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 |
|---|---|---|---|---|
| PSA (Prostate) Test CPT 84153 | $152.60 | $218.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $84.70 | $121.00 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | $920.50 | $1,315.00 | not published | 0 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $920.50 | $1,315.00 | not published | 0 |
| Psytx complex interactive CPT 90785 | $41.30 | $59.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $233.10 | $333.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $189.70 | $271.00 | not published | 0 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $74.90 | $107.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $42.70 | $61.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $119.70 | $171.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $119.70 | $171.00 | not published | 0 |
| Pten gene dup/delet variant CPT 81323 | $693.00 | $990.00 | not published | 0 |
| Pten gene full sequence CPT 81321 | $1,386.00 | $1,980.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $731.50 | $1,045.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $486.50 | $695.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $611.10 | $873.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $286.30 | $409.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $161.00 | $230.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $133.00 | $190.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $126.70 | $181.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $126.00 | $180.00 | not published | 0 |
| Pul art balloon repr percut CPT 92997 | $5,117.00 | $7,310.00 | not published | 0 |
| Pul art balloon repr percut CPT 92998 | $1,810.90 | $2,587.00 | not published | 0 |
| Pulmonary vent imaging CPT 78579 | $1,782.90 | $2,547.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $99.40 | $142.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $107.80 | $154.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $204.40 | $292.00 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $319.20 | $456.00 | not published | 0 |
| Pvb thoracic cont infusion CPT 64463 | $1,834.00 | $2,620.00 | not published | 0 |
| Pyruvate CPT 84210 | $70.70 | $101.00 | not published | 0 |
| Pyruvate kinase CPT 84220 | $88.90 | $127.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $64.40 | $92.00 | not published | 0 |
| Radiation handling CPT 77790 | $639.10 | $913.00 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $1,186.50 | $1,695.00 | not published | 0 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,998.80 | $4,284.00 | not published | 0 |
| Radphm quant measure sgl area add-on CPT 78835 | $795.90 | $1,137.00 | not published | 0 |
| Rapid Strep Test CPT 87880 | $133.00 | $190.00 | not published | 0 |
| Rb82 rubidium HCPCS A9555 | $2,771.30 | $3,959.00 | not published | 0 |
| Rbc count only automated CPT 85041 | $16.80 | $24.00 | not published | 0 |
| Rbc deglycerolized each unit HCPCS P9039 | $882.70 | $1,261.00 | not published | 0 |
| Rbc irradiated each unit HCPCS P9038 | $648.90 | $927.00 | not published | 0 |
| Rbc osmotic fragility CPT 85555 | $109.20 | $156.00 | not published | 0 |
| Rbc serum pretx incubj drugs CPT 86975 | $138.60 | $198.00 | not published | 0 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $13,281.80 | $18,974.00 | not published | 0 |
| Reconstruction of nose CPT 30420 | $10,589.60 | $15,128.00 | not published | 0 |
| Rectal sensation test CPT 91120 | $860.30 | $1,229.00 | not published | 0 |
| Red blood cells each unit HCPCS P9021 | $449.40 | $642.00 | not published | 0 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $1,045.10 | $1,493.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $588.00 | $840.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $882.00 | $1,260.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $808.50 | $1,155.00 | not published | 0 |
| Redo endovas vena cava filtr CPT 37192 | $4,610.90 | $6,587.00 | not published | 0 |
