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 |
|---|---|---|---|---|
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $586.96 – $823.66 | 6 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $582.82 – $598.56 | 6 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $586.96 – $668.02 | 6 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $6,299.10 – $6,299.10 | 1 |
| Partial removal of sternum CPT 21620 | not published | not published | $643.77 – $643.77 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $4,925.70 – $4,925.70 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $152.32 – $152.32 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $152.32 – $152.32 | 1 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $43.26 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $50.75 – $50.75 | 1 |
| Patient recorded spirometry CPT 94014 | not published | not published | $203.82 – $260.59 | 5 |
| Patient recorded spirometry CPT 94015 | not published | not published | $93.61 – $100.62 | 5 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $178.54 – $596.82 | 6 |
| Pdgfra gene CPT 81314 | not published | not published | $230.66 – $771.05 | 6 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $417.45 – $1,888.56 | 5 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $402.27 – $1,111.98 | 5 |
| Ped crit care transport CPT 99466 | not published | not published | $807.54 – $2,686.86 | 5 |
| Ped crit care transport addl CPT 99467 | not published | not published | $402.48 – $1,315.60 | 5 |
| Ped critical care initial CPT 99471 | not published | not published | $1,151.15 – $2,739.96 | 5 |
| Ped critical care subsq CPT 99472 | not published | not published | $475.64 – $1,341.60 | 5 |
| Pelvic CT scan (with and without contrast) CPT 72194 | not published | not published | $438.05 – $1,468.02 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | not published | not published | $437.23 – $1,207.44 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | not published | not published | $212.87 – $1,008.78 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | not published | not published | $614.79 – $3,046.98 | 6 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $489.65 – $2,203.32 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | not published | not published | $419.21 – $1,984.02 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | not published | not published | $180.93 – $443.76 | 6 |
| Pelvic Ultrasound (limited) CPT 76857 | not published | not published | $62.97 – $350.88 | 6 |
| Penile vascular study CPT 93980 | not published | not published | $429.14 – $632.10 | 5 |
| Penile vascular study CPT 93981 | not published | not published | $451.50 – $635.03 | 5 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $32.89 – $67.08 | 5 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $144.48 – $161.92 | 5 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $108.36 – $126.50 | 5 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $265.65 – $270.90 | 5 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $504.20 – $830.76 | 6 |
| Pertussis ag if CPT 87265 | not published | not published | $8.99 – $36.12 | 9 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $4,941.09 – $5,038.74 | 5 |
| Pet CT whole body initial CPT 78816 | not published | not published | $4,951.21 – $5,049.06 | 5 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $165.25 – $4,878.78 | 6 |
| Pet image full body CPT 78813 | not published | not published | $4,880.37 – $4,976.82 | 5 |
| Pet image ltd area CPT 78811 | not published | not published | $1,894.00 – $1,894.00 | 1 |
| Pet image skull-thigh CPT 78812 | not published | not published | $4,875.31 – $4,971.66 | 5 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $4,913.26 – $5,010.36 | 5 |
| Pet scan brain perf study CPT 78609 | not published | not published | $4,774.11 – $4,868.46 | 5 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $22.03 – $79.98 | 5 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $31.18 – $116.10 | 5 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $11.18 – $41.28 | 5 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $189.75 – $193.50 | 5 |
| Ph body fluid CPT 83986 | not published | not published | $2.69 – $12.90 | 9 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $13.31 – $43.86 | 7 |
| Phenobarbital therapeutic drug level CPT 80184 | not published | not published | $10.71 – $35.80 | 9 |
| Phenytoin total therapeutic drug level CPT 80185 | not published | not published | $9.94 – $38.70 | 9 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $224.46 – $445.28 | 5 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $95.46 – $202.40 | 5 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $139.32 – $303.60 | 5 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $51.60 – $1,518.00 | 5 |
| Phosphorus CPT 84100 | not published | not published | $1.08 – $15.48 | 9 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $4.05 – $15.48 | 9 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $220.11 – $227.04 | 5 |
| Photochemotherapy puva CPT 96912 | not published | not published | $116.38 – $291.54 | 5 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $235.29 – $441.18 | 5 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $103.20 – $222.64 | 5 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $224.46 – $242.88 | 5 |
| Photo patch test CPT 95052 | not published | not published | $25.80 – $184.69 | 5 |
| Photosensitivity tests CPT 95056 | not published | not published | $121.26 – $212.52 | 5 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $17.81 – $170.28 | 9 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $32.52 – $167.70 | 9 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $17.81 – $165.12 | 9 |
| Physician standby services CPT 99360 | not published | not published | $197.34 – $239.94 | 5 |
| Phys review of motion tests CPT 96004 | not published | not published | $177.10 – $384.42 | 5 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $206.12 – $643.10 | 5 |
| Pinworm exam CPT 87172 | not published | not published | $3.20 – $15.48 | 9 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $434.61 – $1,741.50 | 9 |
| Placental lactogen CPT 83632 | not published | not published | $15.17 – $61.92 | 9 |
| Plasma volume multiple CPT 78111 | not published | not published | $160.17 – $350.88 | 6 |
| Plasma volume single CPT 78110 | not published | not published | $147.01 – $152.80 | 2 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $24.91 – $64.50 | 9 |
| Platelet automated CPT 85049 | not published | not published | $3.36 – $15.48 | 9 |
| Platelet survival CPT 78191 | not published | not published | $247.62 – $722.40 | 6 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $681.78 | 4 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $190.92 – $296.01 | 5 |
| Pm device progr eval dual CPT 93280 | not published | not published | $258.00 – $389.62 | 5 |
| Pm device progr eval multi CPT 93281 | not published | not published | $187.22 – $301.86 | 5 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $155.48 – $710.72 | 6 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $419.29 – $1,774.56 | 6 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $519.28 – $1,800.82 | 6 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $33.29 – $391.95 | 6 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $111.32 – $247.68 | 5 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $142.45 – $476.19 | 6 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $473.55 – $1,583.01 | 6 |
| Pms2 known familial variants CPT 81318 | not published | not published | $221.53 – $774.54 | 6 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $17.81 – $214.14 | 9 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | not published | not published | $18.25 – $61.00 | 9 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $1,670.00 – $3,026.34 | 7 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $1,251.00 – $1,264.00 | 2 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $812.13 – $3,026.34 | 7 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $7.46 – $28.38 | 9 |
| Positional nystagmus test CPT 92532 | not published | not published | $101.20 – $103.20 | 5 |
| Potassium 24 hour urine CPT 84133 | not published | not published | $3.35 – $12.90 | 9 |
| Potassium serum/plasma/whole blood CPT 84132 | not published | not published | $1.08 – $15.48 | 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.