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 |
|---|---|---|---|---|
| Largsc w/ther injection CPT 31573 | $4,407.90 | $6,297.00 | not published | 0 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $3,365.60 | $4,808.00 | not published | 0 |
| Laryngoscopy with biopsy CPT 31576 | $4,039.70 | $5,771.00 | not published | 0 |
| Lead capillary CPT 83655 | $62.30 | $89.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $928.90 | $1,327.00 | not published | 0 |
| Leishmania antibody CPT 86717 | $27.30 | $39.00 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $148.40 | $212.00 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $56.52 | $80.75 | not published | 0 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $15.92 | $22.75 | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $6,973.40 | $9,962.00 | not published | 0 |
| Liletta, 52 mg HCPCS J7297 | $2.80 | $4.00 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $74.55 | $106.50 | not published | 0 |
| Lipase CPT 83690 | $107.80 | $154.00 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $89.60 | $128.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $96.60 | $138.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $74.20 | $106.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $63.70 | $91.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $72.80 | $104.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $396.20 | $566.00 | not published | 0 |
| Liver elastography 91200 CPT 91200 | $242.20 | $346.00 | not published | 0 |
| Liver Function Test CPT 80076 | $139.30 | $199.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $3.50 | $5.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5271 | $1,207.50 | $1,725.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5275 | $2,969.40 | $4,242.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5272 | $1,210.30 | $1,729.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5276 | $3,444.00 | $4,920.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,717.00 | $5,310.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,506.30 | $5,009.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $3,083.50 | $4,405.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,706.80 | $6,724.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,172.70 | $5,961.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,837.40 | $5,482.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $472.50 | $675.00 | not published | 0 |
| Low frequency non-thermal Ultrasound CPT 97610 | $419.30 | $599.00 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $672.70 | $961.00 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $2,509.50 | $3,585.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $405.30 | $579.00 | not published | 0 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $923.30 | $1,319.00 | not published | 0 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $526.40 | $752.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $704.90 | $1,007.00 | not published | 0 |
| Lymph vessel x-ray arm/leg CPT 75801 | $1,558.20 | $2,226.00 | not published | 0 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,635.90 | $2,337.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75805 | $898.10 | $1,283.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75807 | $2,283.40 | $3,262.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $38.50 | $55.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $152.60 | $218.00 | not published | 0 |
| Magnesium CPT 83735 | $81.20 | $116.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $33.07 | $47.25 | not published | 0 |
| Map tachycard site(s) CPT 93609 | $8,255.80 | $11,794.00 | not published | 0 |
| Mastoids complete CPT 70130 | $531.30 | $759.00 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | $235.90 | $337.00 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $89.60 | $128.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $179.90 | $257.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $118.30 | $169.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $217.00 | $310.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $102.20 | $146.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $207.20 | $296.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $81.90 | $117.00 | not published | 0 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $207.20 | $296.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $93.80 | $134.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $105.70 | $151.00 | not published | 0 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $39.20 | $56.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $45.50 | $65.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $466.90 | $667.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $462.70 | $661.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $893.90 | $1,277.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,071.60 | $4,388.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $124.60 | $178.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $98.70 | $141.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $114.10 | $163.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $65.10 | $93.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $194.60 | $278.00 | not published | 0 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $99.40 | $142.00 | not published | 0 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $40.60 | $58.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $175.70 | $251.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $407.40 | $582.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $69.30 | $99.00 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $60.20 | $86.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $93.80 | $134.00 | not published | 0 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $238.00 | $340.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $108.50 | $155.00 | not published | 0 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $130.90 | $187.00 | not published | 0 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $326.20 | $466.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $617.40 | $882.00 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $168.00 | $240.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $53.90 | $77.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $56.00 | $80.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $491.40 | $702.00 | not published | 0 |
| Mayo chromium CPT 82495 | $186.20 | $266.00 | not published | 0 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $207.20 | $296.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $56.00 | $80.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $1,499.40 | $2,142.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $426.30 | $609.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $123.20 | $176.00 | not published | 0 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $60.90 | $87.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $84.70 | $121.00 | not published | 0 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $572.60 | $818.00 | not published | 0 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $62.30 | $89.00 | not published | 0 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $111.30 | $159.00 | not published | 0 |
| Mayo dihydrotestosterone CPT 82642 | $68.60 | $98.00 | 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.