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 |
|---|---|---|---|---|
| Nuclear exam of tear flow CPT 78660 | not published | not published | $304.34 – $562.44 | 6 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $1,214.40 – $1,238.40 | 5 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $15.25 – $50.97 | 6 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $771.65 – $786.90 | 5 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $98.91 – $567.60 | 6 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $130.88 – $616.62 | 6 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $132.51 – $606.30 | 6 |
| Nuclear Stress Test (Heart) CPT 78452 | not published | not published | $895.45 – $2,262.66 | 6 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $480.70 – $490.20 | 5 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $203.95 – $681.78 | 5 |
| Nursing fac care supervision CPT 99379 | not published | not published | $273.48 – $371.91 | 5 |
| Nursing fac care supervision CPT 99380 | not published | not published | $404.80 – $412.80 | 5 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $115.38 – $485.76 | 6 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $80.15 – $296.01 | 6 |
| Observation care discharge CPT 99217 | not published | not published | $227.04 – $268.18 | 5 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $236.38 – $634.68 | 6 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $145.70 – $392.16 | 6 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $151.80 – $510.84 | 6 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $64.81 – $175.17 | 6 |
| Obstetrics panel CPT 80055 | not published | not published | $43.28 – $203.82 | 9 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $151.44 – $451.50 | 6 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $70.34 – $301.86 | 6 |
| Ocular function screen CPT 99172 | not published | not published | $61.92 – $592.02 | 5 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $79.98 – $179.63 | 5 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $79.98 – $1,070.19 | 5 |
| Office consultation CPT 99241 | not published | not published | $154.80 – $700.81 | 5 |
| Office emergency care CPT 99058 | not published | not published | $75.86 – $75.86 | 1 |
| Off/op cnsltj new/est low 30 CPT 99243 | not published | not published | $115.28 – $397.32 | 6 |
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $185.84 – $580.50 | 6 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $229.32 – $714.66 | 6 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $82.57 – $288.96 | 6 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $9,062.82 | 5 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $1,952.38 – $5,873.89 | 5 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $2,711.10 – $9,062.82 | 5 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $2,711.10 – $9,062.82 | 5 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $3,873.00 | 2 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $5,394.75 – $7,193.00 | 3 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,181.20 – $7,291.44 | 5 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,190.76 | 6 |
| Oncology gynecologic CPT 81535 | not published | not published | $405.62 – $1,355.94 | 6 |
| Oncology gynecologic CPT 81536 | not published | not published | $124.29 – $415.49 | 6 |
| Oncology lung CPT 81538 | not published | not published | $2,552.14 – $6,718.14 | 4 |
| Oncology prostate prob score CPT 81539 | not published | not published | $532.00 – $1,778.40 | 5 |
| Oncology thyroid CPT 81545 | not published | not published | $3,634.00 – $8,424.00 | 3 |
| Oncology tissue of origin CPT 81504 | not published | not published | $364.00 – $1,216.80 | 5 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $2,625.00 – $8,775.00 | 5 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $60.72 – $2,098.98 | 9 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $60.72 – $609.57 | 9 |
| Oncoprotein dcp CPT 83951 | not published | not published | $48.31 – $150.72 | 9 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $48.31 – $150.72 | 9 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,421.00 – $4,750.20 | 5 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $2,904.75 – $3,873.00 | 3 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $2,711.10 – $9,062.82 | 5 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $3,634.00 | 3 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $5,832.00 – $7,776.00 | 3 |
| Oocyte identification CPT 89254 | not published | not published | $54.32 – $436.66 | 3 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $2,749.50 – $2,749.50 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $273.24 – $278.64 | 5 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $58.19 – $59.34 | 5 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $75.25 – $508.26 | 6 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $106.40 – $296.70 | 6 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $53.96 – $335.40 | 6 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $17.48 – $61.92 | 7 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $2,080.11 – $2,080.11 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $50.67 – $51.68 | 5 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $78.43 – $79.98 | 5 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $15.25 – $125.92 | 5 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $83.49 – $85.14 | 5 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $2,080.11 – $2,080.11 | 1 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $16.52 – $55.22 | 9 |
| Orthopantogram CPT 70355 | not published | not published | $21.20 – $82.56 | 6 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $149.27 – $152.22 | 5 |
| Osmolality blood CPT 83930 | not published | not published | $4.96 – $18.06 | 9 |
| Osmolality urine CPT 83935 | not published | not published | $5.12 – $20.64 | 9 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $113.85 – $170.28 | 5 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $149.27 – $201.24 | 5 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $78.43 – $232.20 | 5 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $75.90 – $252.51 | 6 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $91.08 – $252.51 | 6 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $91.08 – $252.51 | 6 |
| Other bone graft microvasc CPT 20962 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $67.08 | 9 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $53.88 – $123.97 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $49.14 – $103.20 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $27.45 – $220.11 | 6 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $106.26 – $108.36 | 5 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $70.15 – $173.42 | 6 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $37.61 – $93.16 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $21.69 – $220.11 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $22.37 – $220.11 | 6 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $29.82 – $90.30 | 6 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $34.23 – $92.88 | 6 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $33.21 – $149.27 | 6 |
| Out of office emerg med serv CPT 99060 | not published | not published | $82.56 – $182.16 | 5 |
| Ovulation tests CPT 84830 | not published | not published | $8.89 – $33.54 | 9 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $320.58 | 4 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $339.46 – $676.50 | 5 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $226.01 – $705.16 | 5 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $414.41 – $2,134.41 | 6 |
| Parathormone (pth) intact CPT 83970 | not published | not published | $30.96 – $123.84 | 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.