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 |
|---|---|---|---|---|
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $18.49 – $27.27 | 2 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $7.44 – $12.74 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $24.65 – $33.90 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $89.55 – $89.55 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $16.64 – $1,564.00 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $4.85 – $74.82 | 6 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $404.80 – $412.80 | 5 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $404.80 – $412.80 | 5 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $197.34 – $201.24 | 5 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $161.88 – $412.80 | 6 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $87.60 – $162.83 | 6 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $167.75 – $314.75 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $309.34 – $2,420.00 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $352.17 – $2,420.00 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $113.85 – $116.10 | 5 |
| Vaccine rabies im CPT 90675 | not published | not published | $396.18 – $639.84 | 6 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $419.98 – $428.28 | 5 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $290.95 – $296.70 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $151.80 – $154.80 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $78.43 – $79.98 | 5 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $192.28 – $196.08 | 5 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $346.61 – $353.46 | 5 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $306.13 – $312.18 | 5 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | not published | not published | $10.16 – $41.28 | 9 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $4,252.93 – $5,446.38 | 5 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $680.57 – $5,642.46 | 5 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $2,398.44 – $4,336.98 | 5 |
| Vancomycin peak therapeutic drug level CPT 80202 | not published | not published | $10.16 – $41.28 | 9 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $26.32 – $105.78 | 9 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $9.66 – $38.70 | 9 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $328.90 – $2,752.26 | 6 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $186.57 – $977.82 | 6 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $218.51 – $1,093.92 | 6 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $185.75 – $415.38 | 6 |
| Vein x-ray kidney CPT 75831 | not published | not published | $171.01 – $985.56 | 6 |
| Vein x-ray liver CPT 75891 | not published | not published | $180.84 – $985.56 | 6 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $179.20 – $1,039.74 | 6 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $180.02 – $985.56 | 6 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $181.65 – $1,047.48 | 6 |
| Vein x-ray skull CPT 75870 | not published | not published | $243.08 – $993.30 | 6 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $186.57 – $1,088.76 | 6 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $1,882.32 – $1,919.52 | 5 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $9.99 – $18.28 | 2 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $17.54 – $17.54 | 1 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $161.27 – $505.68 | 6 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | not published | not published | $148.99 – $412.80 | 6 |
| Venous sampling s&i CPT 75893 | not published | not published | $195.58 – $877.20 | 6 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $300.25 – $652.74 | 6 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $378.05 – $730.14 | 6 |
| Ventilator initial day CPT 94002 | not published | not published | $199.87 – $366.36 | 5 |
| Vent mgmt nf per day CPT 94004 | not published | not published | $98.67 – $193.50 | 5 |
| Very long chain fatty acids CPT 82726 | not published | not published | $14.04 – $54.18 | 9 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $292.62 – $292.62 | 1 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $12.24 – $40.93 | 6 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $15.15 – $61.92 | 9 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $172.04 – $175.44 | 5 |
| Vital capacity test CPT 94150 | not published | not published | $95.46 – $134.09 | 5 |
| Vitamin b-12 CPT 82607 | not published | not published | $11.31 – $46.44 | 9 |
| Vitamin D Test CPT 82306 | not published | not published | $22.20 – $90.30 | 9 |
| Vkorc1 gene CPT 81355 | not published | not published | $68.45 – $206.39 | 5 |
| Vlvctmy rad comp bi lymphad CPT 56637 | not published | not published | $5,706.17 – $5,706.17 | 1 |
| Vlvctmy rad comp uni lymphad CPT 56634 | not published | not published | $5,706.17 – $5,706.17 | 1 |
| Vlvctmy rad prtl uni lymphad CPT 56631 | not published | not published | $5,706.17 – $5,706.17 | 1 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $9.19 – $74.82 | 7 |
| Volume measurement urine timed CPT 81050 | not published | not published | $2.55 – $8.52 | 9 |
| Vulvectomy radical complete CPT 56633 | not published | not published | $5,706.17 – $5,706.17 | 1 |
| Warde 1003990 aldosterone CPT 82088 | not published | not published | $30.56 – $123.84 | 9 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | not published | not published | $20.85 – $65.05 | 9 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | not published | not published | $9.68 – $38.70 | 9 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | not published | not published | $18.94 – $74.82 | 9 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | not published | not published | $11.63 – $46.44 | 9 |
| Warde 1015200 kappa light chain free CPT 83521 | not published | not published | $17.27 – $17.27 | 2 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | not published | not published | $6.02 – $23.22 | 9 |
| Warde 3008005 oligoclonal bands CPT 83916 | not published | not published | $19.17 – $64.09 | 9 |
| Warde 3016000 west nile virus antibody CPT 86788 | not published | not published | $12.64 – $51.60 | 9 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | not published | not published | $10.79 – $43.86 | 9 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | not published | not published | $9.19 – $36.12 | 9 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | not published | not published | $6.68 – $28.38 | 9 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | not published | not published | $13.49 – $54.18 | 9 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | not published | not published | $106.97 – $283.36 | 7 |
| Warde 3400852 arsenic CPT 82175 | not published | not published | $14.23 – $56.76 | 9 |
| Warde 3708165 mercury urine CPT 83825 | not published | not published | $12.20 – $49.02 | 9 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | not published | not published | $18.40 – $18.40 | 1 |
| Warde actin (smooth muscle) antibody each CPT 86015 | not published | not published | $11.53 – $12.05 | 2 |
| Warde adenosine deaminase pleural fluid CPT 84311 | not published | not published | $5.67 – $20.64 | 9 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | not published | not published | $28.97 – $116.10 | 9 |
| Warde aldolase CPT 82085 | not published | not published | $7.28 – $28.38 | 9 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | not published | not published | $12.65 – $39.48 | 6 |
| Warde amiodarone therapeutic drug level CPT 80151 | not published | not published | $13.98 – $18.64 | 3 |
| Warde analysis gene hfe common variants CPT 81256 | not published | not published | $49.02 – $152.94 | 6 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | not published | not published | $122.97 – $383.67 | 6 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | not published | not published | $12.30 – $43.86 | 7 |
| Warde anti-mullerian hormone CPT 82166 | not published | not published | $38.62 – $38.62 | 1 |
| Warde apolipoprotein b CPT 82172 | not published | not published | $14.76 – $49.35 | 9 |
| Warde bile acids CPT 82239 | not published | not published | $12.84 – $51.60 | 9 |
| Warde cadmium blood CPT 82300 | not published | not published | $17.73 – $69.66 | 9 |
| Warde calcitonin CPT 82308 | not published | not published | $20.09 – $79.98 | 9 |
| Warde calculus (stone) infrared CPT 82365 | not published | not published | $9.68 – $30.96 | 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.