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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $487.19 – $2,262.66 | 6 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | not published | not published | $317.63 – $1,973.70 | 6 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | not published | not published | $72.80 – $136.74 | 6 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $16.49 – $67.08 | 9 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $176.83 – $590.82 | 6 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $98.04 – $146.74 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $141.90 – $245.41 | 5 |
| Lung perfusion imaging CPT 78580 | not published | not published | $460.79 – $724.98 | 6 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $15.04 – $59.34 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $676.21 – $1,153.26 | 6 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $27.42 – $170.28 | 9 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $36.77 – $147.06 | 9 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $87.66 – $443.45 | 9 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $35.69 – $144.48 | 9 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $850.08 – $866.88 | 5 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $953.81 – $972.66 | 5 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $984.17 – $1,003.62 | 5 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,049.95 – $1,070.70 | 5 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $7.09 – $18.28 | 5 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.20 – $12.90 | 9 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $3.23 – $12.90 | 9 |
| Magnesium CPT 83735 | not published | not published | $5.03 – $23.22 | 9 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $568.08 – $2,053.68 | 6 |
| Malaria antibody CPT 86750 | not published | not published | $9.89 – $38.70 | 9 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | not published | not published | $92.88 – $290.95 | 5 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.55 – $12.90 | 9 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $169.51 – $768.84 | 5 |
| Map tachycard site(s) CPT 93609 | not published | not published | $260.59 – $6,080.00 | 6 |
| Mastoids complete CPT 70130 | not published | not published | $114.59 – $190.92 | 6 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $26.32 – $105.78 | 9 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $19.10 – $63.86 | 9 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $32.13 – $129.00 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $10.85 – $43.86 | 9 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $11.49 – $46.44 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $11.49 – $46.44 | 9 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $28.93 – $90.25 | 5 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $10.49 – $17.64 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $9.70 – $51.60 | 7 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $11.09 – $43.86 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $14.54 – $67.08 | 7 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $10.08 – $41.28 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $11.31 – $35.29 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $12.98 – $46.44 | 7 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $8.43 – $25.44 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $91.22 – $284.61 | 6 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $68.75 – $214.48 | 6 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $95.90 – $320.58 | 5 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $771.58 – $2,714.40 | 6 |
| Mayo androstenedione CPT 82157 | not published | not published | $21.96 – $87.72 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $10.95 – $43.86 | 9 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $8.11 – $33.54 | 9 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $11.29 – $46.44 | 9 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $21.60 – $72.21 | 6 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $35.09 | 2 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $10.31 – $33.54 | 7 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $7.64 – $30.96 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $108.63 – $338.93 | 6 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $150.23 – $502.21 | 6 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $9.68 – $38.70 | 9 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $10.49 – $28.03 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $9.89 – $38.70 | 9 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $6.70 – $25.80 | 9 |
| Mayo c1 esterase inhibitor CPT 83883 | not published | not published | $10.20 – $41.28 | 9 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $10.49 – $29.32 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $12.65 – $51.60 | 9 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $20.09 – $62.67 | 9 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $91.67 – $285.99 | 6 |
| Mayo ceruloplasmin CPT 82390 | not published | not published | $8.06 – $33.54 | 9 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $10.59 – $43.86 | 9 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $9.66 – $38.70 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $8.87 – $36.12 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $9.51 – $38.70 | 9 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $87.37 – $350.88 | 9 |
| Mayo chromium CPT 82495 | not published | not published | $15.21 – $61.92 | 9 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $13.65 – $46.44 | 7 |
| Mayo coccidioides antibody CPT 86635 | not published | not published | $8.60 – $33.54 | 9 |
| Mayo cocou cortisone urine CPT 82542 | not published | not published | $16.86 – $56.37 | 9 |
| Mayo cortisol free CPT 82530 | not published | not published | $12.53 – $51.60 | 9 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | not published | not published | $25.00 – $42.13 | 10 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $9.09 – $36.12 | 9 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $14.88 – $59.34 | 7 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $17.48 – $61.92 | 7 |
| Mayo cyanide CPT 82600 | not published | not published | $14.55 – $45.40 | 6 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $67.70 – $1,287.77 | 5 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $9.94 – $38.70 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $18.95 – $77.40 | 9 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $29.28 – $77.40 | 8 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $6.75 – $22.56 | 6 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $3.75 – $11.70 | 6 |
| Mayo estriol CPT 82677 | not published | not published | $18.14 – $56.58 | 9 |
| Mayo estrone CPT 82679 | not published | not published | $18.71 – $58.38 | 9 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $12.26 – $49.02 | 9 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $10.30 – $32.13 | 6 |
| Mayo factor ii CPT 85210 | not published | not published | $9.74 – $43.86 | 9 |
| Mayo factor v CPT 85220 | not published | not published | $13.24 – $54.18 | 9 |
| Mayo factor vii CPT 85230 | not published | not published | $13.43 – $54.18 | 9 |
| Mayo factor viii vw factor antigen CPT 85246 | not published | not published | $17.21 – $53.68 | 9 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $17.21 – $53.68 | 6 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | not published | not published | $17.21 – $53.68 | 9 |
| Mayo factor x CPT 85260 | not published | not published | $13.43 – $54.18 | 9 |
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.