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 |
|---|---|---|---|---|
| Amphetamines 5 or more CPT 80326 | not published | not published | $14.28 – $46.44 | 7 |
| Amylase CPT 82150 | not published | not published | $4.86 – $23.22 | 9 |
| Ana ds-dna CPT 86226 | not published | not published | $9.08 – $36.12 | 9 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $6.39 – $59.34 | 7 |
| Anal pressure record CPT 91122 | not published | not published | $855.14 – $872.04 | 5 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $149.27 – $593.40 | 5 |
| Analysis gene f2 20210g>a variant CPT 81240 | not published | not published | $45.98 – $153.71 | 6 |
| Analysis gene f5 leiden variant CPT 81241 | not published | not published | $51.36 – $171.69 | 6 |
| Analysis nerve CPT 88356 | not published | not published | $49.76 – $518.58 | 9 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $96.14 – $445.05 | 5 |
| Analysis tumor CPT 88358 | not published | not published | $54.16 – $204.28 | 9 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $201.24 – $326.37 | 5 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.09 – $35.09 | 2 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $11.29 – $46.44 | 9 |
| Androstanediol CPT 82154 | not published | not published | $21.62 – $67.46 | 6 |
| An fluoro guide for cvp CPT 77001 | not published | not published | $204.68 – $366.36 | 6 |
| Angiotensin ii CPT 82163 | not published | not published | $15.39 – $61.92 | 9 |
| Ankle X-ray CPT 73610 | not published | not published | $71.16 – $105.78 | 6 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $202.40 – $358.62 | 5 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $285.89 – $392.16 | 5 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $321.31 – $412.80 | 5 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $318.78 – $482.46 | 5 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $16.57 – $35.42 | 6 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $78.43 – $448.92 | 5 |
| Anora (draw only) CPT 99001 | not published | not published | $6.63 – $126.50 | 9 |
| Antibody CPT 86744 | not published | not published | $11.19 – $38.70 | 9 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $9.66 – $38.70 | 9 |
| Antibody elution rbc reference CPT 86860 | not published | not published | $9.19 – $61.92 | 7 |
| Antibody htlv/hiv confirm test CPT 86689 | not published | not published | $14.51 – $59.34 | 9 |
| Antibody htlv-i CPT 86687 | not published | not published | $6.52 – $25.80 | 9 |
| Antibody htlv-ii CPT 86688 | not published | not published | $10.50 – $41.28 | 9 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | not published | not published | $13.78 – $43.86 | 9 |
| Antibody id rbc panel CPT 86870 | not published | not published | $13.72 – $95.46 | 7 |
| Antibody influenza virus CPT 86710 | not published | not published | $10.16 – $46.44 | 9 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $9.65 – $38.70 | 9 |
| Antibody screen rbc CPT 86850 | not published | not published | $6.84 – $51.60 | 9 |
| Antibody tetanus CPT 86774 | not published | not published | $11.10 – $43.86 | 9 |
| Antidepressant not specified CPT 80338 | not published | not published | $14.84 – $15.12 | 2 |
| Antigen therapy services CPT 95145 | not published | not published | $54.18 – $154.33 | 5 |
| Antigen therapy services CPT 95146 | not published | not published | $40.48 – $87.72 | 5 |
| Antigen therapy services CPT 95147 | not published | not published | $32.89 – $85.14 | 5 |
| Antigen therapy services CPT 95148 | not published | not published | $121.26 – $455.40 | 5 |
| Antigen therapy services CPT 95149 | not published | not published | $157.38 – $455.40 | 5 |
| Antigen therapy services CPT 95165 | not published | not published | $41.28 – $136.62 | 5 |
| Antigen therapy services CPT 95170 | not published | not published | $33.54 – $838.06 | 5 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $12.05 – $12.05 | 2 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $12.05 – $12.05 | 2 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $12.05 – $12.05 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $5,998.50 – $5,998.50 | 1 |
| Antinuclear antibodies CPT 86038 | not published | not published | $9.07 – $36.12 | 9 |
| Antinuclear antibodies titer CPT 86039 | not published | not published | $8.37 – $33.54 | 9 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $12.05 – $49.02 | 9 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $4.33 – $18.06 | 9 |
| Antistreptolysin o titer CPT 86060 | not published | not published | $5.48 – $23.22 | 9 |
| Antithrombin iii activity CPT 85300 | not published | not published | $8.89 – $36.12 | 9 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $364.32 – $371.52 | 5 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $387.09 – $394.74 | 5 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $352.80 – $1,179.36 | 5 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $945.13 – $3,159.44 | 5 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $140.00 – $468.00 | 6 |
| Apc gene full sequence CPT 81201 | not published | not published | $399.58 – $1,825.20 | 6 |
| Apc gene known fam variants CPT 81202 | not published | not published | $136.57 – $655.20 | 6 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $68.31 – $69.66 | 5 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $155.48 – $485.11 | 6 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $974.05 – $993.30 | 5 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $1,067.66 – $1,088.76 | 5 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $872.85 – $890.10 | 5 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $890.56 – $908.16 | 5 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $323.84 – $330.24 | 5 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $417.45 – $425.70 | 5 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $774.18 – $789.48 | 5 |
| Appl halo type body cast CPT 29000 | not published | not published | $1,017.06 – $1,037.16 | 5 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $976.58 – $995.88 | 5 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $875.38 – $892.68 | 5 |
| Application clubfoot cast CPT 29450 | not published | not published | $589.49 – $601.14 | 5 |
| Application finger splntstatic 29130 CPT 29130 | not published | not published | $151.80 – $154.80 | 5 |
| Application long leg splint 29505 CPT 29505 | not published | not published | $278.30 – $283.80 | 5 |
| Application lower leg splint 29515 CPT 29515 | not published | not published | $263.12 – $268.32 | 5 |
| Application of body cast CPT 29010 | not published | not published | $938.63 – $957.18 | 5 |
| Application of body cast CPT 29015 | not published | not published | $882.97 – $900.42 | 5 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $457.93 – $466.98 | 5 |
| Application of forearm cast 29075 CPT 29075 | not published | not published | $326.37 – $332.82 | 5 |
| Application of long arm cast 29065 CPT 29065 | not published | not published | $354.20 – $361.20 | 5 |
| Application of long leg cast CPT 29355 | not published | not published | $531.30 – $541.80 | 5 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $511.06 – $521.16 | 5 |
| Application of paste boot 29580 CPT 29580 | not published | not published | $197.34 – $201.24 | 5 |
| Application short leg cast 29405 CPT 29405 | not published | not published | $333.96 – $340.56 | 5 |
| Appl long leg cast brace CPT 29358 | not published | not published | $574.31 – $585.66 | 5 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | not published | not published | $5.76 – $14.88 | 2 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $11.86 – $50.60 | 6 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $445.28 – $454.08 | 5 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $260.59 – $265.74 | 5 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $280.83 – $286.38 | 5 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $1,172.70 – $1,172.70 | 1 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $349.14 – $356.04 | 5 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $1,123.86 – $17,406.00 | 7 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $482.39 – $17,406.00 | 3 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $614.20 – $17,406.00 | 7 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $534.22 – $17,406.00 | 7 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $179.63 – $183.18 | 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.