52.58 | 35 |
| Creatine kinase CPT 82550 | not published | not published | $1.08 – $28.84 | 35 |
| Creatine kinase isoenzymes CPT 82552 | not published | not published | $10.04 – $59.32 | 35 |
| Creatine kinase mb CPT 82553 | not published | not published | $8.66 – $51.17 | 35 |
| Creatine - sendout CPT 82540 | not published | not published | $3.48 – $20.56 | 35 |
| Creatinine CPT 82565 | not published | not published | $1.08 – $22.68 | 35 |
| Creatinine 24 hour urine CPT 82570 | not published | not published | $3.89 – $22.95 | 35 |
| Creatinine clearance urine CPT 82575 | not published | not published | $7.10 – $41.91 | 35 |
| #creutz-prot.,western blot CPT 84182 | not published | not published | $19.44 – $129.40 | 35 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $159.12 – $271.33 | 18 |
| Critical care 30-74 minutes CPT 99291 | not published | not published | $141.68 – $1,422.93 | 30 |
| Critical care each additional 30 minutes CPT 99292 | not published | not published | $217.58 – $366.36 | 12 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $5,799.60 – $5,799.60 | 1 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $301.24 – $513.69 | 18 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $9.27 – $62.64 | 35 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $54.32 – $1,379.51 | 21 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $124.68 – $289.38 | 21 |
| Cryopreservation sperm CPT 89259 | not published | not published | $54.32 – $289.38 | 21 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $432.94 – $738.28 | 18 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $49.76 – $90.23 | 21 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $196.77 – $335.55 | 18 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $58.82 – $100.31 | 18 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $10.81 – $63.84 | 35 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $8.99 – $53.07 | 35 |
| Crystal identification light microscopy CPT 89060 | not published | not published | $6.96 – $32.47 | 35 |
| Csf leakage imaging CPT 78650 | not published | not published | $563.17 – $1,375.20 | 15 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $297.00 – $506.46 | 18 |
| Csf ventriculography CPT 78635 | not published | not published | $533.04 – $1,470.10 | 33 |
| CT 3d report other modality w/workstation CPT 76377 | not published | not published | $94.93 – $428.28 | 15 |
| Cta abdomen without & /or w/contrast CPT 74175 | not published | not published | $176.29 – $1,860.18 | 33 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | not published | not published | $176.29 – $2,110.44 | 33 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $176.29 – $1,831.80 | 33 |
| Cta neck without &/or w/contrast CPT 70498 | not published | not published | $176.29 – $2,293.62 | 33 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | not published | not published | $353.67 – $3,622.32 | 33 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | not published | not published | $176.29 – $1,826.64 | 33 |
| CT Angiogram of the Head CPT 70496 | not published | not published | $176.29 – $2,283.30 | 33 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $293.86 – $1,342.91 | 23 |
| CT angio pelvis CPT 72191 | not published | not published | $176.29 – $1,762.14 | 33 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $176.29 – $1,689.90 | 33 |
| CT bone density axial CPT 77078 | not published | not published | $75.43 – $603.72 | 33 |
| CT colonography dx CPT 74261 | not published | not published | $105.31 – $1,680.87 | 23 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $176.29 – $1,942.33 | 23 |
| CT colonography screening CPT 74263 | not published | not published | $239.37 – $3,059.05 | 22 |
| CT guidance for needle placement CPT 77012 | not published | not published | $177.65 – $732.72 | 15 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $143.25 – $513.42 | 15 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $237.56 – $405.10 | 18 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $1,899.18 – $2,448.02 | 14 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $15.75 – $368.00 | 23 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $293.86 – $1,176.70 | 23 |
| CT hrt w/3d image CPT 75572 | not published | not published | $293.86 – $894.95 | 23 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $75.43 – $722.40 | 33 |
| CT lower extremity w/contrast (both sides) CPT 73701 | not published | not published | $176.29 – $1,153.26 | 33 |
| CT lower extremity without contrast (both sides) CPT 73700 | not published | not published | $105.31 – $954.60 | 33 |
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $176.29 – $1,470.60 | 33 |
| CT neck soft tissue w/contrast CPT 70491 | not published | not published | $176.29 – $1,179.06 | 33 |
| CT neck soft tissue without contrast CPT 70490 | not published | not published | $105.31 – $982.98 | 33 |
| CT neck soft tissue without & w/contrast CPT 70492 | not published | not published | $176.29 – $1,431.90 | 33 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | not published | not published | $176.29 – $1,558.32 | 33 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | not published | not published | $176.29 – $1,357.08 | 33 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | not published | not published | $105.31 – $1,166.16 | 33 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $229.97 – $392.15 | 18 |
| CT scan for therapy guide CPT 77014 | not published | not published | $187.48 – $652.74 | 15 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | not published | not published | $353.67 – $3,227.58 | 33 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | not published | not published | $353.67 – $2,556.78 | 33 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | not published | not published | $238.17 – $2,025.30 | 33 |
| CT thoracic spine w/contrast CPT 72129 | not published | not published | $176.29 – $1,212.60 | 33 |
| CT thoracic spine without contrast CPT 72128 | not published | not published | $105.31 – $1,011.36 | 33 |
| CT thorax low dose for lung screening without contrast CPT 71271 | not published | not published | $105.31 – $1,057.80 | 33 |
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.