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 |
|---|---|---|---|---|
| Anoscopy and dilation 46604 CPT 46604 | $3,705.80 | $5,294.00 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $340.20 | $486.00 | not published | 0 |
| Ans parasymp & symp w/tilt CPT 95924 | $205.10 | $293.00 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $58.80 | $84.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $159.60 | $228.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $85.40 | $122.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $121.80 | $174.00 | not published | 0 |
| Antibody htlv-ii CPT 86688 | $177.10 | $253.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $505.40 | $722.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $273.70 | $391.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $72.80 | $104.00 | not published | 0 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $27.30 | $39.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $141.40 | $202.00 | not published | 0 |
| Antidepressant not specified CPT 80338 | $207.20 | $296.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $1,056.30 | $1,509.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $26.60 | $38.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $68.60 | $98.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $100.10 | $143.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $118.30 | $169.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $100.10 | $143.00 | not published | 0 |
| Antipsychotics nos 1-3 CPT 80342 | $207.20 | $296.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $64.40 | $92.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $163.80 | $234.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81410 | $1,222.90 | $1,747.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81411 | $3,275.30 | $4,679.00 | not published | 0 |
| Apc gene dup/delet variants CPT 81203 | $462.00 | $660.00 | not published | 0 |
| Apc gene full sequence CPT 81201 | $1,801.80 | $2,574.00 | not published | 0 |
| Apheresis immunoads slctv CPT 36516 | $8,842.40 | $12,632.00 | not published | 0 |
| Apheresis plasma CPT 36514 | $5,313.70 | $7,591.00 | not published | 0 |
| Apheresis rbc CPT 36512 | $5,313.70 | $7,591.00 | not published | 0 |
| Apheresis wbc CPT 36511 | $4,558.40 | $6,512.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $646.10 | $923.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $1,727.60 | $2,468.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $4,857.30 | $6,939.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $2,429.70 | $3,471.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $1,599.50 | $2,285.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $149.80 | $214.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $431.20 | $616.00 | not published | 0 |
| Application of cylinder cast 29365 CPT 29365 | $350.00 | $500.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $346.50 | $495.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $427.00 | $610.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $428.40 | $612.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $303.80 | $434.00 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $123.90 | $177.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $185.50 | $265.00 | not published | 0 |
| Apply finger cast 29086 CPT 29086 | $257.60 | $368.00 | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $550.20 | $786.00 | not published | 0 |
| Apply halo w/removal cranial CPT 20661 | $1,486.80 | $2,124.00 | not published | 0 |
| Apply hand/wrist cast 29085 CPT 29085 | $471.10 | $673.00 | not published | 0 |
| Apply of finger splint 29131 CPT 29131 | $556.50 | $795.00 | not published | 0 |
| Apply surf ldr radionuclide CPT 77789 | $282.80 | $404.00 | not published | 0 |
| #aptt mix-1:1 incubated CPT 87532 | $191.10 | $273.00 | not published | 0 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $196.00 | $280.00 | not published | 0 |
| Aqmbf pet rest & rx stress CPT 78434 | $2,957.50 | $4,225.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $1,191.40 | $1,702.00 | not published | 0 |
| Aquaporin-4 antibody elisa CPT 86051 | $429.10 | $613.00 | not published | 0 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $133.00 | $190.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $211.40 | $302.00 | not published | 0 |
| Ar gene charac alleles CPT 81204 | $287.70 | $411.00 | not published | 0 |
| Artery-vein nonautograft CPT 36830 | $18,019.40 | $25,742.00 | not published | 0 |
| Artery xray each vessel 7577426 CPT 75774 | $2,585.10 | $3,693.00 | not published | 0 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,462.20 | $4,946.00 | not published | 0 |
| Artery x-rays adrenal gland CPT 75731 | $2,905.00 | $4,150.00 | not published | 0 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $6,422.50 | $9,175.00 | not published | 0 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $4,183.20 | $5,976.00 | not published | 0 |
| Artery x-rays chest CPT 75756 | $1,988.00 | $2,840.00 | not published | 0 |
| Artery x-rays lung CPT 75741 | $6,675.20 | $9,536.00 | not published | 0 |
| Artery x-rays lung CPT 75746 | $2,020.90 | $2,887.00 | not published | 0 |
| Artery x-rays lungs CPT 75743 | $7,009.10 | $10,013.00 | not published | 0 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $4,306.40 | $6,152.00 | not published | 0 |
| Artery x-rays spine CPT 75705 | $5,770.10 | $8,243.00 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,358.00 | $1,940.00 | not published | 0 |
| Arthrt glenhumrl jt w/expl CPT 23107 | $16,329.60 | $23,328.00 | not published | 0 |
| Aspa gene CPT 81200 | $1,662.50 | $2,375.00 | not published | 0 |
| Asp core fat pad CPT 17999 | $10,215.80 | $14,594.00 | not published | 0 |
| Asp & inj bone cyst CPT 20615 | $3,620.40 | $5,172.00 | not published | 0 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $3,252.20 | $4,646.00 | not published | 0 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $535.50 | $765.00 | not published | 0 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $1,792.00 | $2,560.00 | not published | 0 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $1,634.50 | $2,335.00 | not published | 0 |
| Assay dir meas fr estradiol CPT 82681 | $85.40 | $122.00 | not published | 0 |
| Assay duodenal fluid trypsin CPT 84485 | $15.40 | $22.00 | not published | 0 |
| Assay myeloperoxidase CPT 83876 | $98.70 | $141.00 | not published | 0 |
| Assay neurflmnt light chain CPT 83884 | $1,173.90 | $1,677.00 | not published | 0 |
| Assay of adp & amp CPT 82030 | $217.70 | $311.00 | not published | 0 |
| Assay of androsterone CPT 82160 | $56.70 | $81.00 | not published | 0 |
| Assay of etiocholanolone CPT 82696 | $58.10 | $83.00 | not published | 0 |
| Assay of feces porphyrins CPT 84126 | $105.00 | $150.00 | not published | 0 |
| Assay of fluoride CPT 82735 | $39.20 | $56.00 | not published | 0 |
| Assay of galactose CPT 82760 | $494.20 | $706.00 | not published | 0 |
| Assay of glutathione CPT 82978 | $119.70 | $171.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $36.40 | $52.00 | not published | 0 |
| Assay of leflunomide CPT 80193 | $81.20 | $116.00 | not published | 0 |
| Assay of osteocalcin CPT 83937 | $110.60 | $158.00 | not published | 0 |
| Assay of pregnanediol CPT 84135 | $46.90 | $67.00 | not published | 0 |
| Assay of pregnanetriol CPT 84138 | $46.20 | $66.00 | not published | 0 |
| Assay of procainamide w/metab CPT 80192 | $144.90 | $207.00 | not published | 0 |
| Assay of prostaglandin CPT 84150 | $256.20 | $366.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $189.70 | $271.00 | not published | 0 |
| Assay of silica CPT 84285 | $142.10 | $203.00 | 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.