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 |
|---|---|---|---|---|
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $174.97 – $492.78 | 6 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | not published | not published | $14.57 – $78.43 | 6 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $15.48 – $55.66 | 5 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $19.99 – $88.55 | 6 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $14.57 – $106.26 | 6 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $14.57 – $46.44 | 6 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $331.43 – $436.02 | 5 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $105.12 – $702.00 | 6 |
| Pten gene full sequence CPT 81321 | not published | not published | $420.00 – $1,404.00 | 6 |
| Pten gene known fam variant CPT 81322 | not published | not published | $33.29 – $109.04 | 6 |
| Pt evaluation high complexity patient/family CPT 97163 | not published | not published | $101.66 – $250.82 | 6 |
| Pt evaluation low complexity patient/family CPT 97161 | not published | not published | $101.66 – $250.82 | 6 |
| Pt evaluation moderate complexity patient/family CPT 97162 | not published | not published | $101.66 – $250.82 | 6 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $24.40 – $103.20 | 5 |
| Pt re-evaluation patient/family CPT 97164 | not published | not published | $70.49 – $172.58 | 6 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $36.26 – $36.26 | 1 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | not published | not published | $29.82 – $77.40 | 6 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $30.50 – $80.96 | 6 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $32.19 – $227.70 | 6 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $35.42 – $2,445.84 | 5 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $718.52 – $1,266.78 | 5 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $4,125.00 – $5,520.00 | 3 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $379.69 – $781.74 | 6 |
| Pulse ox continuous overnight monitoring CPT 94762 | not published | not published | $68.31 – $136.74 | 5 |
| Pulse ox multiple CPT 94761 | not published | not published | $30.96 – $58.19 | 5 |
| Pulse ox single CPT 94760 | not published | not published | $15.48 – $20.24 | 5 |
| Pyruvate CPT 84210 | not published | not published | $10.14 – $33.88 | 9 |
| Pyruvate kinase CPT 84220 | not published | not published | $7.08 – $28.38 | 9 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $599.23 – $1,290.00 | 6 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $381.33 – $1,290.00 | 6 |
| Quest t3 uptake CPT 84479 | not published | not published | $4.85 – $20.64 | 9 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $409.86 – $585.26 | 6 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $312.70 – $417.96 | 6 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $353.78 – $417.96 | 6 |
| Rabies vaccine id CPT 90676 | not published | not published | $340.56 – $639.84 | 6 |
| Radiation handling CPT 77790 | not published | not published | $44.04 – $301.86 | 6 |
| Radiation physics consult CPT 77336 | not published | not published | $217.13 – $232.20 | 6 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $81.81 – $263.16 | 6 |
| Radiation therapy management CPT 77431 | not published | not published | $267.98 – $353.46 | 6 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $35.94 – $276.06 | 6 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $241.56 – $250.26 | 6 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $159.63 – $588.24 | 6 |
| Radiation treatment delivery CPT 77401 | not published | not published | $101.49 – $123.84 | 6 |
| Radiation treatment delivery CPT 77402 | not published | not published | $178.57 – $178.57 | 1 |
| Radiation treatment delivery CPT 77412 | not published | not published | $794.42 – $810.12 | 5 |
| Radiation tx management x5 CPT 77427 | not published | not published | $478.48 – $688.86 | 6 |
| Radiology port images(s) CPT 77417 | not published | not published | $34.30 – $64.50 | 6 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $3,499.61 – $7,582.62 | 6 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $620.52 – $1,119.72 | 6 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $1,369.63 – $1,942.74 | 6 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,423.52 – $2,612.46 | 6 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $752.40 – $1,235.82 | 6 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $506.66 – $642.42 | 6 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $176.01 – $176.01 | 1 |
| Range of motion measurements CPT 95852 | not published | not published | $5.42 – $485.76 | 5 |
| Rapid Strep Test CPT 87880 | not published | not published | $11.57 – $41.28 | 9 |
| Rbc count only automated CPT 85041 | not published | not published | $2.27 – $7.74 | 9 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $6.45 – $20.12 | 9 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $5.23 – $20.64 | 9 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $9.19 – $69.66 | 7 |
| Realignment of knee CPT 27457 | not published | not published | $3,986.10 – $3,986.10 | 1 |
| Reconstruction of urethra CPT 53415 | not published | not published | $4,116.60 – $4,116.60 | 1 |
| Rectal sensation test CPT 91120 | not published | not published | $1,411.74 – $1,439.64 | 5 |
| Red cell mass multiple CPT 78121 | not published | not published | $160.17 – $374.10 | 6 |
| Red cell mass single CPT 78120 | not published | not published | $143.47 – $152.80 | 2 |
| Red cell sequestration CPT 78140 | not published | not published | $210.95 – $528.90 | 6 |
| Red cell survival kinetics CPT 78135 | not published | not published | $1,090.43 – $1,111.98 | 5 |
| Red cell survival study CPT 78130 | not published | not published | $247.62 – $536.64 | 6 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $307.02 – $376.97 | 5 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $101.20 – $412.80 | 5 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $5,987.70 – $5,987.70 | 1 |
| Rem/biv cast full arm/leg CPT 29705 | not published | not published | $258.06 – $263.16 | 5 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $447.81 – $456.66 | 5 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $98.04 – $1,057.54 | 5 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $113.52 – $700.81 | 5 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $144.48 – $528.77 | 5 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $98.04 – $103.73 | 5 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | not published | not published | $116.10 – $116.38 | 5 |
| Removal of bladder lesion CPT 51525 | not published | not published | $3,235.50 – $3,235.50 | 1 |
| Removal of bladder lesion CPT 51530 | not published | not published | $3,235.50 – $3,235.50 | 1 |
| Removal of fallopian tube 58700 CPT 58700 | not published | not published | $2,749.50 – $2,749.50 | 1 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $3,437.10 – $3,437.10 | 1 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $2,749.50 – $2,749.50 | 1 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $4,096.80 – $4,096.80 | 1 |
| Removal of penis CPT 54125 | not published | not published | $643.77 – $643.77 | 1 |
| Removal/replacement ppm generator dual lead system CPT 33228 | not published | not published | $11,749.00 – $11,749.00 | 1 |
| Remove brain cavity shunt 62256 CPT 62256 | not published | not published | $643.77 – $643.77 | 1 |
| Remove cva lumen obstruct CPT 75902 | not published | not published | $178.47 – $433.44 | 6 |
| Remove eltrd/thoracotomy 33243 CPT 33243 | not published | not published | $4,342.50 – $4,342.50 | 1 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $612.26 – $624.36 | 5 |
| Remove sperm duct pouch CPT 55650 | not published | not published | $292.62 – $292.62 | 1 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $6,760.80 – $6,760.80 | 1 |
| Remov/replc ur sphinctr comp CPT 53448 | not published | not published | $292.62 – $292.62 | 1 |
| Renal cyst study s&i CPT 74470 | not published | not published | $265.65 – $270.90 | 5 |
| Renal function panel CPT 80069 | not published | not published | $8.68 – $25.80 | 9 |
| Renal venogram bil s&i CPT 75833 | not published | not published | $193.12 – $1,088.76 | 6 |
| Renin stimulation panel CPT 80416 | not published | not published | $146.52 – $489.81 | 9 |
| Renin stimulation panel CPT 80417 | not published | not published | $32.99 – $131.58 | 9 |
| Repair bladder/vagina lesion CPT 51900 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Repair of body cast CPT 29720 | not published | not published | $298.54 – $304.44 | 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.