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 |
|---|---|---|---|---|
| X-ray exam si joints CPT 72200 | not published | not published | $62.15 – $100.62 | 6 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $80.99 – $159.96 | 6 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $59.69 – $98.04 | 6 |
| X-ray facial bones complete > 3 views CPT 70150 | not published | not published | $85.90 – $149.64 | 6 |
| X-ray fallopian tube CPT 74742 | not published | not published | $306.13 – $312.18 | 5 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $67.06 – $100.62 | 6 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $77.71 – $108.36 | 6 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $52.32 – $90.30 | 6 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $53.96 – $92.88 | 6 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $58.06 – $92.88 | 6 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $20.38 – $72.24 | 6 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $52.32 – $92.88 | 6 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $114.59 – $134.16 | 6 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | not published | not published | $76.07 – $136.74 | 6 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | not published | not published | $98.21 – $136.74 | 6 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $116.23 – $136.74 | 6 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $59.69 – $87.72 | 6 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $60.51 – $103.20 | 6 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $76.07 – $152.22 | 6 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $65.43 – $98.04 | 6 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $78.53 – $126.42 | 6 |
| X-ray knee ap standing bilateral CPT 73565 | not published | not published | $78.53 – $103.20 | 6 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $59.69 – $95.46 | 6 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $74.44 – $170.28 | 6 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | not published | not published | $96.57 – $203.82 | 6 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | not published | not published | $117.05 – $245.10 | 6 |
| X-ray male genital tract CPT 74440 | not published | not published | $197.31 – $294.12 | 6 |
| X-ray mandible complete > 4 views CPT 70110 | not published | not published | $78.53 – $136.74 | 6 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $74.44 – $105.78 | 6 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $59.69 – $157.38 | 6 |
| X-ray nasal bones complete > 3 views CPT 70160 | not published | not published | $74.44 – $110.94 | 6 |
| X-ray neck soft tissue CPT 70360 | not published | not published | $57.24 – $92.88 | 6 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $53.14 – $98.04 | 6 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $89.77 – $118.68 | 2 |
| X-ray optic foramina CPT 70190 | not published | not published | $67.06 – $123.84 | 6 |
| X-ray pelvis 1-2 views CPT 72170 | not published | not published | $49.05 – $90.30 | 6 |
| X-ray pelvis complete > 3 views CPT 72190 | not published | not published | $75.25 – $139.32 | 6 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $614.79 – $626.94 | 5 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $698.28 – $712.08 | 5 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $130.97 – $446.34 | 6 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $65.43 – $116.10 | 6 |
| X-ray ribs 3 views bilateral CPT 71110 | not published | not published | $75.25 – $144.48 | 6 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $73.62 – $136.74 | 6 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | not published | not published | $92.48 – $183.18 | 6 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | not published | not published | $71.16 – $123.84 | 6 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | not published | not published | $60.51 – $105.78 | 6 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $37.58 – $98.04 | 6 |
| X-ray sella turcica CPT 70240 | not published | not published | $59.69 – $100.62 | 6 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $35.94 – $82.56 | 6 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | not published | not published | $67.88 – $136.74 | 6 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $87.54 – $224.46 | 6 |
| X-ray skull < 4 views CPT 70250 | not published | not published | $67.88 – $126.42 | 6 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $77.71 – $170.28 | 6 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $153.08 – $466.98 | 6 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | not published | not published | $212.05 – $350.88 | 6 |
| X-ray small intestine follow-through study CPT 74248 | not published | not published | $125.24 – $217.42 | 6 |
| X-ray spine single view CPT 72020 | not published | not published | $42.49 – $82.56 | 6 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $76.89 – $131.58 | 6 |
| X-ray sternum > 2 views CPT 71120 | not published | not published | $60.51 – $116.10 | 6 |
| X-ray surgical specimen CPT 76098 | not published | not published | $67.06 – $69.66 | 6 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | not published | not published | $251.39 – $309.60 | 6 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | not published | not published | $103.12 – $165.12 | 6 |
| X-ray thoracic spine 2 views CPT 72070 | not published | not published | $58.06 – $118.68 | 6 |
| X-ray thoracic spine 3 views CPT 72072 | not published | not published | $71.16 – $136.74 | 6 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $61.33 – $123.84 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $75.25 – $162.54 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | not published | not published | $136.70 – $239.94 | 6 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $59.69 – $92.88 | 6 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $57.24 – $95.46 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | not published | not published | $244.83 – $428.28 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | not published | not published | $213.69 – $374.10 | 6 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $389.62 – $397.32 | 5 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $586.96 – $598.56 | 5 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $64.61 – $98.04 | 6 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $99.23 – $171.10 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $96.14 – $490.20 | 5 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $9.21 – $30.21 | 9 |
| Yersinia antibody CPT 86793 | not published | not published | $9.89 – $38.70 | 9 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $38.48 – $120.07 | 5 |
| Zika virus igm antibody CPT 86794 | not published | not published | $12.64 – $39.43 | 5 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $511.06 – $521.16 | 5 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $144.94 – $193.25 | 3 |
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.