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 |
|---|---|---|---|---|
| Test for urine cystines CPT 82615 | $25.20 | $36.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $1,036.70 | $1,481.00 | not published | 0 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $6,744.50 | $9,635.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $96.60 | $138.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $60.20 | $86.00 | not published | 0 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $519.40 | $742.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $8.22 | $11.75 | not published | 0 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $11,188.10 | $15,983.00 | not published | 0 |
| Thrombin time CPT 85670 | $56.00 | $80.00 | not published | 0 |
| Thromboendarterectomy common femoral CPT 35371 | $16,705.50 | $23,865.00 | not published | 0 |
| Thromboendarterectomy sfa CPT 35302 | $4,185.30 | $5,979.00 | not published | 0 |
| Thromboplastin inhibition CPT 85705 | $87.50 | $125.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $63.00 | $90.00 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $274.40 | $392.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $162.40 | $232.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $1,343.30 | $1,919.00 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $79.80 | $114.00 | not published | 0 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $9,074.80 | $12,964.00 | not published | 0 |
| Tissue culture placenta CPT 88235 | $363.30 | $519.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $2,269.40 | $3,242.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $317.80 | $454.00 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $163.10 | $233.00 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | $240.10 | $343.00 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $104.47 | $149.25 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $188.30 | $269.00 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $95.90 | $137.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $125.30 | $179.00 | not published | 0 |
| Total tau CPT 84394 | $392.00 | $560.00 | not published | 0 |
| Toxoplasma antibody igg CPT 86777 | $95.90 | $137.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $93.80 | $134.00 | not published | 0 |
| Tp53 gene full gene sequence CPT 81351 | $1,483.30 | $2,119.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $761.60 | $1,088.00 | not published | 0 |
| Tpmt gene com vrnts CPT 81335 | $490.70 | $701.00 | not published | 0 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $9,430.40 | $13,472.00 | not published | 0 |
| Transcath closure of vsd CPT 93581 | $39,478.60 | $56,398.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $3,234.00 | $4,620.00 | not published | 0 |
| Transcath occlusion cns CPT 61624 | $37,463.30 | $53,519.00 | not published | 0 |
| Trans cath replace aortic valve 33366 CPT 33366 | $22,570.10 | $32,243.00 | not published | 0 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $7,154.00 | $10,220.00 | not published | 0 |
| Transferrin CPT 84466 | $44.10 | $63.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $1,561.00 | $2,230.00 | not published | 0 |
| Transorl lwr esophgl myotomy CPT 43497 | $7,436.10 | $10,623.00 | not published | 0 |
| Transplj hematopoietic boost CPT 38243 | $2,987.60 | $4,268.00 | not published | 0 |
| Transplt allo hct/donor CPT 38240 | $4,373.60 | $6,248.00 | not published | 0 |
| Transplt allo lymphocytes CPT 38242 | $2,433.20 | $3,476.00 | not published | 0 |
| Transplt autol hct/donor CPT 38241 | $4,373.60 | $6,248.00 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $15,921.50 | $22,745.00 | not published | 0 |
| Treat elbow dislocation CPT 24605 | $2,202.20 | $3,146.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $2,746.80 | $3,924.00 | not published | 0 |
| Treat finger fracture each CPT 26742 | $886.90 | $1,267.00 | not published | 0 |
| Treat foot dislocation CPT 28570 | $741.30 | $1,059.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $541.80 | $774.00 | not published | 0 |
| Treat hip dislocation CPT 27257 | $2,779.70 | $3,971.00 | not published | 0 |
| Treat lower jaw fracture 21462 CPT 21462 | $17,292.10 | $24,703.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $51.80 | $74.00 | not published | 0 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $5,276.60 | $7,538.00 | not published | 0 |
| Treatment of foot infection CPT 28002 | $5,389.30 | $7,699.00 | not published | 0 |
| Treatment of toe fracture 28510 CPT 28510 | $829.50 | $1,185.00 | not published | 0 |
| Treat thigh fx growth plate CPT 27517 | $2,933.00 | $4,190.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $93.10 | $133.00 | not published | 0 |
| Trg gene rearrangement anal CPT 81342 | $844.90 | $1,207.00 | not published | 0 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $20.65 | $29.50 | not published | 0 |
| Trichomonas assay w/optic CPT 87808 | $57.40 | $82.00 | not published | 0 |
| #tricyclicantidprssnt CPT 80337 | $43.40 | $62.00 | not published | 0 |
| Triglycerides CPT 84478 | $66.50 | $95.00 | not published | 0 |
| Trim nondyst nails CPT 11719 | $113.40 | $162.00 | not published | 0 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $26,989.20 | $38,556.00 | not published | 0 |
| Trml dstrj ios bvn ea addl CPT 64629 | $13,493.90 | $19,277.00 | not published | 0 |
| Trnscath plc stnt ante carotid art CPT 37218 | $1,249.50 | $1,785.00 | not published | 0 |
| Troponin quantitative CPT 84484 | $170.80 | $244.00 | not published | 0 |
| Tte w or without contr, cont ecg HCPCS C8930 | $4,760.00 | $6,800.00 | not published | 0 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $5,628.70 | $8,041.00 | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $8,633.80 | $12,334.00 | not published | 0 |
| Tympanometry & reflex thresh CPT 92550 | $116.90 | $167.00 | not published | 0 |
| Ugt1a1 gene analy common variants CPT 81350 | $718.90 | $1,027.00 | not published | 0 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $852.60 | $1,218.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $532.00 | $760.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $438.90 | $627.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $1,039.50 | $1,485.00 | not published | 0 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $969.50 | $1,385.00 | not published | 0 |
| Ultrasound elastography ea l target les CPT 76983 | $434.00 | $620.00 | not published | 0 |
| Ultrasound elastography parenchyma CPT 76981 | $482.30 | $689.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $1,406.30 | $2,009.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,237.60 | $1,768.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $1,120.70 | $1,601.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $1,292.20 | $1,846.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,705.20 | $2,436.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $2,104.20 | $3,006.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $2,603.30 | $3,719.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $1,275.40 | $1,822.00 | not published | 0 |
| Ultrasound infant hips ltd without stress CPT 76886 | $1,087.80 | $1,554.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $1,269.80 | $1,814.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $774.90 | $1,107.00 | not published | 0 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $245.70 | $351.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $1,598.10 | $2,283.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $819.70 | $1,171.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,360.80 | $1,944.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $830.90 | $1,187.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $718.90 | $1,027.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $749.00 | $1,070.00 | 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.