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 |
|---|---|---|---|---|
| Set radiation therapy field CPT 77280 | not published | not published | $569.21 – $652.74 | 6 |
| Set radiation therapy field CPT 77285 | not published | not published | $945.08 – $1,124.88 | 6 |
| Set radiation therapy field CPT 77290 | not published | not published | $909.86 – $1,731.18 | 6 |
| Sex chromatin identification CPT 88130 | not published | not published | $13.49 – $46.44 | 9 |
| Sex chromatin identification CPT 88140 | not published | not published | $5.99 – $23.22 | 9 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $144.94 – $193.25 | 3 |
| Shigella antibody CPT 86771 | not published | not published | $17.14 – $57.28 | 9 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $749.95 – $2,894.76 | 6 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $618.25 – $2,071.74 | 6 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $361.04 – $1,873.08 | 6 |
| Shoulder X-ray CPT 73030 | not published | not published | $63.79 – $110.94 | 6 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $146.53 – $301.86 | 6 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $9.17 – $36.12 | 9 |
| Sialography s&i CPT 70390 | not published | not published | $124.62 – $247.29 | 2 |
| Sickling rbc CPT 85660 | not published | not published | $4.13 – $15.48 | 9 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $170.28 – $275.77 | 5 |
| Single transfer toe-hand CPT 26553 | not published | not published | $643.77 – $643.77 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | not published | not published | $325.00 – $1,460.28 | 6 |
| Sinus CT scan (with contrast) CPT 70487 | not published | not published | $256.30 – $1,199.70 | 6 |
| Sinus CT scan (without contrast) CPT 70486 | not published | not published | $227.61 – $1,037.16 | 6 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $180.84 – $1,001.04 | 6 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $10.49 – $28.78 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $11.54 – $28.78 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $6.85 – $20.64 | 8 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $122.37 – $409.06 | 5 |
| Sleep study attended CPT 95807 | not published | not published | $1,009.47 – $1,785.36 | 6 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $756.47 – $2,752.86 | 7 |
| Sleep study unattended CPT 95806 | not published | not published | $379.00 – $824.78 | 6 |
| Small animal inoculation CPT 87003 | not published | not published | $12.63 – $51.60 | 9 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.01 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $4.04 – $18.06 | 9 |
| Smear gram stain CPT 87205 | not published | not published | $3.20 – $15.48 | 9 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $4.05 – $15.48 | 9 |
| Smear special stain inclusion bodies/parasites CPT 87207 | not published | not published | $5.99 – $28.38 | 9 |
| Smear wet mount CPT 87210 | not published | not published | $4.07 – $15.48 | 9 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $705.16 | 4 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $433.37 | 4 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $109.98 | 5 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $35.75 – $119.50 | 6 |
| Sodium 24 hour urine CPT 84300 | not published | not published | $3.78 – $15.48 | 9 |
| Sodium serum/plasma/whole blood CPT 84295 | not published | not published | $1.08 – $15.48 | 9 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | not published | 0 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | not published | 0 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | not published | 0 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | not published | 0 |
| Somatosensory testing CPT 95927 | not published | not published | $225.17 – $420.54 | 5 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | not published | 0 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | not published | 0 |
| Special physics consult CPT 77370 | not published | not published | $350.06 – $425.70 | 6 |
| Special pump services CPT 99190 | not published | not published | $116.38 – $1,555.74 | 5 |
| Special pump services CPT 99191 | not published | not published | $199.87 – $1,091.34 | 5 |
| Special pump services CPT 99192 | not published | not published | $293.48 – $779.16 | 5 |
| Special radiation dosimetry CPT 77331 | not published | not published | $47.41 – $216.72 | 6 |
| Special radiation treatment CPT 77470 | not published | not published | $80.89 – $1,021.68 | 6 |
| Special teletx port plan CPT 77321 | not published | not published | $108.04 – $446.34 | 6 |
| Specific gravity body fluid CPT 84315 | not published | not published | $2.30 – $7.74 | 9 |
| Specimen fat stain CPT 89125 | not published | not published | $4.12 – $13.76 | 9 |
| Speech audiometry complete CPT 92556 | not published | not published | $101.20 – $103.20 | 5 |
| Speech evaluation complex CPT 70371 | not published | not published | $167.01 – $345.72 | 6 |
| Speech recep thresh CPT 92555 | not published | not published | $65.78 – $67.08 | 5 |
| Sperm antibody test CPT 89325 | not published | not published | $8.00 – $24.97 | 6 |
| Sperm evaluation test CPT 89329 | not published | not published | $14.69 – $61.92 | 9 |
| Sperm identification CPT 89257 | not published | not published | $18.22 – $75.99 | 3 |
| Sperm isolation complex CPT 89261 | not published | not published | $13.46 – $75.99 | 3 |
| Sperm isolation simple CPT 89260 | not published | not published | $13.46 – $75.99 | 3 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | not published | not published | $166.98 – $250.26 | 5 |
| Spleen imaging CPT 78185 | not published | not published | $332.52 – $351.84 | 2 |
| Split blood or products CPT 86985 | not published | not published | $9.19 – $51.60 | 7 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $113.85 – $116.10 | 5 |
| Sputum specimen collection CPT 89220 | not published | not published | $17.16 – $54.18 | 9 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $131.55 – $175.40 | 3 |
| Srs linear based CPT 77372 | not published | not published | $2,384.30 – $25,254.00 | 7 |
| Srs multisource CPT 77371 | not published | not published | $4,624.84 – $38,902.00 | 7 |
| Staggered spondaic word test CPT 92572 | not published | not published | $65.78 – $67.08 | 5 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $110.81 – $580.50 | 6 |
| Staph a dna amp probe CPT 87640 | not published | not published | $26.32 – $105.78 | 9 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $103.36 – $345.72 | 5 |
| Stem cells total count CPT 86367 | not published | not published | $54.45 – $182.01 | 9 |
| Stenger test pure tone CPT 92565 | not published | not published | $53.13 – $54.18 | 5 |
| Stenger test speech CPT 92577 | not published | not published | $75.90 – $77.40 | 5 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $1,063.69 – $1,473.18 | 6 |
| St evaluate speech sound production CPT 92522 | not published | not published | $112.17 – $580.50 | 6 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | not published | not published | $230.09 – $580.50 | 6 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | not published | not published | $92.51 – $312.18 | 5 |
| St evaluation swallow function CPT 92610 | not published | not published | $70.49 – $528.77 | 5 |
| Stimulants synthetic CPT 80371 | not published | not published | $10.49 – $29.32 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $54.32 – $240.00 | 3 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $54.32 – $333.26 | 3 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $54.32 – $200.00 | 3 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $54.32 – $162.64 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $161.92 – $165.12 | 5 |
| Strapping of chest CPT 29200 | not published | not published | $194.81 – $198.66 | 5 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $189.75 – $193.50 | 5 |
| Strapping of hand or finger CPT 29280 | not published | not published | $179.63 – $183.18 | 5 |
| Strapping of knee CPT 29530 | not published | not published | $192.28 – $196.08 | 5 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $156.86 – $159.96 | 5 |
| Strep a ag ia CPT 87430 | not published | not published | $11.77 – $41.28 | 9 |
| Strep a dna dir probe CPT 87650 | not published | not published | $15.04 – $59.34 | 9 |
| Strep a dna quant CPT 87652 | not published | not published | $31.32 – $126.42 | 9 |
| Strep b assay w/optic CPT 87802 | not published | not published | $9.32 – $41.28 | 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.