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 |
|---|---|---|---|---|
| Explore/repair chest 32110 CPT 32110 | $4,083.80 | $5,834.00 | not published | 0 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | $1,211.70 | $1,731.00 | not published | 0 |
| Expose endoprosth brachial 34834 CPT 34834 | $2,546.60 | $3,638.00 | not published | 0 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $2,744.70 | $3,921.00 | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $2,972.90 | $4,247.00 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $585.90 | $837.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $723.80 | $1,034.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $308.70 | $441.00 | not published | 0 |
| Extraction erupted tooth/exr HCPCS D7140 | $328.30 | $469.00 | not published | 0 |
| Ezh2 gene full gene sequence CPT 81236 | $686.00 | $980.00 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $1,603.00 | $2,290.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $7,214.20 | $10,306.00 | not published | 0 |
| F-18 fluciclovine per mci HCPCS A9588 | $1,282.40 | $1,832.00 | not published | 0 |
| F-18 sodium fluoride HCPCS A9580 | $1,064.00 | $1,520.00 | not published | 0 |
| F9 full gene sequence CPT 81238 | $1,455.30 | $2,079.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $408.10 | $583.00 | not published | 0 |
| Factor ix CPT 85250 | $177.80 | $254.00 | not published | 0 |
| Factor viii CPT 85240 | $156.10 | $223.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $5.42 | $7.75 | not published | 0 |
| Fancc gene CPT 81242 | $300.30 | $429.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $185.50 | $265.00 | not published | 0 |
| #fecal-sodium CPT 84302 | $39.20 | $56.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $147.00 | $210.00 | not published | 0 |
| Feno poc CPT 95012 | $217.70 | $311.00 | not published | 0 |
| Fern test HCPCS Q0114 | $32.90 | $47.00 | not published | 0 |
| Ferritin CPT 82728 | $144.20 | $206.00 | not published | 0 |
| Fetal aneuploidy trisom risk CPT 81507 | $1,925.00 | $2,750.00 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,409.80 | $2,014.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $1,841.00 | $2,630.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $2,207.80 | $3,154.00 | not published | 0 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $403.20 | $576.00 | not published | 0 |
| Fetal cord puncture prenatal CPT 59012 | $648.90 | $927.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $121.80 | $174.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $658.00 | $940.00 | not published | 0 |
| #_fet/norfentcnfrmur CPT 80354 | $40.60 | $58.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $140.70 | $201.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $175.00 | $250.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $112.70 | $161.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $59.50 | $85.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $185.50 | $265.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $131.60 | $188.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $98.00 | $140.00 | not published | 0 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $536.20 | $766.00 | not published | 0 |
| Fixation of knee joint CPT 27570 | $4,830.00 | $6,900.00 | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $120.40 | $172.00 | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $8,003.80 | $11,434.00 | not published | 0 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | $7,791.00 | $11,130.00 | not published | 0 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $1,355.20 | $1,936.00 | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $337.40 | $482.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $281.40 | $402.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $696.50 | $995.00 | not published | 0 |
| #flow interp 9 - 15 markers CPT 88188 | $247.80 | $354.00 | not published | 0 |
| Flt3 gene CPT 81245 | $385.00 | $550.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $51.80 | $74.00 | not published | 0 |
| Fluidotherapy charges pt CPT 97022 | $221.90 | $317.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $1,124.20 | $1,606.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $114.10 | $163.00 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $2,907.10 | $4,153.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,043.70 | $1,491.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $1,008.70 | $1,441.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $1,040.90 | $1,487.00 | not published | 0 |
| Fmri brain by phys/psych CPT 70555 | $4,162.20 | $5,946.00 | not published | 0 |
| Fmri brain by tech CPT 70554 | $3,640.00 | $5,200.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $2,434.60 | $3,478.00 | not published | 0 |
| Folic acid CPT 82746 | $109.20 | $156.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $1,761.20 | $2,516.00 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $336.52 | $480.75 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $368.90 | $527.00 | not published | 0 |
| Foot X-ray CPT 73630 | $309.40 | $442.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $2,034.20 | $2,906.00 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,257.90 | $1,797.00 | not published | 0 |
| Foscarnet sodium injection HCPCS J1455 | $1,608.95 | $2,298.50 | not published | 0 |
| Fractionation ketosteroids CPT 83593 | $275.10 | $393.00 | not published | 0 |
| Fracture assessment via dxa CPT 77086 | $411.60 | $588.00 | not published | 0 |
| _fragile x methylation-sendout CPT 81244 | $772.10 | $1,103.00 | not published | 0 |
| Frenectomy 41115 CPT 41115 | $2,961.70 | $4,231.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $287.00 | $410.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $231.70 | $331.00 | not published | 0 |
| Frozen plasma, pooled, sd HCPCS P9023 | $255.50 | $365.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $63.70 | $91.00 | not published | 0 |
| Ftl cgen abnor four anal CPT 81511 | $259.00 | $370.00 | not published | 0 |
| Ftl cgen abnor three anal CPT 81510 | $584.50 | $835.00 | not published | 0 |
| Ftl cgen abnor two proteins CPT 81508 | $119.70 | $171.00 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $6.12 | $8.75 | not published | 0 |
| Fxn gene detc abnor alleles CPT 81284 | $287.70 | $411.00 | not published | 0 |
| Fxn gene full gene sequence CPT 81286 | $576.80 | $824.00 | not published | 0 |
| G6pc gene CPT 81250 | $503.30 | $719.00 | not published | 0 |
| G6pd full gene sequence CPT 81249 | $1,386.00 | $1,980.00 | not published | 0 |
| G6pd gene alys cmn variant CPT 81247 | $403.20 | $576.00 | not published | 0 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $291.90 | $417.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $240.10 | $343.00 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $285.60 | $408.00 | not published | 0 |
| Galectin-3 CPT 82777 | $112.70 | $161.00 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $15,822.80 | $22,604.00 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $2,375.10 | $3,393.00 | not published | 0 |
| Gallium locametz 1 millicuri HCPCS A9800 | $2,060.10 | $2,943.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $89.60 | $128.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $101.50 | $145.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $98.00 | $140.00 | not published | 0 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $437.50 | $625.00 | 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.