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 |
|---|---|---|---|---|
| #mec-opiates CPT 80356 | not published | not published | $17.52 – $31.91 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $105.00 – $351.00 | 6 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $347.92 – $1,235.22 | 6 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $84.00 – $280.80 | 6 |
| Medical services after hrs CPT 99050 | not published | not published | $61.92 – $80.96 | 5 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $2,273.10 – $2,948.37 | 6 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $129.00 – $258.06 | 5 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $74.82 – $121.44 | 5 |
| Meg evoked each addl CPT 95967 | not published | not published | $192.28 – $3,157.92 | 5 |
| Meg evoked single CPT 95966 | not published | not published | $354.20 – $3,691.98 | 5 |
| Meg spontaneous CPT 95965 | not published | not published | $197.34 – $7,438.14 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | not published | not published | $8.46 – $28.38 | 9 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | not published | not published | $10.56 – $36.12 | 9 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $7.66 – $32.13 | 9 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $28.93 – $38.57 | 3 |
| Methylphenidate CPT 80360 | not published | not published | $10.49 – $25.87 | 2 |
| Metyrapone panel CPT 80436 | not published | not published | $68.37 – $213.31 | 9 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $87.25 – $291.66 | 5 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.36 – $15.48 | 9 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $17.38 – $94.00 | 9 |
| Microdissection laser CPT 88380 | not published | not published | $15.12 – $415.38 | 9 |
| Microdissection manual CPT 88381 | not published | not published | $126.82 – $534.06 | 9 |
| Microfluid analy tears CPT 83861 | not published | not published | $15.74 – $52.60 | 6 |
| Microsatellite instability CPT 81301 | not published | not published | $243.99 – $815.63 | 6 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $614.79 – $843.66 | 5 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $137.52 – $345.72 | 6 |
| Mitochondrial gene CPT 81440 | not published | not published | $950.00 – $7,778.16 | 5 |
| Mlh1 gene CPT 81288 | not published | not published | $134.62 – $450.03 | 6 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $141.68 – $473.62 | 6 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $472.78 – $1,580.44 | 6 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $231.70 – $774.54 | 6 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $136.62 – $139.32 | 6 |
| Modification of contact lens CPT 92325 | not published | not published | $93.61 – $95.46 | 5 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $37.73 | 2 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $149.67 | 5 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $351.77 | 5 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $643.10 | 5 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $705.16 | 5 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $661.94 | 5 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $652.51 – $1,980.27 | 5 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $747.43 – $4,680.00 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $149.16 – $735.13 | 9 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $54.16 – $327.66 | 9 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $54.16 – $227.04 | 9 |
| Motion analysis video/3d CPT 96000 | not published | not published | $304.44 – $612.26 | 5 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $139.15 – $356.04 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $46.82 – $614.04 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $149.16 – $838.52 | 9 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $58.43 – $505.68 | 9 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $32.52 – $526.32 | 9 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $112.75 – $150.33 | 3 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $15.04 – $59.34 | 9 |
| M.pneumon dna quant CPT 87582 | not published | not published | $70.00 – $708.13 | 9 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $412.39 – $420.54 | 5 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $659.83 – $2,125.92 | 6 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $650.01 – $2,143.98 | 6 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $654.10 – $2,133.66 | 6 |
| MRA pelvis CPT 72198 | not published | not published | $540.00 – $661.47 | 2 |
| MRA spinal canal CPT 72159 | not published | not published | $680.31 – $2,303.94 | 6 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $680.31 – $2,242.02 | 6 |
| Mr elastography CPT 76391 | not published | not published | $392.16 – $540.00 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $5,151.08 – $5,252.88 | 5 |
| MRI brain without dye CPT 70557 | not published | not published | $4,713.39 – $4,806.54 | 5 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $5,244.69 – $5,348.34 | 5 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $377.42 – $1,813.79 | 6 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $622.98 – $2,987.64 | 6 |
| MRI breast without cont bi CPT 77047 | not published | not published | $379.06 – $1,966.58 | 6 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $618.06 – $3,243.06 | 6 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $444.60 – $1,870.50 | 6 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $636.27 – $2,492.28 | 6 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $749.13 – $3,036.66 | 6 |
| MRI chest without contrast CPT 71550 | not published | not published | $566.54 – $2,159.46 | 6 |
| MRI chest without & w/contrast CPT 71552 | not published | not published | $894.11 – $3,323.04 | 6 |
| MRI chest w IV cont CPT 71551 | not published | not published | $764.69 – $2,427.78 | 6 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $294.79 – $1,984.02 | 6 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $566.54 – $1,984.02 | 6 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $883.65 – $1,599.60 | 6 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $2,413.62 – $2,461.32 | 5 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $487.19 – $2,154.30 | 6 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $418.39 – $1,942.74 | 6 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $620.52 – $3,018.60 | 6 |
| MRI orbit/face/neck without contrast CPT 70540 | not published | not published | $425.76 – $1,935.00 | 6 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | not published | not published | $624.62 – $2,995.38 | 6 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $502.75 – $2,151.72 | 6 |
| MRI tmj CPT 70336 | not published | not published | $511.76 – $1,816.32 | 6 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $568.08 – $1,976.28 | 6 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $809.73 – $3,021.18 | 6 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $669.66 – $2,177.52 | 6 |
| Mr spectroscopy CPT 76390 | not published | not published | $1,619.20 – $1,651.20 | 5 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $149.31 – $499.12 | 6 |
| Msh2 gene full seq CPT 81295 | not published | not published | $182.05 – $893.18 | 6 |
| Msh2 gene known variants CPT 81296 | not published | not published | $155.44 – $790.29 | 6 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $166.60 – $556.92 | 6 |
| Msh6 gene full seq CPT 81298 | not published | not published | $345.40 – $1,501.93 | 6 |
| Msh6 gene known variants CPT 81299 | not published | not published | $193.49 – $720.72 | 6 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $45.74 – $152.90 | 6 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $18.82 – $62.90 | 9 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $32.13 – $129.00 | 9 |
| Mucin synovial fluid CPT 83872 | not published | not published | $4.40 – $18.06 | 9 |
| Mucopolysaccharides CPT 83864 | not published | not published | $19.95 – $66.69 | 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.