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 |
|---|---|---|---|---|
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $315.64 – $1,055.13 | 6 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $122.37 – $409.06 | 5 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $122.37 – $409.06 | 5 |
| Cystatin c CPT 82610 | not published | not published | $12.96 – $43.34 | 9 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $349.30 – $1,167.66 | 6 |
| Cystine urine quantitative CPT 82131 | not published | not published | $16.09 – $53.77 | 9 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | not published | not published | $65.43 – $273.48 | 6 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,670.17 – $1,670.17 | 1 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $29.67 – $105.78 | 9 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $28.49 – $95.24 | 9 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $870.00 – $2,714.40 | 5 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $489.77 – $2,106.00 | 6 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | not published | not published | $10.79 – $43.86 | 9 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | not published | not published | $12.64 – $51.60 | 9 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $9.39 – $36.12 | 9 |
| Cyto/molecular report CPT 88291 | not published | not published | $32.29 – $98.04 | 9 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $17.76 – $64.50 | 9 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $10.04 – $34.28 | 9 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $17.81 – $167.70 | 9 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | not published | not published | $32.52 – $157.38 | 9 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $19.96 – $79.98 | 9 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $15.20 – $61.92 | 9 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $17.81 – $154.80 | 9 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $17.81 – $118.68 | 9 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $7.33 – $17.55 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | not published | not published | $20.52 – $79.98 | 9 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | not published | not published | $32.52 – $221.88 | 9 |
| Cytopath smear other source CPT 88160 | not published | not published | $17.81 – $111.29 | 9 |
| Cytopath smear other source CPT 88162 | not published | not published | $17.81 – $149.74 | 9 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $17.81 – $106.03 | 9 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $10.49 – $35.38 | 9 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $55.06 – $184.04 | 9 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $22.26 – $90.30 | 9 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $67.70 – $972.04 | 5 |
| Dch glucoscan CPT 82948 | not published | not published | $3.53 – $11.79 | 9 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $58.19 – $688.86 | 5 |
| Dch validity tests CPT 81002 | not published | not published | $2.44 – $8.14 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $11.53 – $12.05 | 2 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $108.79 – $232.20 | 5 |
| Decalcification CPT 88311 | not published | not published | $8.72 – $22.65 | 9 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $67.08 – $220.11 | 5 |
| Design mlc device for imrt CPT 77338 | not published | not published | $480.71 – $592.28 | 2 |
| Desoxycorticosterone CPT 82633 | not published | not published | $23.24 – $82.56 | 9 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $21.02 – $70.27 | 9 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $31.20 – $121.26 | 9 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $64.50 – $344.08 | 5 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $168.51 – $469.56 | 6 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $70.42 – $240.35 | 6 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $53.96 – $113.52 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $16.67 – $67.08 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $7.28 – $33.54 | 9 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $199.65 – $199.65 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $155.94 – $155.94 | 1 |
| Diagnostic Mammogram (both breasts) CPT 77066 | not published | not published | $113.18 – $601.14 | 6 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $88.78 – $485.04 | 6 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $98.40 – $98.40 | 1 |
| Dialysis one evaluation CPT 90945 | not published | not published | $258.06 – $263.16 | 5 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.46 – $45.54 | 6 |
| Diffusing capacity CPT 94729 | not published | not published | $134.09 – $296.70 | 5 |
| Digital analysis of eeg CPT 95957 | not published | not published | $918.48 – $7,293.99 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $9.96 – $41.28 | 9 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $37.95 – $74.82 | 5 |
| Disability dlco CPT 94727 | not published | not published | $15.18 – $149.64 | 5 |
| Disaccharidases CPT 82657 | not published | not published | $15.52 – $54.18 | 9 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $181.75 – $660.48 | 6 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $1,113.20 – $1,602.18 | 5 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $643.77 – $643.77 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $10.49 – $25.44 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $168.17 – $652.86 | 5 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $320.58 | 4 |
| Dna antibody native/double stranded CPT 86225 | not published | not published | $10.31 – $41.28 | 9 |
| Dna gardnerella CPT 87510 | not published | not published | $15.04 – $67.08 | 9 |
| Dna probe chlamydia CPT 87490 | not published | not published | $15.93 – $67.08 | 9 |
| Dna probe gc CPT 87590 | not published | not published | $18.82 – $67.08 | 9 |
| Dna trichomonas CPT 87660 | not published | not published | $15.04 – $59.34 | 9 |
| Doppler echo complete CPT 93320 | not published | not published | $317.34 – $1,085.37 | 5 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $642.62 – $1,132.62 | 5 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $624.36 – $812.13 | 5 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $402.48 – $647.68 | 5 |
| Dpyd gene common variants CPT 81232 | not published | not published | $122.37 – $409.06 | 5 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,749.50 – $2,749.50 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $23.16 – $90.25 | 6 |
| Drug assay posaconazole CPT 80187 | not published | not published | $20.33 – $63.44 | 5 |
| Drug assay rufinamide CPT 80210 | not published | not published | $20.33 – $27.11 | 3 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $28.93 – $90.25 | 5 |
| Drug assay voriconazole CPT 80285 | not published | not published | $20.33 – $63.44 | 5 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $18.64 | 2 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $8.82 – $43.86 | 9 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $18.98 – $63.44 | 6 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $12.00 – $43.86 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $45.26 – $145.41 | 5 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $13.49 – $54.18 | 9 |
| Ductogram sgl duct CPT 77053 | not published | not published | $90.02 – $278.64 | 6 |
| Duodenal motility study CPT 91022 | not published | not published | $693.22 – $706.92 | 5 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $189.75 – $768.84 | 5 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $361.79 – $437.62 | 5 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $139.15 – $647.58 | 5 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $541.42 – $768.84 | 5 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $559.13 – $828.18 | 5 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $68.49 – $92.48 | 2 |
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.