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 |
|---|---|---|---|---|
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $12,808.60 | $18,298.00 | not published | 0 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $12,808.60 | $18,298.00 | not published | 0 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $41,253.80 | $58,934.00 | not published | 0 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $41,253.80 | $58,934.00 | not published | 0 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $41,253.80 | $58,934.00 | not published | 0 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $25,979.10 | $37,113.00 | not published | 0 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $25,979.10 | $37,113.00 | not published | 0 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | $25,979.10 | $37,113.00 | not published | 0 |
| Revasc evasc imvt angio sf 1st CPT 37296 | $25,979.10 | $37,113.00 | not published | 0 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $12,808.60 | $18,298.00 | not published | 0 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $25,979.10 | $37,113.00 | not published | 0 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $25,979.10 | $37,113.00 | not published | 0 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $25,979.10 | $37,113.00 | not published | 0 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $25,979.10 | $37,113.00 | not published | 0 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $41,253.80 | $58,934.00 | not published | 0 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $41,253.80 | $58,934.00 | not published | 0 |
| Revasc intra lithotrip-ather HCPCS C9766 | $20,512.80 | $29,304.00 | not published | 0 |
| Revasc intra lithotrip-stent HCPCS C9765 | $13,102.60 | $18,718.00 | not published | 0 |
| Revasc intravasc lithotripsy HCPCS C9764 | $12,307.40 | $17,582.00 | not published | 0 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $16,375.80 | $23,394.00 | not published | 0 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $16,375.80 | $23,394.00 | not published | 0 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $15,291.50 | $21,845.00 | not published | 0 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $16,375.80 | $23,394.00 | not published | 0 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $1,314.60 | $1,878.00 | not published | 0 |
| Revision of penis CPT 54430 | $2,739.10 | $3,913.00 | not published | 0 |
| Revision of penis CPT 54435 | $4,459.70 | $6,371.00 | not published | 0 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $6,669.60 | $9,528.00 | not published | 0 |
| Revsc opn/prq tib/pero stent CPT 37234 | $17,838.10 | $25,483.00 | not published | 0 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $4,444.30 | $6,349.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $69.30 | $99.00 | not published | 0 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $172.90 | $247.00 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $130.20 | $186.00 | not published | 0 |
| R hrt cath chd abnl nt cnj CPT 93594 | $10,433.50 | $14,905.00 | not published | 0 |
| R hrt cath chd nml nt cnj CPT 93593 | $10,433.50 | $14,905.00 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $830.02 | $1,185.75 | not published | 0 |
| Right ventric recording CPT 93603 | $3,760.40 | $5,372.00 | not published | 0 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $12,452.30 | $17,789.00 | not published | 0 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $1,030.40 | $1,472.00 | not published | 0 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $5,679.80 | $8,114.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,722.30 | $3,889.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $13,111.70 | $18,731.00 | not published | 0 |
| Rmvl perq right heart vad CPT 33997 | $1,199.80 | $1,714.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $5,196.10 | $7,423.00 | not published | 0 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $268.10 | $383.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,706.20 | $3,866.00 | not published | 0 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $7,725.20 | $11,036.00 | not published | 0 |
| Rp therapy unlisted px CPT 79999 | $549.50 | $785.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $177.80 | $254.00 | not published | 0 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $254.10 | $363.00 | not published | 0 |
| Rtm dev sply cbt 16-30 d CPT 98978 | $84.00 | $120.00 | not published | 0 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $72.10 | $103.00 | not published | 0 |
| Rtm tx mgmt 1st 20 min CPT 98980 | $81.90 | $117.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $82.60 | $118.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $79.10 | $113.00 | not published | 0 |
| Runx1 gene targeted seq alys CPT 81334 | $799.40 | $1,142.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $151.20 | $216.00 | not published | 0 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,164.10 | $1,663.00 | not published | 0 |
| Salivary gland imaging CPT 78230 | $975.10 | $1,393.00 | not published | 0 |
| S bowel endoscope w/stent CPT 44379 | $2,002.00 | $2,860.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,875.30 | $2,679.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,165.50 | $1,665.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,543.50 | $2,205.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $1,391.60 | $1,988.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,058.40 | $1,512.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $637.00 | $910.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,736.00 | $2,480.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,263.50 | $1,805.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,094.80 | $1,564.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $523.60 | $748.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $105.00 | $150.00 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $93.10 | $133.00 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $10,026.10 | $14,323.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $44.80 | $64.00 | not published | 0 |
| Semen analysis w/count CPT 89310 | $91.00 | $130.00 | not published | 0 |
| Sept9 promoter methylation analysis CPT 81327 | $443.80 | $634.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $580.30 | $829.00 | not published | 0 |
| Sertraline (zoloft) - sendout CPT 80332 | $207.90 | $297.00 | not published | 0 |
| Set radiation therapy field CPT 77285 | $3,812.90 | $5,447.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $208.60 | $298.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $291.20 | $416.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,323.90 | $6,177.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $3,827.60 | $5,468.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $3,591.70 | $5,131.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $228.20 | $326.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $523.60 | $748.00 | not published | 0 |
| Sialidase enzyme assay CPT 87905 | $62.30 | $89.00 | not published | 0 |
| Sialography s&i CPT 70390 | $1,460.20 | $2,086.00 | not published | 0 |
| Sickling rbc CPT 85660 | $58.80 | $84.00 | not published | 0 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $2,308.60 | $3,298.00 | not published | 0 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $24,825.50 | $35,465.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $324.10 | $463.00 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,656.10 | $5,223.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $3,161.20 | $4,516.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $2,606.10 | $3,723.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $2,597.00 | $3,710.00 | not published | 0 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $228.90 | $327.00 | not published | 0 |
| Slco1b1 gene com variants CPT 81328 | $403.20 | $576.00 | not published | 0 |
| Sm-153 lexidron ther HCPCS A9604 | $28,298.90 | $40,427.00 | not published | 0 |
| Small bowel endoscopy CPT 44378 | $4,866.40 | $6,952.00 | not published | 0 |
| Small bowel endoscopy CPT 44384 | $2,193.10 | $3,133.00 | 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.