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 |
|---|---|---|---|---|
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $4,534.60 | $6,478.00 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $4,171.30 | $5,959.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,370.10 | $6,243.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,843.00 | $5,490.00 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $3,378.90 | $4,827.00 | not published | 0 |
| Neisseria meningitidis CPT 86741 | $106.40 | $152.00 | not published | 0 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $805.00 | $1,150.00 | not published | 0 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $805.00 | $1,150.00 | not published | 0 |
| Nerve conduction 7-8 studies CPT 95910 | $1,243.20 | $1,776.00 | not published | 0 |
| Nerve conduction studies 11-12 CPT 95912 | $1,890.70 | $2,701.00 | not published | 0 |
| Nerve conduction studies 13+ CPT 95913 | $2,402.40 | $3,432.00 | not published | 0 |
| Nerve conduction studies 3-4 CPT 95908 | $745.50 | $1,065.00 | not published | 0 |
| Nerve conduction studies 5-6 CPT 95909 | $974.40 | $1,392.00 | not published | 0 |
| Nerve conduction studies 9-10 CPT 95911 | $1,631.70 | $2,331.00 | not published | 0 |
| Nerve teasing preparations CPT 88362 | $842.80 | $1,204.00 | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $215.60 | $308.00 | not published | 0 |
| New Patient Office Visit (level 3) CPT 99203 | $380.10 | $543.00 | not published | 0 |
| New Patient Office Visit (level 4) CPT 99204 | $438.20 | $626.00 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $640.50 | $915.00 | not published | 0 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $2,783.90 | $3,977.00 | not published | 0 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $2,487.80 | $3,554.00 | not published | 0 |
| Njx cath slct p-art angrp bi CPT 93573 | $6,675.20 | $9,536.00 | not published | 0 |
| Njx cth slct p-art angrp uni CPT 93569 | $6,003.20 | $8,576.00 | not published | 0 |
| Njx interlaminar crv/thrc CPT 62324 | $2,818.20 | $4,026.00 | not published | 0 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $871.50 | $1,245.00 | not published | 0 |
| Non-blind interatrial shunt HCPCS C9760 | $60,200.70 | $86,001.00 | not published | 0 |
| Noonan spectrum disorders CPT 81442 | $5,298.30 | $7,569.00 | not published | 0 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $805.00 | $1,150.00 | not published | 0 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $805.00 | $1,150.00 | not published | 0 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $940.80 | $1,344.00 | not published | 0 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $766.50 | $1,095.00 | not published | 0 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $11.90 | $17.00 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $143.85 | $205.50 | not published | 0 |
| Onco (ovar) two proteins CPT 81500 | $547.40 | $782.00 | not published | 0 |
| Oncoprotein dcp CPT 83951 | $219.80 | $314.00 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $4.37 | $6.25 | not published | 0 |
| Open bx/exc inguinofem nodes CPT 38531 | $7,700.00 | $11,000.00 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $225.40 | $322.00 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $2,359.70 | $3,371.00 | not published | 0 |
| Orthopantogram CPT 70355 | $692.30 | $989.00 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $1,274.70 | $1,821.00 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $134.40 | $192.00 | not published | 0 |
| Osmolality blood CPT 83930 | $30.10 | $43.00 | not published | 0 |
| Osmolality urine CPT 83935 | $72.80 | $104.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $731.50 | $1,045.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $486.50 | $695.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $611.10 | $873.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $126.70 | $181.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $126.70 | $181.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $131.60 | $188.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $286.30 | $409.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $126.00 | $180.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $158.20 | $226.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $158.20 | $226.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $126.70 | $181.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $126.70 | $181.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $126.70 | $181.00 | not published | 0 |
| Pabpn1 gene detc abnor allel CPT 81312 | $316.40 | $452.00 | not published | 0 |
| Palb2 gene full gene seq CPT 81307 | $1,641.50 | $2,345.00 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $84.87 | $121.25 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $116.20 | $166.00 | not published | 0 |
| Paricalcitol HCPCS J2501 | $5.95 | $8.50 | not published | 0 |
| Passy muir valve metal trach HCPCS L8501 | $355.60 | $508.00 | not published | 0 |
| Pdgfra gene CPT 81314 | $761.60 | $1,088.00 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,318.00 | $4,740.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,907.80 | $4,154.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,156.70 | $3,081.00 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,765.60 | $6,808.00 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $3,948.00 | $5,640.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $3,615.50 | $5,165.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,509.90 | $2,157.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $862.40 | $1,232.00 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $14.70 | $21.00 | not published | 0 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $404.77 | $578.25 | not published | 0 |
| Perc d-e cor revasc chro add HCPCS C9608 | $20,179.60 | $28,828.00 | not published | 0 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $19,483.80 | $27,834.00 | not published | 0 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $3,194.80 | $4,564.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | $4,081.00 | $5,830.00 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | $739.90 | $1,057.00 | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | $10,022.60 | $14,318.00 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $2,340.80 | $3,344.00 | not published | 0 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $42,242.20 | $60,346.00 | not published | 0 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $26,104.40 | $37,292.00 | not published | 0 |
| Perq p-art revsc each addl CPT 33904 | $10,885.00 | $15,550.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47538 | $11,519.20 | $16,456.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47539 | $2,047.50 | $2,925.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47540 | $2,047.50 | $2,925.00 | not published | 0 |
| Perq transcath closure each CPT 93592 | $12,824.70 | $18,321.00 | not published | 0 |
| Perq transcath closure pda CPT 93582 | $33,441.80 | $47,774.00 | not published | 0 |
| Perq transcath cls mitral CPT 93590 | $19,471.90 | $27,817.00 | not published | 0 |
| Perq transcath septal reduxn CPT 93583 | $8,999.20 | $12,856.00 | not published | 0 |
| Pet image ltd area CPT 78811 | $5,712.00 | $8,160.00 | not published | 0 |
| Pet image skull-thigh CPT 78812 | $5,630.10 | $8,043.00 | not published | 0 |
| Ph body fluid CPT 83986 | $42.00 | $60.00 | not published | 0 |
| Phencyclidine (pcp) CPT 83992 | $111.30 | $159.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $123.20 | $176.00 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $118.30 | $169.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $116.90 | $167.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $316.40 | $452.00 | not published | 0 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,458.00 | $4,940.00 | 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.