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 |
|---|---|---|---|---|
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $12.95 | $18.50 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $183.40 | $262.00 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $59.50 | $85.00 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $59.85 | $85.50 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $541.45 | $773.50 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $8.75 | $12.50 | not published | 0 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $6.82 | $9.75 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $12.42 | $17.75 | not published | 0 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $218.92 | $312.75 | not published | 0 |
| Microbe susceptible mlc CPT 87187 | $678.30 | $969.00 | not published | 0 |
| Microdissection manual CPT 88381 | $254.80 | $364.00 | not published | 0 |
| Microsatellite instability CPT 81301 | $768.60 | $1,098.00 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $9.27 | $13.25 | not published | 0 |
| Middle cerebral artery echo CPT 76821 | $1,052.10 | $1,503.00 | not published | 0 |
| Mitochondrial gene CPT 81440 | $7,678.30 | $10,969.00 | not published | 0 |
| Mlh1 gene CPT 81288 | $543.90 | $777.00 | not published | 0 |
| Mlh1 gene dup/delete variant CPT 81294 | $490.70 | $701.00 | not published | 0 |
| Mlh1 gene full seq CPT 81292 | $1,638.00 | $2,340.00 | not published | 0 |
| Mnl appl strs jt radiography CPT 77071 | $367.50 | $525.00 | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $196.00 | $280.00 | not published | 0 |
| Mopath procedure level 1 CPT 81400 | $305.90 | $437.00 | not published | 0 |
| Mopath procedure level 3 CPT 81402 | $560.70 | $801.00 | not published | 0 |
| Mopath procedure level 5 CPT 81404 | $3,234.00 | $4,620.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $3,266.20 | $4,666.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $3,220.70 | $4,601.00 | not published | 0 |
| Mopath procedure level 8 CPT 81407 | $1,955.10 | $2,793.00 | not published | 0 |
| Mopath procedure level 9 CPT 81408 | $4,620.00 | $6,600.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $10.67 | $15.25 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $3,127.77 | $4,468.25 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $460.60 | $658.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $352.80 | $504.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $332.50 | $475.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $364.70 | $521.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $562.80 | $804.00 | not published | 0 |
| M/phmtrc alysishquant/semiq CPT 88369 | $364.70 | $521.00 | not published | 0 |
| MRA abdomen post contrast CPT 74185 | $3,472.70 | $4,961.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,724.00 | $5,320.00 | not published | 0 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $4,027.10 | $5,753.00 | not published | 0 |
| MRA pelvis CPT 72198 | $3,775.80 | $5,394.00 | not published | 0 |
| MRA spinal canal CPT 72159 | $1,988.00 | $2,840.00 | not published | 0 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,196.90 | $4,567.00 | not published | 0 |
| Mr elastography CPT 76391 | $493.50 | $705.00 | not published | 0 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $80,831.10 | $115,473.00 | not published | 0 |
| MRI brain w/dye CPT 70558 | $5,653.90 | $8,077.00 | not published | 0 |
| MRI brain without dye CPT 70557 | $5,490.80 | $7,844.00 | not published | 0 |
| MRI brain without & w/dye CPT 70559 | $6,161.40 | $8,802.00 | not published | 0 |
| MRI breast c- unilateral CPT 77046 | $3,670.10 | $5,243.00 | not published | 0 |
| MRI breast c-+ w/cad uni CPT 77048 | $3,670.10 | $5,243.00 | not published | 0 |
| MRI breast without cont bi CPT 77047 | $3,491.60 | $4,988.00 | not published | 0 |
| MRI breast w IV cont bi CPT 77049 | $4,099.20 | $5,856.00 | not published | 0 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $3,834.60 | $5,478.00 | not published | 0 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $4,342.10 | $6,203.00 | not published | 0 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $4,594.80 | $6,564.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $2,934.40 | $4,192.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $4,372.20 | $6,246.00 | not published | 0 |
| MRI chest w IV cont CPT 71551 | $3,717.70 | $5,311.00 | not published | 0 |
| MRI loex nonjt w IV cont CPT 73719 | $3,678.50 | $5,255.00 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,432.80 | $4,904.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,053.00 | $5,790.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $4,151.00 | $5,930.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $5,085.50 | $7,265.00 | not published | 0 |
| MRI orbit fac&nck w IV cont CPT 70542 | $4,818.10 | $6,883.00 | not published | 0 |
| MRI tmj CPT 70336 | $3,850.00 | $5,500.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,502.10 | $5,003.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,088.00 | $5,840.00 | not published | 0 |
| MRI upper extremity w/dye CPT 73219 | $3,628.10 | $5,183.00 | not published | 0 |
| Mr safety implant elec prepj CPT 76018 | $214.20 | $306.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $58.80 | $84.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $133.00 | $190.00 | not published | 0 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $65.10 | $93.00 | not published | 0 |
| Mr spectroscopy CPT 76390 | $2,207.10 | $3,153.00 | not published | 0 |
| Msh2 gene dup/delete variant CPT 81297 | $517.30 | $739.00 | not published | 0 |
| Msh2 gene full seq CPT 81295 | $925.40 | $1,322.00 | not published | 0 |
| Msh6 gene dup/delete variant CPT 81300 | $577.50 | $825.00 | not published | 0 |
| Msh6 gene full seq CPT 81298 | $1,556.80 | $2,224.00 | not published | 0 |
| Msh6 gene known variants CPT 81299 | $711.20 | $1,016.00 | not published | 0 |
| Mthfr gene analy common variants CPT 81291 | $251.30 | $359.00 | not published | 0 |
| Mucin synovial fluid CPT 83872 | $41.30 | $59.00 | not published | 0 |
| Mucopolysaccharides CPT 83864 | $60.20 | $86.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $35.70 | $51.00 | not published | 0 |
| Muscle test one fiber CPT 95872 | $743.40 | $1,062.00 | not published | 0 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $10.50 | $15.00 | not published | 0 |
| Mycophenolic acid HCPCS J7518 | $61.25 | $87.50 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $85.40 | $122.00 | not published | 0 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $555.80 | $794.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $829.50 | $1,185.00 | not published | 0 |
| Myocrd img pet 2rtracer CT CPT 78433 | $7,398.30 | $10,569.00 | not published | 0 |
| Myocrd img pet rst&strs CT CPT 78431 | $6,054.30 | $8,649.00 | not published | 0 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $3,881.50 | $5,545.00 | not published | 0 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $809.37 | $1,156.25 | not published | 0 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $96.95 | $138.50 | not published | 0 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $2,237.90 | $3,197.00 | not published | 0 |
| Natriuretic peptide CPT 83880 | $206.50 | $295.00 | not published | 0 |
| Natural killer cells total count CPT 86357 | $135.80 | $194.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $25.20 | $36.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $25.20 | $36.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $4,095.70 | $5,851.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $3,497.20 | $4,996.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $3,168.20 | $4,526.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $5,142.90 | $7,347.00 | 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.