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 |
|---|---|---|---|---|
| ER Visit (level 1, minor) CPT 99281 | not published | not published | $25.11 – $576.84 | 6 |
| ER Visit (level 2) CPT 99282 | not published | not published | $48.74 – $538.89 | 6 |
| ER Visit (level 3) CPT 99283 | not published | not published | $81.86 – $794.42 | 6 |
| ER Visit (level 4) CPT 99284 | not published | not published | $138.97 – $394.74 | 6 |
| ER Visit (level 5, high severity) CPT 99285 | not published | not published | $203.85 – $588.24 | 6 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $551.54 – $562.44 | 5 |
| Esophageal motility CPT 78258 | not published | not published | $413.27 – $753.36 | 6 |
| Esophageal recording CPT 93615 | not published | not published | $265.74 – $6,080.00 | 6 |
| Esophageal recording CPT 93616 | not published | not published | $6,080.00 – $6,080.00 | 1 |
| Esophagus motility study CPT 91010 | not published | not published | $693.22 – $706.92 | 5 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $1,378.85 – $1,406.10 | 5 |
| Esoph imped function test CPT 91037 | not published | not published | $586.96 – $598.56 | 5 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $516.12 – $526.32 | 5 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $64.50 – $389.62 | 5 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $25.03 – $222.64 | 6 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $75.13 – $209.99 | 6 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | not published | $110.74 – $346.61 | 6 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | not published | $163.18 – $488.29 | 6 |
| Estradiol total CPT 82670 | not published | not published | $20.96 – $65.38 | 9 |
| Estrogens total-sendout CPT 82672 | not published | not published | $16.28 – $64.50 | 9 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $11.18 – $43.86 | 9 |
| Euglobulin lysis CPT 85360 | not published | not published | $6.31 – $25.80 | 9 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $255.53 – $276.06 | 5 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $125.04 – $544.38 | 5 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $68.68 – $229.58 | 6 |
| Evaluation heart device CPT 93640 | not published | not published | $1,976.28 – $6,080.00 | 6 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $134.19 – $580.50 | 6 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $209.25 – $534.06 | 6 |
| Event monitor CPT 93270 | not published | not published | $92.88 – $217.58 | 5 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $192.28 – $260.58 | 5 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $165.12 – $192.28 | 5 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $111.28 – $450.93 | 5 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $417.96 – $675.51 | 5 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $202.40 – $363.78 | 5 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,197.80 – $2,197.80 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $5,227.20 – $5,227.20 | 1 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $5,227.20 – $5,227.20 | 1 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $134.09 – $884.94 | 5 |
| Exercise tst brncspsm w/ecg CPT 94617 | not published | not published | $314.76 – $675.51 | 5 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $169.51 – $314.76 | 5 |
| Exome sequence analysis CPT 81415 | not published | not published | $950.00 – $11,185.20 | 5 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Extended culture of oocytes CPT 89272 | not published | not published | $54.32 – $701.04 | 3 |
| Extended visual field xm CPT 92083 | not published | not published | $255.53 – $260.58 | 5 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $2,349.00 – $2,349.00 | 1 |
| Extensive vulva surgery CPT 56632 | not published | not published | $5,706.17 – $5,706.17 | 1 |
| External chromosome analysis 20-25 cells CPT 88264 | not published | not published | $101.23 – $376.68 | 9 |
| External ocular photography CPT 92285 | not published | not published | $136.62 – $139.32 | 5 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $9.19 – $79.98 | 7 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,864.00 – $9,062.82 | 6 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | not published | not published | $100.63 – $381.84 | 9 |
| Extnd color vision xm CPT 92283 | not published | not published | $149.27 – $152.22 | 5 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | not published | not published | $13.45 – $54.18 | 9 |
| Eye allergy tests CPT 95060 | not published | not published | $82.56 – $212.52 | 5 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $1,404.00 | 4 |
| Facial bones <3 CPT 70140 | not published | not published | $56.42 – $105.78 | 6 |
| Factor ix CPT 85250 | not published | not published | $14.28 – $56.76 | 9 |
| Factor viii CPT 85240 | not published | not published | $13.43 – $54.18 | 9 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $153.80 – $304.44 | 6 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $159.85 – $394.74 | 6 |
| Fancc gene CPT 81242 | not published | not published | $25.63 – $85.69 | 6 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $3.83 – $11.93 | 6 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $13.14 – $43.92 | 6 |
| Fecal bilirubin test CPT 82252 | not published | not published | $3.42 – $12.90 | 9 |
| #fecal-sodium CPT 84302 | not published | not published | $3.65 – $15.48 | 9 |
| Feeding tube reposition CPT 74355 | not published | not published | $500.94 – $510.84 | 5 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $58.19 – $657.90 | 5 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $13.98 – $18.64 | 3 |
| Feno poc CPT 95012 | not published | not published | $25.30 – $69.66 | 5 |
| Ferritin CPT 82728 | not published | not published | $10.22 – $41.28 | 9 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $165.27 – $423.12 | 6 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $700.00 – $1,776.18 | 5 |
| Fetal fibronectin CPT 82731 | not published | not published | $48.31 – $159.96 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | not published | not published | $5.80 – $18.09 | 6 |
| Fetal hemoglobin rosette CPT 85461 | not published | not published | $6.55 – $21.90 | 9 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $14.49 – $56.76 | 9 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $17.52 – $29.32 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | not published | not published | $7.64 – $30.96 | 9 |
| Fibrin degradation products CPT 85362 | not published | not published | $5.17 – $20.64 | 9 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $6.80 – $22.74 | 9 |
| Fibrinogen activity CPT 85384 | not published | not published | $6.80 – $25.80 | 9 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $8.66 – $47.15 | 9 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $5.78 – $23.22 | 9 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $12.89 – $51.60 | 9 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $4.90 – $15.28 | 6 |
| Filtered speech hearing test CPT 92571 | not published | not published | $68.31 – $69.66 | 5 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $2,749.50 – $2,749.50 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $1,172.70 – $1,172.70 | 1 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $131.56 – $134.16 | 5 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $154.33 – $157.38 | 5 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $339.02 – $345.72 | 5 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $189.75 – $193.50 | 5 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $13.98 – $18.64 | 3 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $32.52 – $335.40 | 9 |
| Flow cytometry marker each additional CPT 88185 | not published | not published | $23.03 – $162.54 | 9 |
| Flow cytometry one marker technical component CPT 88184 | not published | not published | $54.16 – $273.48 | 9 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $17.81 – $263.16 | 9 |
| Flt3 gene CPT 81245 | not published | not published | $115.86 – $387.29 | 6 |
| Flt3 gene analysis CPT 81246 | not published | not published | $58.10 – $194.22 | 6 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $17.28 – $75.90 | 6 |
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.