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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | not published | not published | $18.06 – $56.35 | 6 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $8.99 – $41.28 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | not published | not published | $8.99 – $36.12 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $8.99 – $36.12 | 9 |
| Infectious agent nucleic acid amplified probe CPT 87798 | not published | not published | $35.09 – $105.78 | 8 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | not published | not published | $26.32 – $105.78 | 9 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | not published | not published | $27.29 – $87.21 | 6 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $312.59 – $975.27 | 5 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $26.32 – $105.78 | 9 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $26.32 – $105.78 | 9 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $29.18 – $105.78 | 9 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | not published | not published | $26.32 – $105.78 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | not published | not published | $49.26 – $51.31 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $106.97 – $333.75 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $106.97 – $333.75 | 5 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $26.32 – $105.78 | 9 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | not published | not published | $26.32 – $82.11 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $312.59 – $975.27 | 6 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $96.22 – $300.20 | 6 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $184.09 – $615.40 | 6 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $32.13 – $129.00 | 9 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | not published | not published | $32.13 – $129.00 | 9 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | not published | not published | $32.13 – $129.00 | 9 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | not published | not published | $63.83 – $255.42 | 9 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $99.84 – $333.75 | 6 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $20.45 – $68.37 | 6 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $32.71 – $1,564.00 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $18.89 – $82.56 | 6 |
| Infuse radioactive materials CPT 77750 | not published | not published | $320.72 – $1,171.32 | 6 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $75.90 – $216.72 | 5 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $146.74 – $172.86 | 5 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $88.55 – $1,173.90 | 5 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $141.88 – $422.51 | 6 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $182.60 – $182.60 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $98.46 – $291.54 | 6 |
| Initial observation care CPT 99218 | not published | not published | $214.14 – $366.85 | 5 |
| Initial observation care CPT 99219 | not published | not published | $353.46 – $538.89 | 5 |
| Initial observation care CPT 99220 | not published | not published | $197.34 – $497.94 | 5 |
| Initiation & management bipap/cpap initial day CPT 94660 | not published | not published | $234.78 – $245.41 | 5 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $309.60 – $518.65 | 5 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $349.14 – $528.90 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | not published | not published | $85.14 – $311.19 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | not published | not published | $46.44 – $430.10 | 5 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | not published | not published | $136.62 – $188.34 | 5 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | not published | not published | $72.24 – $250.47 | 5 |
| Inpatient consultation CPT 99251 | not published | not published | $152.22 – $619.85 | 5 |
| Insemination of oocytes CPT 89268 | not published | not published | $54.32 – $162.64 | 3 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $643.77 – $643.77 | 1 |
| Insert electrodes for eeg CPT 95830 | not published | not published | $55.66 – $616.62 | 5 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | not published | not published | $11,119.73 – $11,119.73 | 1 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $1,172.70 – $1,172.70 | 1 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | not published | not published | $22,794.00 – $22,794.00 | 1 |
| Insert/repl sq defib w/eltrd CPT 33270 | not published | not published | $22,794.00 – $22,794.00 | 1 |
| Insert spine fixation device CPT 22847 | not published | not published | $5,998.50 – $5,998.50 | 1 |
| Insert sq defib electrode CPT 33271 | not published | not published | $22,794.00 – $22,794.00 | 1 |
| Insert swan-ganz cath CPT 93503 | not published | not published | $441.18 – $9,274.98 | 6 |
| Ins icd gen exist mlt leads CPT 33231 | not published | not published | $22,794.00 – $22,794.00 | 1 |
| Ins icd gen exist sgl lead CPT 33240 | not published | not published | $22,794.00 – $22,794.00 | 1 |
| Insitu hybridization auto CPT 88367 | not published | not published | $54.16 – $614.04 | 9 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $103.54 – $527.90 | 9 |
| Insitu hybridization manual CPT 88368 | not published | not published | $54.16 – $505.68 | 9 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | not published | not published | $84.20 – $337.98 | 9 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | not published | not published | $54.16 – $337.98 | 9 |
| Ins lv lead exist pm/icd CPT 33224 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $22,794.00 – $22,794.00 | 1 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Insulin suppression panel CPT 80432 | not published | not published | $115.93 – $407.64 | 9 |
| Insulin tolerance panel CPT 80434 | not published | not published | $169.56 – $666.97 | 9 |
| Insulin tolerance panel CPT 80435 | not published | not published | $77.25 – $304.44 | 9 |
| Insulin total CPT 83525 | not published | not published | $8.57 – $33.54 | 9 |
| Intermediate visual field xm CPT 92082 | not published | not published | $225.17 – $229.62 | 5 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $129.00 – $141.68 | 5 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $96.14 – $165.12 | 5 |
| Interrog device eval heart CPT 93289 | not published | not published | $250.47 – $260.58 | 5 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $172.86 – $242.88 | 5 |
| Interstitial brachy inter CPT 77799 | not published | not published | $178.57 – $178.57 | 1 |
| Intra-atrial pacing CPT 93610 | not published | not published | $895.26 – $6,080.00 | 6 |
| Intra-atrial recording CPT 93602 | not published | not published | $655.32 – $6,080.00 | 6 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $151.80 – $799.80 | 5 |
| Intracranial complete study CPT 93886 | not published | not published | $943.69 – $1,003.62 | 5 |
| Intracranial limited study CPT 93888 | not published | not published | $394.68 – $683.70 | 5 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $2,203.32 – $6,080.00 | 6 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $296.70 – $308.66 | 5 |
| Intraventricular pacing CPT 93612 | not published | not published | $931.38 – $6,080.00 | 6 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $11.31 – $46.44 | 9 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $247.94 – $252.84 | 5 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | not published | 0 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $144.48 – $151.09 | 5 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $98.04 – $207.46 | 5 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $152.22 – $301.07 | 5 |
| Io radiation tx management CPT 77469 | not published | not published | $798.22 – $798.22 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $12,230.53 – $12,230.53 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $12,230.53 – $12,230.53 | 1 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $131.56 – $361.20 | 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.