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 |
|---|---|---|---|---|
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $192.28 – $196.08 | 5 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $417.45 – $425.70 | 5 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $1,189.10 – $1,212.60 | 5 |
| Fluorescent antibody titer dna CPT 86256 | not published | not published | $12.05 – $36.12 | 9 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | not published | not published | $191.58 – $211.56 | 6 |
| Fluoroguide needle placement CPT 77002 | not published | not published | $221.88 – $250.26 | 6 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $14.18 – $56.76 | 9 |
| Fluoroscopy up to 1 hour CPT 76000 | not published | not published | $69.52 – $335.40 | 6 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $2,689.39 – $2,742.54 | 5 |
| Fmri brain by tech CPT 70554 | not published | not published | $729.45 – $2,216.22 | 6 |
| Foam stability fetal lung CPT 83662 | not published | not published | $14.18 – $56.76 | 9 |
| Folic acid CPT 82746 | not published | not published | $11.03 – $43.86 | 9 |
| Follow-up angiography CPT 75898 | not published | not published | $435.16 – $443.76 | 5 |
| Foot X-ray CPT 73630 | not published | not published | $65.43 – $105.78 | 6 |
| Forensic cytopathology CPT 88125 | not published | not published | $10.36 – $31.43 | 9 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $20.45 – $79.98 | 9 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $62.15 – $144.48 | 6 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $31.42 – $105.04 | 6 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $2.45 – $33.54 | 7 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $4.33 – $260.58 | 7 |
| Frozen blood prep CPT 86930 | not published | not published | $2.45 – $260.58 | 7 |
| Frozen blood thaw CPT 86931 | not published | not published | $1.92 – $196.08 | 7 |
| Frozen cell preparation CPT 88241 | not published | not published | $8.46 – $30.96 | 9 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $11.73 – $51.60 | 9 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $107.45 – $359.19 | 9 |
| Full field erg w/i&r CPT 92273 | not published | not published | $430.10 – $438.60 | 5 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $103.94 – $167.70 | 6 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $230.23 – $234.78 | 5 |
| G6pc gene CPT 81250 | not published | not published | $40.94 – $136.87 | 6 |
| G6pd full gene sequence CPT 81249 | not published | not published | $420.00 – $1,404.00 | 5 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $122.37 – $409.06 | 5 |
| G6pd known familial variant CPT 81248 | not published | not published | $262.68 – $878.09 | 5 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $15.80 – $54.18 | 9 |
| Galactokinase - sendout CPT 82759 | not published | not published | $16.11 – $64.50 | 9 |
| Galactose transferase test CPT 82776 | not published | not published | $8.22 – $27.47 | 9 |
| Galectin-3 CPT 82777 | not published | not published | $21.36 – $103.55 | 6 |
| Gammaglobulin iga CPT 82784 | not published | not published | $6.98 – $28.38 | 9 |
| Gammaglobulin ige CPT 82785 | not published | not published | $12.35 – $49.02 | 9 |
| Gamma glutamyltransferase CPT 82977 | not published | not published | $1.08 – $23.22 | 9 |
| Gardner vag dna quant CPT 87512 | not published | not published | $31.32 – $126.42 | 9 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $4.70 – $15.70 | 6 |
| Gastric emptying imag study CPT 78265 | not published | not published | $787.43 – $949.44 | 6 |
| Gastric emptying imag study CPT 78266 | not published | not published | $902.82 – $949.44 | 6 |
| Gastric motility studies CPT 91020 | not published | not published | $839.96 – $856.56 | 5 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $397.71 – $841.08 | 6 |
| Gastrin test CPT 82938 | not published | not published | $13.27 – $54.18 | 9 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $488.64 – $830.76 | 6 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $728.64 – $743.04 | 5 |
| Gated heart multiple CPT 78473 | not published | not published | $500.10 – $1,266.78 | 6 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $110.57 | 5 |
| General health panel CPT 80050 | not published | not published | $35.77 – $180.60 | 7 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $1,713.99 – $5,729.63 | 5 |
| Genome sequence analysis CPT 81425 | not published | not published | $950.00 – $11,773.01 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | not published | not published | $12.29 – $49.02 | 9 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $1,697.63 – $1,731.18 | 5 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $6.87 – $23.22 | 9 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $12.51 – $49.02 | 9 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $239.29 | 5 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $172.86 – $581.90 | 5 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $10.79 – $43.86 | 9 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $3.51 – $15.48 | 9 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $288.42 – $626.94 | 5 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $475.64 – $655.32 | 5 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $245.10 – $283.36 | 5 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $26.32 – $105.78 | 9 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $32.19 – $187.22 | 6 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $11.41 – $46.44 | 9 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $240.35 – $245.10 | 5 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $108.79 – $110.94 | 5 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $311.19 – $317.34 | 5 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $27.83 – $28.38 | 5 |
| Ghs eye exam CPT 92002 | not published | not published | $235.29 – $239.94 | 5 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.40 – $11.35 | 9 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $5.24 – $16.33 | 6 |
| Ghs fish cytogen CPT 88271 | not published | not published | $16.07 – $50.12 | 9 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $35.83 – $121.26 | 9 |
| Ghs flow volume loop CPT 94375 | not published | not published | $157.38 – $306.13 | 5 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $26.32 – $105.78 | 9 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $10.12 – $53.75 | 9 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $11.62 – $46.44 | 9 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $6.63 – $22.16 | 6 |
| Ghs histoplasma antigen CPT 87385 | not published | not published | $9.32 – $36.12 | 9 |
| Ghs HIV antibody CPT 86703 | not published | not published | $10.28 – $41.28 | 9 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $74.30 – $248.37 | 9 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $70.01 | 9 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $9.65 – $30.12 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $6.45 – $25.80 | 9 |
| Ghs mbp CPT 83873 | not published | not published | $12.90 – $49.02 | 9 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | not published | not published | $73.37 – $123.84 | 5 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | not published | $60.72 – $105.78 | 5 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | not published | not published | $74.82 – $78.43 | 5 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | not published | not published | $61.92 – $440.22 | 5 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | not published | not published | $61.92 – $91.08 | 5 |
| Ghs o2 saturation CPT 82810 | not published | not published | $6.84 – $22.86 | 6 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $187.22 – $250.26 | 5 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $146.74 – $216.72 | 5 |
| Ghs optokenetic CPT 92544 | not published | not published | $187.22 – $190.92 | 5 |
| Ghs oscillating trac CPT 92545 | not published | not published | $174.57 – $178.02 | 5 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $83.49 – $95.46 | 5 |
| Ghs ot dds rom CPT 95851 | not published | not published | $7.79 – $407.33 | 5 |
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.