Northwestern Medicine Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road, Wheaton, IL · Nm · · NPI 1083660658
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $154.70 | $221.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $161.00 | $230.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $67.20 | $96.00 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,848.70 | $2,641.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,997.10 | $2,853.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $865.20 | $1,236.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $73.50 | $105.00 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $53.90 | $77.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $4,862.90 | $6,947.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,658.90 | $5,227.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,201.10 | $4,573.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,576.00 | $3,680.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,385.50 | $6,265.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $3,770.20 | $5,386.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $3,700.20 | $5,286.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,772.40 | $2,532.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $545.30 | $779.00 | not published | 0 |
| Abl1 gene CPT 81170 | $803.60 | $1,148.00 | not published | 0 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $3,192.00 | $4,560.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $17,618.30 | $25,169.00 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $4,677.40 | $6,682.00 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $37,655.10 | $53,793.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $10,561.60 | $15,088.00 | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $12,087.60 | $17,268.00 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $23,921.80 | $34,174.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $47,961.20 | $68,516.00 | not published | 0 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $3,546.90 | $5,067.00 | not published | 0 |
| Abortion (mpr) CPT 59866 | $606.90 | $867.00 | not published | 0 |
| Access thoracic lymph duct CPT 38794 | $346.50 | $495.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $189.70 | $271.00 | not published | 0 |
| Acetone qualitative CPT 82009 | $82.60 | $118.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $358.40 | $512.00 | not published | 0 |
| Acoustic immitance testing CPT 92570 | $305.90 | $437.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $323.40 | $462.00 | not published | 0 |
| Acyclovir 400 mg tablet HCPCS J8499 | $235.02 | $335.75 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $85.22 | $121.75 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $104.82 | $149.75 | not published | 0 |
| Adenovirus ag ia CPT 87301 | $78.40 | $112.00 | not published | 0 |
| Adh-sendout CPT 84588 | $172.90 | $247.00 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $22,791.30 | $32,559.00 | not published | 0 |
| Adjustment gastric band HCPCS S2083 | $498.40 | $712.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $487.72 | $696.75 | not published | 0 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $75.60 | $108.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $48.30 | $69.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $62.30 | $89.00 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $65.80 | $94.00 | not published | 0 |
| Adrenal cortex & medulla img CPT 78075 | $3,778.60 | $5,398.00 | not published | 0 |
| Aep thrshld est mlt freq i&r CPT 92652 | $888.30 | $1,269.00 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $162.40 | $232.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $22.40 | $32.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $331.10 | $473.00 | not published | 0 |
| Ag detect nos ia single CPT 87450 | $74.90 | $107.00 | not published | 0 |
| Air conduction bilat CPT 92552 | $44.80 | $64.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $51.80 | $74.00 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $64.40 | $92.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $61.60 | $88.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $189.70 | $271.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $43.40 | $62.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $137.20 | $196.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $395.50 | $565.00 | not published | 0 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $29.40 | $42.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $54.60 | $78.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $193.20 | $276.00 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $144.90 | $207.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $175.00 | $250.00 | not published | 0 |
| Als1-emergency HCPCS A0427 | $2,253.30 | $3,219.00 | not published | 0 |
| Als 2 HCPCS A0433 | $2,981.30 | $4,259.00 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $1,845.90 | $2,637.00 | not published | 0 |
| Alt/sgpt CPT 84460 | $64.40 | $92.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $74.20 | $106.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $211.40 | $302.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $328.30 | $469.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $66.32 | $94.75 | not published | 0 |
| Amino acids quant 2-5 CPT 82136 | $43.40 | $62.00 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $15.40 | $22.00 | not published | 0 |
| Ammonia CPT 82140 | $130.90 | $187.00 | not published | 0 |
| Amniocentesis therapeutic CPT 59001 | $607.60 | $868.00 | not published | 0 |
| Amniotic fluid scan CPT 82143 | $231.70 | $331.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $207.20 | $296.00 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,007.82 | $1,439.75 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $236.77 | $338.25 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $37.62 | $53.75 | not published | 0 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $299.60 | $428.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $7,468.30 | $10,669.00 | not published | 0 |
| Amylase CPT 82150 | $86.10 | $123.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $108.50 | $155.00 | not published | 0 |
| Anal/urinary muscle study CPT 51785 | $617.40 | $882.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $240.10 | $343.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $266.00 | $380.00 | not published | 0 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $494.90 | $707.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $81.20 | $116.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $298.90 | $427.00 | not published | 0 |
| Androstanediol CPT 82154 | $196.70 | $281.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $899.50 | $1,285.00 | not published | 0 |
| Angiotensin ii CPT 82163 | $43.40 | $62.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,773.80 | $2,534.00 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $3,962.70 | $5,661.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $331.10 | $473.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | $25.20 | $36.00 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $2,254.70 | $3,221.00 | not published | 0 |
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.