| Refill maint impl spine pump CPT 95991 | $677.60 | $968.00 | not published | 0 |
| Refill/maint pump/resvr syst CPT 96522 | $591.50 | $845.00 | not published | 0 |
| Rem/biv cast full arm/leg CPT 29705 | $237.30 | $339.00 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $6,722.10 | $9,603.00 | not published | 0 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $162.40 | $232.00 | not published | 0 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $268.10 | $383.00 | not published | 0 |
| Removal anal seton other marker 46030 CPT 46030 | $5,293.40 | $7,562.00 | not published | 0 |
| Removal cerclage w/anes CPT 59871 | $5,912.20 | $8,446.00 | not published | 0 |
| Removal cerclage without anes CPT 59899 | $6,693.40 | $9,562.00 | not published | 0 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $13,806.80 | $19,724.00 | not published | 0 |
| Removal duct glbldr calculi CPT 47544 | $2,319.10 | $3,313.00 | not published | 0 |
| Removal of anal tags CPT 46230 | $3,198.30 | $4,569.00 | not published | 0 |
| Removal of lung lesion(s) 32150 CPT 32150 | $1,169.00 | $1,670.00 | not published | 0 |
| Remove anal fist subq CPT 46270 | $7,119.00 | $10,170.00 | not published | 0 |
| Remove cva lumen obstruct CPT 75902 | $763.70 | $1,091.00 | not published | 0 |
| Remove ext hem groups 2+ CPT 46250 | $6,119.40 | $8,742.00 | not published | 0 |
| Remove eyelid lesion CPT 67800 | $1,122.10 | $1,603.00 | not published | 0 |
| Remove hip/pelvis lesion 27047 CPT 27047 | $6,335.00 | $9,050.00 | not published | 0 |
| Remove skin nerve lesion 64788 CPT 64788 | $5,509.00 | $7,870.00 | not published | 0 |
| Remove spinal canal catheter 62355 CPT 62355 | $9,067.80 | $12,954.00 | not published | 0 |
| Remove stent via transureth CPT 50386 | $4,777.50 | $6,825.00 | not published | 0 |
| Renal cyst study s&i CPT 74470 | $940.80 | $1,344.00 | not published | 0 |
| Renal function panel CPT 80069 | $148.40 | $212.00 | not published | 0 |
| Renal venogram bil s&i CPT 75833 | $3,885.00 | $5,550.00 | not published | 0 |
| Repair blood ves direct neck 35201 CPT 35201 | $11,812.50 | $16,875.00 | not published | 0 |
| Repair blood vessel dir lower extr CPT 35226 | $4,632.60 | $6,618.00 | not published | 0 |
| Repair dental ellis ii fx CPT 41899 | $4,157.30 | $5,939.00 | not published | 0 |
| Repair detached retina CPT 67110 | $6,741.70 | $9,631.00 | not published | 0 |
| Repair elbow perc CPT 24357 | $3,236.10 | $4,623.00 | not published | 0 |
| Repair eyelid wound CPT 67930 | $4,668.30 | $6,669.00 | not published | 0 |
| Repair lac palate<2 cm CPT 42180 | $1,138.20 | $1,626.00 | not published | 0 |
| Repair of aneurysm CPT 35141 | $8,304.10 | $11,863.00 | not published | 0 |
| Repair palate CPT 42182 | $10,322.20 | $14,746.00 | not published | 0 |
| Repair pm/icd lead dual CPT 33220 | $5,669.30 | $8,099.00 | not published | 0 |
| Repair vagina/perineum CPT 57210 | $6,466.60 | $9,238.00 | not published | 0 |
| Replace aortic valve open axillry 33363 CPT 33363 | $22,887.20 | $32,696.00 | not published | 0 |
| Replace aortic valve open femoral 33362 CPT 33362 | $14,782.60 | $21,118.00 | not published | 0 |
| Replace aortic valve open transaortic 33365 CPT 33365 | $14,782.60 | $21,118.00 | not published | 0 |
| Replace/irrigate catheter CPT 62225 | $2,947.00 | $4,210.00 | not published | 0 |
| Replace/revise brain shunt CPT 62230 | $14,140.00 | $20,200.00 | not published | 0 |
| Repos lv lead pm/icd CPT 33226 | $13,172.60 | $18,818.00 | not published | 0 |
| Repos sq defib eltrd CPT 33273 | $8,514.10 | $12,163.00 | not published | 0 |
| Repr of anal fistula w/glue CPT 46706 | $6,136.20 | $8,766.00 | not published | 0 |
| Reptilase test CPT 85635 | $80.50 | $115.00 | not published | 0 |
| Resp virus 6-11 targets CPT 87632 | $623.00 | $890.00 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $1,053.50 | $1,505.00 | not published | 0 |
| Reticulocyte automated CPT 85045 | $53.20 | $76.00 | not published | 0 |
| Reticulocyte direct measurement automated CPT 85046 | $62.30 | $89.00 | 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.