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 |
|---|---|---|---|---|
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $201.06 – $518.58 | 6 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $242.45 – $632.10 | 6 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $68.31 – $239.94 | 6 |
| Iron CPT 83540 | not published | not published | $4.85 – $20.64 | 9 |
| Iron binding capacity CPT 83550 | not published | not published | $6.56 – $25.80 | 9 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.03 – $20.64 | 9 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $6.96 – $74.82 | 7 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $75.90 – $95.46 | 5 |
| Ivc venogram s&i CPT 75825 | not published | not published | $152.26 – $975.24 | 6 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | not published | not published | $121.26 – $242.88 | 5 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | not published | not published | $70.84 – $72.24 | 5 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | not published | not published | $55.66 – $77.40 | 5 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | not published | not published | $239.94 – $503.47 | 5 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $97.77 – $538.32 | 2 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $327.46 – $461.82 | 6 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $279.96 – $384.42 | 6 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $138.90 – $185.20 | 3 |
| John cunningham antibody CPT 86711 | not published | not published | $11.82 – $39.52 | 6 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $10.49 – $25.87 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $11.03 – $36.20 | 6 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | not published | not published | $6.13 – $28.38 | 9 |
| Kidney function study CPT 78725 | not published | not published | $237.16 – $350.88 | 6 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $819.72 – $835.92 | 5 |
| Kidney imaging morphology CPT 78700 | not published | not published | $346.11 – $598.56 | 6 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $692.41 – $1,215.18 | 6 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $431.29 – $835.92 | 6 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | not published | not published | $183.39 – $459.24 | 6 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $87.41 – $292.20 | 6 |
| Knee MRI (with and without contrast) CPT 73723 | not published | not published | $747.49 – $2,887.02 | 6 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $619.07 – $2,087.22 | 6 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $361.04 – $1,991.76 | 6 |
| Knee X-ray CPT 73564 | not published | not published | $88.36 – $139.32 | 6 |
| Kras gene addl variants CPT 81276 | not published | not published | $135.28 – $452.21 | 6 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $135.28 – $452.21 | 6 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $27.99 – $27.99 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $24.63 – $24.63 | 1 |
| Lab pathology consultation CPT 80500 | not published | not published | $17.81 – $49.65 | 5 |
| Lab pathology consultation CPT 80502 | not published | not published | $10.36 – $216.72 | 9 |
| Lactate dehydrogenase (ldh) CPT 83615 | not published | not published | $1.08 – $18.06 | 9 |
| Lactic acid CPT 83605 | not published | not published | $8.31 – $36.12 | 9 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $14.78 – $59.34 | 9 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $14.72 – $59.34 | 9 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $5,987.70 – $5,987.70 | 1 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $2,080.11 – $2,080.11 | 1 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $2,080.11 – $2,080.11 | 1 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $643.77 – $643.77 | 1 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $2,080.11 – $2,080.11 | 1 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $6,551.10 – $6,551.10 | 1 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $6,129.90 – $6,129.90 | 1 |
| Lap myotomy heller CPT 43279 | not published | not published | $5,754.60 – $5,754.60 | 1 |
| Lap place gastr adj device CPT 43770 | not published | not published | $4,414.00 – $16,933.00 | 3 |
| Lap radical hyst CPT 58548 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $4,414.00 – $4,414.00 | 1 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $2,080.11 – $2,080.11 | 1 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $3,621.60 – $4,414.00 | 2 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $4,414.00 – $4,414.00 | 1 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $4,414.00 – $4,414.00 | 1 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $4,414.00 – $7,065.00 | 2 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $4,800.60 – $4,800.60 | 1 |
| Laryngeal function studies CPT 92520 | not published | not published | $225.17 – $229.62 | 5 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $123.84 – $146.74 | 5 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $66.08 – $645.15 | 5 |
| Lead capillary CPT 83655 | not published | not published | $9.08 – $36.12 | 9 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $15.04 – $59.34 | 9 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $31.32 – $126.42 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | not published | not published | $794.42 – $861.72 | 5 |
| Leishmania antibody CPT 86717 | not published | not published | $9.19 – $36.12 | 9 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $5.63 – $162.54 | 7 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $7.27 – $24.31 | 9 |
| Levetiracetam therapeutic drug level CPT 80177 | not published | not published | $9.94 – $31.01 | 6 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $11.02 – $43.86 | 9 |
| Ligate esophagus veins CPT 43400 | not published | not published | $5,754.60 – $5,754.60 | 1 |
| Ligation of shunt CPT 49428 | not published | not published | $643.77 – $643.77 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $330.24 – $528.77 | 5 |
| Limited autopsy CPT 88036 | not published | not published | $105.38 – $120.37 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $93.51 – $107.03 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $169.51 – $172.86 | 5 |
| Lipase CPT 83690 | not published | not published | $5.17 – $20.64 | 9 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $23.70 – $79.23 | 9 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $24.54 – $95.46 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $6.14 – $28.38 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $7.42 – $28.38 | 9 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $24.54 – $95.46 | 9 |
| Listeria monocytogenes CPT 86723 | not published | not published | $9.89 – $30.86 | 6 |
| Lithium therapeutic drug level CPT 80178 | not published | not published | $4.96 – $20.64 | 9 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $176.19 | 1 |
| Liver Function Test CPT 80076 | not published | not published | $7.59 – $25.80 | 9 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $513.26 – $513.26 | 1 |
| Liver imaging CPT 78201 | not published | not published | $392.79 – $598.56 | 6 |
| Liver imaging (3d) CPT 78205 | not published | not published | $824.78 – $841.08 | 5 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $425.55 – $686.28 | 6 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $399.34 – $637.26 | 6 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $253.54 – $492.78 | 6 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $220.11 – $224.46 | 5 |
| Loudness balance test CPT 92562 | not published | not published | $91.08 – $92.88 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $358.58 – $1,480.92 | 6 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | not published | not published | $290.60 – $1,212.60 | 6 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | not published | not published | $213.69 – $1,011.36 | 6 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | not published | not published | $555.80 – $3,031.50 | 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.