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 |
|---|---|---|---|---|
| Gastric motility studies CPT 91020 | $2,331.70 | $3,331.00 | not published | 0 |
| Gastroesophageal reflux study CPT 78262 | $1,055.60 | $1,508.00 | not published | 0 |
| Gba gene CPT 81251 | $128.10 | $183.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $5,938.80 | $8,484.00 | not published | 0 |
| Genome sequence analysis CPT 81425 | $11,622.10 | $16,603.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $6,260.10 | $8,943.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $11.02 | $15.75 | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $25.20 | $36.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $139.30 | $199.00 | not published | 0 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $567.70 | $811.00 | not published | 0 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $459.90 | $657.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $67.90 | $97.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $133.70 | $191.00 | not published | 0 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $653.10 | $933.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $6,640.90 | $9,487.00 | not published | 0 |
| Ghs community re-entry 15 minutes CPT 97537 | $157.50 | $225.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $1,806.70 | $2,581.00 | not published | 0 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $476.00 | $680.00 | not published | 0 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $555.80 | $794.00 | not published | 0 |
| Ghs fb removal foot - deep - left CPT 28192 | $4,672.50 | $6,675.00 | not published | 0 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,514.80 | $2,164.00 | not published | 0 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $82.60 | $118.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $754.60 | $1,078.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $287.00 | $410.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $290.50 | $415.00 | not published | 0 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $50.40 | $72.00 | not published | 0 |
| Ghs histoplasma antigen CPT 87385 | $158.90 | $227.00 | not published | 0 |
| Ghs HIV antibody CPT 86703 | $121.80 | $174.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $7,662.20 | $10,946.00 | not published | 0 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $1,690.50 | $2,415.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $416.50 | $595.00 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $4,448.50 | $6,355.00 | $68.56 – $68.56 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $4,448.50 | $6,355.00 | $147.30 – $147.30 | 2 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,810.80 | $5,444.00 | not published | 0 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $103.60 | $148.00 | not published | 0 |
| Ghs low level laser therapy CPT 97039 | $87.50 | $125.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $437.50 | $625.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $349.30 | $499.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $4,064.90 | $5,807.00 | $28.11 – $28.11 | 2 |
| Ghs nerve blk intercostal, single level CPT 64420 | $4,064.90 | $5,807.00 | $65.54 – $65.54 | 2 |
| Ghs nerve block axillary nerve CPT 64417 | $2,487.80 | $3,554.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $2,524.20 | $3,606.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $2,788.62 | $3,983.74 | $87.21 – $87.21 | 2 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $3,196.72 | $4,566.74 | $96.26 – $96.26 | 2 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,058.00 | $2,940.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $2,473.10 | $3,533.00 | $62.85 – $62.85 | 2 |
| Ghs o2 uptake rest & indirect CPT 94690 | $154.00 | $220.00 | not published | 0 |
| Ghs optokenetic CPT 92544 | $266.00 | $380.00 | not published | 0 |
| Ghs oscillating trac CPT 92545 | $182.00 | $260.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $55.30 | $79.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $21.00 | $30.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $126.70 | $181.00 | not published | 0 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $149.80 | $214.00 | not published | 0 |
| Ghs ot work hardening-additional hours CPT 97546 | $109.90 | $157.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $1,703.10 | $2,433.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $5,962.25 | $8,517.50 | $68.05 – $68.05 | 2 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,608.60 | $2,298.00 | not published | 0 |
| Ghs pos nystagmus CPT 92542 | $196.00 | $280.00 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $32.20 | $46.00 | not published | 0 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $56.70 | $81.00 | not published | 0 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $698.60 | $998.00 | not published | 0 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $3,878.00 | $5,540.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $86.80 | $124.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $721.00 | $1,030.00 | not published | 0 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $196.70 | $281.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $1,407.87 | $2,011.24 | $124.42 – $124.42 | 2 |
| Ghs spont nystagmus CPT 92541 | $196.00 | $280.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $350.00 | $500.00 | not published | 0 |
| Ghs st - eval for alt comm CPT 92567 | $151.20 | $216.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $554.40 | $792.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $435.40 | $622.00 | not published | 0 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $65.80 | $94.00 | not published | 0 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,691.90 | $2,417.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,365.30 | $3,379.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $110.60 | $158.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $4,699.80 | $6,714.00 | not published | 0 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $3,707.20 | $5,296.00 | not published | 0 |
| Giardia lamblia antibody CPT 86674 | $92.40 | $132.00 | not published | 0 |
| Gi endoscopic ultrasound CPT 76975 | $1,530.90 | $2,187.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $133.00 | $190.00 | not published | 0 |
| Gi trc img intral colon i&r CPT 91113 | $2,056.60 | $2,938.00 | not published | 0 |
| Gi trc img intral esophagus CPT 91111 | $2,041.20 | $2,916.00 | not published | 0 |
| Gjb2 gene full sequence CPT 81252 | $174.30 | $249.00 | not published | 0 |
| Gjb2 gene known fam variants CPT 81253 | $129.50 | $185.00 | not published | 0 |
| Gjb6 gene com variants CPT 81254 | $84.70 | $121.00 | not published | 0 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,405.77 | $2,008.25 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $39.90 | $57.00 | not published | 0 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $67.90 | $97.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $44.10 | $63.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $44.10 | $63.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $57.40 | $82.00 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $118.30 | $169.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $121.10 | $173.00 | not published | 0 |
| Granulocyte pheresis ea unit HCPCS P9050 | $4,925.20 | $7,036.00 | not published | 0 |
| Ground mileage HCPCS A0425 | $37.80 | $54.00 | not published | 0 |
| G-tube reposition CPT 43761 | $417.20 | $596.00 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.52 | $10.75 | not published | 0 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $41.30 | $59.00 | not published | 0 |
| Hand X-ray CPT 73130 | $273.70 | $391.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $86.10 | $123.00 | 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.