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 |
|---|---|---|---|---|
| Harvest allogeneic stem cell CPT 38205 | $3,938.90 | $5,627.00 | not published | 0 |
| Harvest auto stem cells CPT 38206 | $5,121.20 | $7,316.00 | not published | 0 |
| Hast w/oxygen titrate CPT 94453 | $1,220.10 | $1,743.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,386.00 | $1,980.00 | not published | 0 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $631.40 | $902.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $749.70 | $1,071.00 | not published | 0 |
| Hbb gene com variants CPT 81361 | $427.00 | $610.00 | not published | 0 |
| Hbb gene dup/del variants CPT 81363 | $467.60 | $668.00 | not published | 0 |
| Hbot, full body chamber, 30m HCPCS G0277 | $747.60 | $1,068.00 | not published | 0 |
| Hcg free betachain test CPT 84704 | $43.40 | $62.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $101.50 | $145.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $165.20 | $236.00 | not published | 0 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $666.40 | $952.00 | not published | 0 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $1,990.10 | $2,843.00 | not published | 0 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $5,548.90 | $7,927.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $6,818.00 | $9,740.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $3,756.90 | $5,367.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $2,921.80 | $4,174.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $2,474.50 | $3,535.00 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $125.30 | $179.00 | not published | 0 |
| Hematocrit CPT 85014 | $54.60 | $78.00 | not published | 0 |
| Hematopoietic nuclear tx CPT 79403 | $2,400.30 | $3,429.00 | not published | 0 |
| Hemodialysis one evaluation CPT 90935 | $2,111.20 | $3,016.00 | not published | 0 |
| Hemoglobin CPT 85018 | $32.20 | $46.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $65.80 | $94.00 | not published | 0 |
| Hemoglobin-oxygen affinity CPT 82820 | $463.40 | $662.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $50.40 | $72.00 | not published | 0 |
| Hemoglobin urine CPT 83069 | $19.60 | $28.00 | not published | 0 |
| Hemolysins/agglutinins auto CPT 86940 | $72.10 | $103.00 | not published | 0 |
| Hemophilus influenza antibdy CPT 86684 | $112.00 | $160.00 | not published | 0 |
| Heparin assay CPT 85520 | $133.70 | $191.00 | not published | 0 |
| Heparin bolus from bag HCPCS J1644 | $28.35 | $40.50 | not published | 0 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $6.65 | $9.50 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $101.50 | $145.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $44.10 | $63.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $93.10 | $133.00 | not published | 0 |
| Hepatitis b surface ag quan CPT 87467 | $679.00 | $970.00 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $93.80 | $134.00 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $116.90 | $167.00 | not published | 0 |
| Hepatitis d quantification CPT 87523 | $90.30 | $129.00 | not published | 0 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $392.70 | $561.00 | not published | 0 |
| Hereditary colon ca dsordrs CPT 81435 | $3,011.40 | $4,302.00 | not published | 0 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | $1,014.30 | $1,449.00 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $205.10 | $293.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $205.10 | $293.00 | not published | 0 |
| Hexa gene CPT 81255 | $408.10 | $583.00 | not published | 0 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $86.10 | $123.00 | not published | 0 |
| Hhv-6 dna quant CPT 87533 | $394.10 | $563.00 | not published | 0 |
| Hinge extension/flex wrist/f HCPCS L3900 | $2,165.10 | $3,093.00 | not published | 0 |
| Hip X-ray CPT 73502 | $539.00 | $770.00 | not published | 0 |
| Histamine CPT 83088 | $143.50 | $205.00 | not published | 0 |
| Histochemical stains add-on CPT 88314 | $263.90 | $377.00 | not published | 0 |
| Hla class i high defin qual CPT 86832 | $668.50 | $955.00 | not published | 0 |
| Hla class ii high defin qual CPT 86833 | $623.70 | $891.00 | not published | 0 |
| Hla class i&ii antibody qual CPT 86828 | $266.00 | $380.00 | not published | 0 |
| Hla class i phenotype qual CPT 86830 | $457.80 | $654.00 | not published | 0 |
| Hla i & ii typing hr CPT 81378 | $1,903.30 | $2,719.00 | not published | 0 |
| Hla i & ii typing lr CPT 81370 | $1,701.00 | $2,430.00 | not published | 0 |
| Hla ii typing 1 loc hr CPT 81382 | $533.40 | $762.00 | not published | 0 |
| Hla ii typing ag equiv lr CPT 81375 | $760.20 | $1,086.00 | not published | 0 |
| Hla i typing 1 locus hr CPT 81380 | $466.90 | $667.00 | not published | 0 |
| Hla i typing complete lr CPT 81372 | $844.20 | $1,206.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $855.40 | $1,222.00 | not published | 0 |
| Hla i typing low res one locus ea CPT 81373 | $387.10 | $553.00 | not published | 0 |
| Hla x-math non-cytotoxic CPT 86825 | $515.20 | $736.00 | not published | 0 |
| Home sleep test/type 4 porta HCPCS G0400 | $692.30 | $989.00 | not published | 0 |
| Homocysteine CPT 83090 | $127.40 | $182.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $48.30 | $69.00 | not published | 0 |
| Homovanillic acid (hva) CPT 83150 | $75.60 | $108.00 | not published | 0 |
| Hopd covid-19 spec collect HCPCS C9803 | $31.50 | $45.00 | not published | 0 |
| Hpa-15 genotyping CPT 81112 | $256.90 | $367.00 | not published | 0 |
| Hpa-1 genotyping CPT 81105 | $282.80 | $404.00 | not published | 0 |
| Hpa-2 genotyping CPT 81106 | $256.90 | $367.00 | not published | 0 |
| Hpa-3 genotyping CPT 81107 | $256.90 | $367.00 | not published | 0 |
| Hpa-4 genotyping CPT 81108 | $256.90 | $367.00 | not published | 0 |
| Hpa-5 genotyping CPT 81109 | $256.90 | $367.00 | not published | 0 |
| Hpa-6 genotyping CPT 81110 | $256.90 | $367.00 | not published | 0 |
| Hpa-9 genotyping CPT 81111 | $256.90 | $367.00 | not published | 0 |
| Hpv low-risk types CPT 87623 | $184.10 | $263.00 | not published | 0 |
| Hpv types 16 & 18 only CPT 87625 | $184.10 | $263.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $312.90 | $447.00 | not published | 0 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $2,738.40 | $3,912.00 | not published | 0 |
| Hrdtry cardmypy gene panel CPT 81439 | $1,228.50 | $1,755.00 | not published | 0 |
| Hrdtry perph neurphy panel CPT 81448 | $1,446.20 | $2,066.00 | not published | 0 |
| Human epididymis protein 4 (he4) CPT 86305 | $245.70 | $351.00 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $28.87 | $41.25 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $232.40 | $332.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $214.72 | $306.75 | not published | 0 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $91.00 | $130.00 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $74.20 | $106.00 | not published | 0 |
| Hyperthermia ext gen supfc CPT 77600 | $6,412.00 | $9,160.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $1,134.70 | $1,621.00 | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $186.20 | $266.00 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | $8,227.80 | $11,754.00 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $10,017.70 | $14,311.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $361.20 | $516.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $250.60 | $358.00 | not published | 0 |
| I131 iodide sol, rx HCPCS A9530 | $254.80 | $364.00 | not published | 0 |
| I131 max 100uci HCPCS A9531 | $177.10 | $253.00 | not published | 0 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $693.00 | $990.00 | 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.