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 |
|---|---|---|---|---|
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $42.36 – $90.30 | 5 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $64.39 – $374.44 | 6 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $108.79 – $152.22 | 5 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $21.98 – $92.88 | 9 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $4.13 – $18.06 | 9 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.23 – $15.48 | 9 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,637.00 – $3,026.34 | 7 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $230.23 – $234.78 | 5 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $7.39 – $25.80 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $7.25 – $28.38 | 9 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.03 – $15.48 | 9 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $10.76 – $43.86 | 9 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $9.19 – $36.12 | 9 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $113.85 – $381.84 | 5 |
| Ghs quinidine CPT 80194 | not published | not published | $10.95 – $43.86 | 9 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $60.72 – $211.56 | 5 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $11.12 – $38.70 | 9 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.23 – $10.09 | 6 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $9.74 – $36.12 | 9 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $2.99 – $12.90 | 9 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $9.23 – $33.54 | 9 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $6.94 – $30.96 | 9 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $5.36 – $23.22 | 9 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $356.73 – $407.64 | 5 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $49.14 – $280.83 | 5 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $222.64 – $227.04 | 5 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $104.37 – $306.13 | 5 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $73.37 – $74.82 | 5 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $220.11 – $224.46 | 5 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $72.52 – $394.74 | 5 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $56.76 – $83.49 | 5 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $184.69 – $513.42 | 5 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $5.48 – $23.22 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $18.23 – $72.24 | 9 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $11.03 – $43.86 | 9 |
| Ghs windowing of cast CPT 29730 | not published | not published | $250.47 – $255.42 | 5 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $11.04 – $34.44 | 6 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $351.67 – $358.62 | 5 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $7.08 – $28.38 | 9 |
| Gi protein loss CPT 78282 | not published | not published | $270.71 – $276.06 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $3,253.58 – $3,317.88 | 5 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $2,542.65 – $2,592.90 | 5 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $70.78 – $236.62 | 6 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $43.06 – $143.96 | 6 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $24.50 – $100.96 | 6 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $10.72 – $33.44 | 9 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $3.56 – $15.48 | 9 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $4.54 – $14.16 | 6 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $2.30 – $7.74 | 9 |
| Glucose blood quantitative CPT 82947 | not published | not published | $1.20 – $12.90 | 9 |
| Glucose body fluid CPT 82945 | not published | not published | $2.95 – $12.90 | 9 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $464.40 – $1,101.03 | 5 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $9.65 – $43.86 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $2.94 – $12.90 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $13.94 – $61.92 | 9 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $13.89 – $61.92 | 9 |
| Gonioscopy CPT 92020 | not published | not published | $83.49 – $85.14 | 5 |
| Growth hormone antibody CPT 86277 | not published | not published | $11.81 – $46.44 | 9 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $35.92 – $176.90 | 6 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $198.95 – $425.70 | 6 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $419.98 – $428.28 | 5 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $73.37 | 9 |
| Hand X-ray CPT 73130 | not published | not published | $71.16 – $105.78 | 6 |
| Haptoglobin quantitative CPT 83010 | not published | not published | $9.44 – $38.70 | 9 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $234.78 – $308.66 | 5 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $308.66 – $312.18 | 5 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $1,404.00 | 4 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $473.62 | 4 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $878.09 | 4 |
| Hbb full gene sequence CPT 81364 | not published | not published | $227.21 – $759.52 | 5 |
| Hbb gene com variants CPT 81361 | not published | not published | $122.37 – $409.06 | 5 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $141.68 – $473.62 | 5 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $262.68 – $878.09 | 5 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $196.08 – $533.83 | 5 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $437.32 – $1,078.44 | 6 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $46.44 | 9 |
| Hcg qualitative CPT 84703 | not published | not published | $5.64 – $25.80 | 9 |
| Hcg quantitative CPT 84702 | not published | not published | $11.29 – $51.60 | 9 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $67.08 – $387.09 | 5 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $67.08 – $192.28 | 5 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $65.78 – $196.08 | 5 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $65.78 – $196.08 | 5 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $300.25 – $812.70 | 6 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $538.32 – $538.32 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $464.07 – $714.66 | 6 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $409.17 – $905.58 | 6 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $162.15 – $4,899.42 | 6 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $600.87 – $17,406.00 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $991.83 – $17,406.00 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $1,517.84 – $17,406.00 | 7 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $285.84 – $17,406.00 | 3 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $470.11 – $17,406.00 | 3 |
| Head CT scan (with and without contrast) CPT 70470 | not published | not published | $296.34 – $1,215.18 | 6 |
| Head CT scan (with contrast) CPT 70460 | not published | not published | $245.65 – $1,003.62 | 6 |
| Head CT scan (without contrast) CPT 70450 | not published | not published | $171.92 – $812.70 | 6 |
| Heart first pass add-on CPT 78496 | not published | not published | $46.59 – $438.60 | 6 |
| Heart first pass multiple CPT 78483 | not published | not published | $387.88 – $1,150.68 | 6 |
| Heart image spect CPT 78494 | not published | not published | $393.61 – $1,006.20 | 6 |
| Heart infarct image CPT 78466 | not published | not published | $349.39 – $624.36 | 6 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $362.49 – $789.48 | 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.