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 |
|---|---|---|---|---|
| Strep b dna amp probe CPT 87653 | not published | not published | $26.32 – $82.11 | 6 |
| Streptokinase antibody CPT 86590 | not published | not published | $8.86 – $33.54 | 9 |
| Stress test pulmonary CPT 94618 | not published | not published | $58.19 – $314.76 | 5 |
| Stress tte complete CPT 93351 | not published | not published | $1,106.82 – $4,141.61 | 5 |
| Str markers spec anal addl CPT 81266 | not published | not published | $213.37 – $713.26 | 6 |
| Str markers specimen anal CPT 81265 | not published | not published | $167.26 – $545.38 | 6 |
| St treatment speech individual CPT 92507 | not published | not published | $77.26 – $239.94 | 6 |
| St treatment swallow dysfunction/oral CPT 92526 | not published | not published | $85.73 – $307.02 | 5 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $1,090.43 – $1,310.64 | 5 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $113.85 – $425.70 | 5 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $101.20 – $410.22 | 5 |
| Sugars multiple quant CPT 84379 | not published | not published | $8.65 – $33.54 | 9 |
| Sugars single quant CPT 84378 | not published | not published | $8.65 – $33.54 | 9 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $11.77 – $29.66 | 2 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $41.28 – $118.91 | 5 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $2,749.50 – $2,749.50 | 1 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $2,749.50 – $2,749.50 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | not published | not published | $11.94 – $67.08 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | not published | not published | $17.81 – $147.06 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | not published | not published | $30.23 – $178.02 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | not published | not published | $32.52 – $245.10 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | not published | not published | $54.16 – $475.98 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | not published | not published | $54.16 – $670.78 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $3.56 – $15.48 | 9 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $3.56 – $15.48 | 9 |
| Susceptibility mic per plate CPT 87186 | not published | not published | $6.49 – $25.80 | 9 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $4.98 – $20.64 | 9 |
| Svc venogram s&i CPT 75827 | not published | not published | $163.73 – $970.08 | 6 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.73 – $17.81 | 5 |
| Synthetic sentence id test CPT 92576 | not published | not published | $86.02 – $87.72 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $3.30 – $12.90 | 9 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $12.71 – $39.64 | 9 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $10.64 – $33.54 | 9 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $6.77 – $28.38 | 9 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $5.15 – $20.64 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $10.30 – $41.28 | 9 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $107.80 – $1,777.30 | 6 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $950.00 – $6,831.86 | 5 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $107.80 – $1,399.11 | 6 |
| Tas congenital car anomal CPT 33741 | not published | not published | $2,792.05 – $2,847.24 | 5 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $320.58 | 4 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $100.90 – $100.90 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $24.10 – $24.10 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $69.52 – $69.52 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $7.28 – $7.28 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $70.00 – $234.00 | 6 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $46.49 – $185.76 | 9 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $962.34 – $1,012.00 | 5 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $753.94 – $964.92 | 5 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $612.26 – $884.94 | 5 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $35.24 – $141.90 | 9 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $20.09 – $62.67 | 9 |
| T cells total count CPT 86359 | not published | not published | $28.30 – $113.52 | 9 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $131.58 – $442.75 | 5 |
| Team conf without pat by phys CPT 99367 | not published | not published | $201.24 – $270.71 | 5 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $157.38 – $427.57 | 5 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $331.37 – $526.32 | 6 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $183.29 – $363.78 | 6 |
| Temperature gradient studies CPT 93740 | not published | not published | $38.70 – $70.84 | 5 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $433.37 | 4 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $4.51 – $18.06 | 9 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.07 – $13.62 | 9 |
| Test for urine cystines CPT 82615 | not published | not published | $6.69 – $25.80 | 9 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $410.81 – $712.08 | 6 |
| Testosterone response panel CPT 80414 | not published | not published | $38.73 – $154.80 | 9 |
| Test stress cardiovascular tracing only CPT 93017 | not published | not published | $30.36 – $245.10 | 5 |
| Test urine for lactose CPT 83633 | not published | not published | $7.88 – $26.33 | 9 |
| Test urine for porphyrins CPT 84119 | not published | not published | $9.35 – $31.26 | 6 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.13 – $10.46 | 9 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $95.90 – $320.58 | 5 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $759.53 | 2 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $2,919.60 | 2 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $597.91 | 2 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $54.32 – $162.64 | 3 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $54.32 – $300.00 | 3 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $54.32 – $162.64 | 3 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $12.00 – $75.99 | 3 |
| Theophylline therapeutic drug level CPT 80198 | not published | not published | $10.61 – $43.86 | 9 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $32.53 – $131.56 | 5 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $27.45 – $106.26 | 5 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $170.12 – $389.00 | 2 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $423.31 – $541.80 | 6 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $269.26 – $366.36 | 6 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $175.34 – $242.52 | 6 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $6,564.60 – $6,564.60 | 1 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $5,391.90 – $5,391.90 | 1 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $6,564.60 – $6,564.60 | 1 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $6,564.60 – $6,564.60 | 1 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $2,864.70 – $2,864.70 | 1 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $6,564.60 – $6,564.60 | 1 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $6,564.60 – $6,564.60 | 1 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $210.41 – $258.00 | 6 |
| Thrombectmy crnry perq mechanical CPT 92973 | not published | not published | $730.14 – $1,571.13 | 5 |
| Thrombin time CPT 85670 | not published | not published | $4.33 – $18.06 | 9 |
| Thrombin time titer CPT 85675 | not published | not published | $5.14 – $20.64 | 9 |
| Thrombomodulin CPT 85337 | not published | not published | $12.09 – $40.41 | 9 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $7.22 – $28.38 | 9 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | not published | not published | $4.85 – $20.64 | 9 |
| Thromboxane urine CPT 84431 | not published | not published | $22.25 – $82.16 | 6 |
| Thyroglobulin antibody CPT 86800 | not published | not published | $11.93 – $49.02 | 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.