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 |
|---|---|---|---|---|
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $149.27 – $152.22 | 5 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $695.05 – $1,114.56 | 6 |
| C-reactive protein CPT 86140 | not published | not published | $3.89 – $15.48 | 9 |
| C-reactive protein high sensitivity CPT 86141 | not published | not published | $9.71 – $38.70 | 9 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $7.98 – $30.96 | 9 |
| Creatine isoforms CPT 82554 | not published | not published | $8.90 – $36.12 | 9 |
| Creatine kinase CPT 82550 | not published | not published | $1.08 – $20.64 | 9 |
| Creatine kinase isoenzymes CPT 82552 | not published | not published | $10.04 – $41.28 | 9 |
| Creatine kinase mb CPT 82553 | not published | not published | $8.66 – $33.54 | 9 |
| Creatine - sendout CPT 82540 | not published | not published | $3.48 – $12.90 | 9 |
| Creatinine CPT 82565 | not published | not published | $1.08 – $15.48 | 9 |
| Creatinine 24 hour urine CPT 82570 | not published | not published | $3.89 – $18.06 | 9 |
| Creatinine clearance urine CPT 82575 | not published | not published | $7.10 – $28.38 | 9 |
| #creutz-prot.,western blot CPT 84182 | not published | not published | $29.21 – $87.72 | 9 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $212.16 – $212.16 | 1 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | not published | $101.98 – $101.98 | 1 |
| Critical care 30-74 minutes CPT 99291 | not published | not published | $141.68 – $810.12 | 5 |
| Critical care each additional 30 minutes CPT 99292 | not published | not published | $217.58 – $366.36 | 5 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $5,799.60 – $5,799.60 | 1 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $9.90 – $33.09 | 9 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $54.32 – $701.04 | 3 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $149.16 – $162.64 | 3 |
| Cryopreservation sperm CPT 89259 | not published | not published | $54.32 – $254.71 | 3 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $49.76 – $150.00 | 3 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $10.81 – $43.86 | 9 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $8.99 – $36.12 | 9 |
| Crystal identification light microscopy CPT 89060 | not published | not published | $7.33 – $23.30 | 9 |
| Csf leakage imaging CPT 78650 | not published | not published | $563.17 – $1,083.60 | 6 |
| Csf ventriculography CPT 78635 | not published | not published | $703.24 – $998.46 | 6 |
| CT 3d report other modality w/workstation CPT 76377 | not published | not published | $94.93 – $428.28 | 6 |
| Cta abdomen without & /or w/contrast CPT 74175 | not published | not published | $437.95 – $1,860.18 | 6 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | not published | not published | $437.23 – $2,110.44 | 6 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $437.95 – $1,831.80 | 6 |
| Cta neck without &/or w/contrast CPT 70498 | not published | not published | $437.95 – $2,293.62 | 6 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | not published | not published | $721.26 – $3,622.32 | 6 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | not published | not published | $437.95 – $1,826.64 | 6 |
| CT Angiogram of the Head CPT 70496 | not published | not published | $437.95 – $2,283.30 | 6 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $368.00 – $437.95 | 2 |
| CT angio pelvis CPT 72191 | not published | not published | $437.95 – $1,762.14 | 6 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $437.95 – $1,689.90 | 6 |
| CT bone density axial CPT 77078 | not published | not published | $210.41 – $603.72 | 6 |
| CT colonography dx CPT 74261 | not published | not published | $258.76 – $368.00 | 2 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $368.00 – $437.23 | 2 |
| CT colonography screening CPT 74263 | not published | not published | $368.00 – $368.00 | 1 |
| CT guidance for needle placement CPT 77012 | not published | not published | $177.65 – $732.72 | 6 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $143.25 – $513.42 | 6 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $1,973.40 – $2,012.40 | 5 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $185.84 – $368.00 | 2 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $368.00 – $439.50 | 2 |
| CT hrt w/3d image CPT 75572 | not published | not published | $368.00 – $378.05 | 2 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $210.41 – $722.40 | 6 |
| CT lower extremity w/contrast (both sides) CPT 73701 | not published | not published | $291.42 – $1,153.26 | 6 |
| CT lower extremity without contrast (both sides) CPT 73700 | not published | not published | $214.51 – $954.60 | 6 |
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $358.58 – $1,470.60 | 6 |
| CT neck soft tissue w/contrast CPT 70491 | not published | not published | $311.08 – $1,179.06 | 6 |
| CT neck soft tissue without contrast CPT 70490 | not published | not published | $233.34 – $982.98 | 6 |
| CT neck soft tissue without & w/contrast CPT 70492 | not published | not published | $379.88 – $1,431.90 | 6 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | not published | not published | $392.16 – $1,558.32 | 6 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | not published | not published | $330.74 – $1,357.08 | 6 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | not published | not published | $254.66 – $1,166.16 | 6 |
| CT scan for therapy guide CPT 77014 | not published | not published | $187.48 – $652.74 | 6 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | not published | not published | $642.82 – $3,227.58 | 6 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | not published | not published | $569.93 – $2,556.78 | 6 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | not published | not published | $264.40 – $2,025.30 | 6 |
| CT thoracic spine w/contrast CPT 72129 | not published | not published | $292.24 – $1,212.60 | 6 |
| CT thoracic spine without contrast CPT 72128 | not published | not published | $215.33 – $1,011.36 | 6 |
| CT thorax low dose for lung screening without contrast CPT 71271 | not published | not published | $225.15 – $1,057.80 | 6 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $361.86 – $1,483.50 | 6 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $381.51 – $1,145.52 | 6 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $259.58 – $954.60 | 6 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $437.23 – $1,465.44 | 6 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $54.32 – $1,686.10 | 3 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $54.32 – $1,753.44 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $6.06 – $18.91 | 9 |
| Culture afb any source CPT 87116 | not published | not published | $8.10 – $33.54 | 9 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $6.06 – $18.91 | 9 |
| Culture anaerobic except blood CPT 87075 | not published | not published | $7.10 – $28.38 | 9 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $7.08 – $28.38 | 9 |
| Culture body fluid CPT 87070 | not published | not published | $6.47 – $28.38 | 9 |
| Culture fungi definitive id mold CPT 87107 | not published | not published | $7.74 – $30.96 | 9 |
| Culture fungi definitive id yeast CPT 87106 | not published | not published | $7.74 – $30.96 | 9 |
| Culture fungi other (except blood) CPT 87102 | not published | not published | $6.31 – $25.80 | 9 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $5.78 – $23.22 | 9 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $10.23 – $34.19 | 9 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $11.54 – $46.44 | 9 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $7.34 – $28.38 | 9 |
| Culture screening strep group a CPT 87081 | not published | not published | $4.97 – $23.22 | 9 |
| Culture typing added method CPT 87158 | not published | not published | $5.42 – $18.11 | 6 |
| Culture typing immunologic CPT 87147 | not published | not published | $3.89 – $15.48 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $218.06 – $218.06 | 2 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $26.32 – $82.11 | 6 |
| Culture urine each isolate CPT 87088 | not published | not published | $6.07 – $28.38 | 9 |
| Culture virus isolation CPT 87250 | not published | not published | $14.67 – $59.34 | 9 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $61.92 – $493.35 | 5 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $95.46 – $827.31 | 5 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $10.74 – $33.51 | 6 |
| Cyclic citrullinated peptide antibody CPT 86200 | not published | not published | $9.71 – $38.70 | 9 |
| Cyclosporine 2 hour CPT 80158 | not published | not published | $13.54 – $54.18 | 9 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $203.95 – $681.78 | 6 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $122.37 – $409.06 | 6 |
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.