Ascension Alexian Brothers Behavioral Health Hospital
1650 Moon Lake Blvd, Hoffman Estates, IL · Ascension · · NPI 1013017839
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $21.96 – $68.52 | 9 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $17.11 – $69.66 | 9 |
| 17-ketosteroids CPT 83586 | not published | not published | $9.60 – $38.70 | 9 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $206.40 – $316.25 | 5 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $1,851.96 – $3,052.14 | 5 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $68.31 – $116.10 | 5 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $626.77 – $2,528.40 | 6 |
| 3d recon without postprocess indpndt CPT 76376 | not published | not published | $36.76 – $286.38 | 6 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $8.36 – $26.09 | 6 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | not published | $17.54 – $67.08 | 9 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $353.46 – $404.80 | 5 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $381.84 – $473.11 | 5 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $379.26 – $518.65 | 5 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $294.12 – $351.67 | 5 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $327.66 – $384.56 | 5 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $325.08 – $430.10 | 5 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $118.91 – $356.04 | 5 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $366.85 – $438.60 | 5 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $9.01 – $36.12 | 9 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $137.62 – $158.82 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | not published | not published | $438.05 – $1,759.56 | 6 |
| Abdominal CT scan (with contrast) CPT 74160 | not published | not published | $437.23 – $1,349.34 | 6 |
| Abdominal CT scan (without contrast) CPT 74150 | not published | not published | $210.41 – $1,016.52 | 6 |
| Abdominal MRI (with and without contrast) CPT 74183 | not published | not published | $618.06 – $3,049.56 | 6 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $580.37 – $2,383.92 | 6 |
| Abdominal MRI (without contrast) CPT 74181 | not published | not published | $334.01 – $1,803.42 | 6 |
| Abdominal Ultrasound (complete) CPT 76700 | not published | not published | $194.85 – $500.52 | 6 |
| Abdominal Ultrasound (limited) CPT 76705 | not published | not published | $148.99 – $363.78 | 6 |
| Abl1 gene CPT 81170 | not published | not published | $210.00 – $702.00 | 6 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $7,947.00 – $7,947.00 | 1 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $2,360.70 – $7,947.00 | 6 |
| Acetaminophen level CPT 80143 | not published | not published | $13.98 – $18.64 | 3 |
| Acetone qualitative CPT 82009 | not published | not published | $3.39 – $12.90 | 9 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $12.05 – $12.05 | 1 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $8.69 – $28.76 | 6 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $500.94 – $510.84 | 5 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $464.40 – $1,300.43 | 5 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $15.59 – $93.61 | 5 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $73.37 – $74.82 | 5 |
| Actinotherapy uv light CPT 96900 | not published | not published | $77.40 – $285.89 | 5 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $134.16 – $197.34 | 5 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $126.42 – $166.98 | 5 |
| Acute hepatitis panel CPT 80074 | not published | not published | $42.04 – $144.48 | 9 |
| Acute venous thrombus image CPT 78456 | not published | not published | $602.50 – $1,207.44 | 6 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $12.65 – $51.60 | 9 |
| Acylcarnitines qual CPT 82016 | not published | not published | $11.54 – $41.28 | 9 |
| Adding walker to prev cast CPT 29440 | not published | not published | $197.34 – $201.24 | 5 |
| Adenovirus ag ia CPT 87301 | not published | not published | $8.99 – $36.12 | 9 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $9.65 – $30.12 | 6 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $15.23 – $50.92 | 9 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,172.70 – $1,172.70 | 1 |
| Adh-sendout CPT 84588 | not published | not published | $25.46 – $85.14 | 9 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | not published | not published | $136.74 – $650.21 | 5 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $288.96 – $642.62 | 5 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | not published | not published | $407.33 – $575.34 | 5 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $425.70 – $614.79 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $139.32 – $240.35 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $255.42 – $417.45 | 5 |
| Administration immunization 1 vaccine CPT 90471 | not published | not published | $37.95 – $38.70 | 5 |
| Administration immunization each additional vaccine CPT 90472 | not published | not published | $20.24 – $20.64 | 5 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $37.95 – $38.70 | 5 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $937.24 – $1,411.26 | 6 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $329.97 – $351.24 | 5 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $336.48 – $968.99 | 5 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $459.83 – $1,039.83 | 5 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $15.04 – $59.34 | 9 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $5.12 – $18.06 | 9 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $86.52 – $269.94 | 6 |
| Air conduction bilat CPT 92552 | not published | not published | $86.02 – $87.72 | 5 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $30.36 – $190.92 | 5 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $5.45 – $18.21 | 9 |
| Albumin ischemia modified CPT 82045 | not published | not published | $25.46 – $85.14 | 9 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $4.34 – $18.06 | 9 |
| Albumin serum plasma or whole blood CPT 82040 | not published | not published | $1.08 – $15.48 | 9 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $12.95 – $40.41 | 5 |
| Alkaline phosphatase CPT 84075 | not published | not published | $1.08 – $18.06 | 9 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $13.45 – $54.18 | 9 |
| Allergen egg white ige CPT 86003 | not published | not published | $3.92 – $15.48 | 9 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $5.98 – $18.65 | 6 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $46.44 – $169.51 | 5 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $38.70 – $141.68 | 5 |
| Allergy Skin Testing CPT 95004 | not published | not published | $20.64 – $58.19 | 5 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $23.22 – $73.37 | 5 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $22.77 – $59.34 | 5 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $37.95 – $59.34 | 5 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $48.31 – $150.72 | 9 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $12.75 – $51.60 | 9 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $12.58 – $51.60 | 9 |
| Alt/sgpt CPT 84460 | not published | not published | $1.08 – $18.06 | 9 |
| Aluminum - quest CPT 82108 | not published | not published | $19.11 – $77.40 | 9 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $361.20 – $436.43 | 5 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $11.77 – $26.59 | 2 |
| Amino acid screen, urine CPT 82128 | not published | not published | $10.40 – $41.28 | 9 |
| Amino acid single qual CPT 82127 | not published | not published | $10.64 – $41.28 | 9 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $13.73 – $51.60 | 9 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $12.34 – $43.86 | 9 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $12.20 – $54.18 | 7 |
| Ammonia CPT 82140 | not published | not published | $10.93 – $43.86 | 9 |
| Amniotic fluid scan CPT 82143 | not published | not published | $6.55 – $21.88 | 9 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $11.80 – $46.44 | 7 |
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.