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 |
|---|---|---|---|---|
| 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 hormone panel CPT 80426 | not published | not published | $111.31 – $446.34 | 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 |
| Great toe-hand transfer CPT 26551 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Group health education CPT 99078 | not published | not published | $123.84 – $151.80 | 5 |
| Growth hormone antibody CPT 86277 | not published | not published | $11.81 – $46.44 | 9 |
| Growth hormone panel CPT 80428 | not published | not published | $50.03 – $196.08 | 9 |
| Growth hormone panel CPT 80430 | not published | not published | $90.53 – $302.63 | 9 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $35.92 – $176.90 | 6 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $4,418.10 – $4,418.10 | 1 |
| 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 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $7.28 – $28.38 | 9 |
| 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 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $1,590.19 | 5 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $950.00 – $3,802.50 | 5 |
| 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 |
| Heavy metal qual any number CPT 83015 | not published | not published | $14.66 – $56.76 | 9 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.15 – $12.90 | 9 |
| Heinz bodies induced CPT 85445 | not published | not published | $5.12 – $20.64 | 9 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $11.80 – $43.86 | 9 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $6.14 – $19.16 | 6 |
| Hematocrit CPT 85014 | not published | not published | $1.78 – $7.74 | 9 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $232.25 – $766.26 | 6 |
| Hemodialysis access study CPT 90940 | not published | not published | $217.58 – $221.88 | 5 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $247.94 – $252.84 | 5 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $407.33 – $415.38 | 5 |
| Hemoglobin CPT 85018 | not published | not published | $1.78 – $7.74 | 9 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $2.81 – $9.38 | 6 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $5.60 – $18.72 | 6 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $7.52 – $25.13 | 6 |
| Hemoglobin methemoglobin quantitative CPT 83050 | not published | not published | $5.74 – $19.19 | 9 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $9.34 – $33.54 | 9 |
| Hemoglobin plasma CPT 83051 | not published | not published | $5.48 – $17.11 | 6 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $6.30 – $21.06 | 9 |
| Hemoglobin urine CPT 83069 | not published | not published | $2.96 – $9.24 | 9 |
| Hemolysin acid CPT 85475 | not published | not published | $6.65 – $25.80 | 9 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $6.38 – $25.80 | 9 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $9.08 – $36.12 | 9 |
| Hemoperfusion CPT 90997 | not published | not published | $331.43 – $337.98 | 5 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $11.88 – $49.02 | 9 |
| Heparin assay CPT 85520 | not published | not published | $9.82 – $38.70 | 9 |
| Heparin neutralization CPT 85525 | not published | not published | $8.88 – $36.12 | 9 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $9.82 – $43.86 | 9 |
| Hepatitis a antibody igm CPT 86709 | not published | not published | $8.45 – $33.54 | 9 |
| Hepatitis b core antibody igm CPT 86705 | not published | not published | $8.83 – $36.12 | 9 |
| Hepatitis b core antibody total CPT 86704 | not published | not published | $9.04 – $36.12 | 9 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $168.23 – $497.94 | 6 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $15.05 – $15.05 | 2 |
| Hepatitis b surface antibody CPT 86706 | not published | not published | $8.06 – $33.54 | 9 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $92.22 – $696.60 | 6 |
| Hepatitis c antibody CPT 86803 | not published | not published | $10.70 – $43.86 | 9 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $21.85 – $73.05 | 9 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $42.84 | 1 |
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.