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 |
|---|---|---|---|---|
| Ultrasound prostate/transrectal CPT 76872 | $1,085.00 | $1,550.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,313.20 | $1,876.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $1,376.90 | $1,967.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $1,559.60 | $2,228.00 | not published | 0 |
| Ultrasound transabd ea addl gest CPT 76812 | $1,157.10 | $1,653.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,079.40 | $1,542.00 | not published | 0 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $3,213.00 | $4,590.00 | not published | 0 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $4,034.80 | $5,764.00 | not published | 0 |
| Umbilical artery cath newborn 36660 CPT 36660 | $851.20 | $1,216.00 | not published | 0 |
| Unlisted CT procedure CPT 76497 | $1,941.10 | $2,773.00 | not published | 0 |
| Unlisted dx gi procedure CPT 91299 | $1,908.20 | $2,726.00 | not published | 0 |
| Unlisted fetal invas px w/us CPT 59897 | $606.90 | $867.00 | not published | 0 |
| Unlisted fluoroscopic px CPT 76496 | $26,511.80 | $37,874.00 | not published | 0 |
| Unlisted hematology&coagj px CPT 85999 | $65.10 | $93.00 | not published | 0 |
| Unlisted maaa CPT 81599 | $284.90 | $407.00 | not published | 0 |
| Unlisted mr procedure CPT 76498 | $2,110.50 | $3,015.00 | not published | 0 |
| Unlisted procedure colon CPT 45399 | $10,896.20 | $15,566.00 | not published | 0 |
| Unlisted procedure esophagus CPT 43499 | $15,993.60 | $22,848.00 | not published | 0 |
| Unlisted procedure liver CPT 47399 | $26,043.50 | $37,205.00 | not published | 0 |
| Unlisted procedure microbiology CPT 87999 | $490.70 | $701.00 | not published | 0 |
| Unlisted procedure pancreas CPT 48999 | $8,447.60 | $12,068.00 | not published | 0 |
| Unlisted procedure rectum CPT 45999 | $12,129.60 | $17,328.00 | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | $3,161.20 | $4,516.00 | not published | 0 |
| Unlisted px biliary tract CPT 47999 | $23,227.40 | $33,182.00 | not published | 0 |
| Unlisted px leg/ankle CPT 27899 | $13,652.80 | $19,504.00 | not published | 0 |
| Unlisted px med radj physics CPT 77399 | $1,124.20 | $1,606.00 | not published | 0 |
| Unlisted px posterior segmnt CPT 67299 | $8,799.70 | $12,571.00 | not published | 0 |
| Unlisted px small intestine CPT 44799 | $12,495.70 | $17,851.00 | not published | 0 |
| Unlisted surgical path px CPT 88399 | $81.20 | $116.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $105.00 | $150.00 | not published | 0 |
| Unlisted urinalysis px CPT 81099 | $114.10 | $163.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,696.30 | $6,709.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,101.30 | $5,859.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,809.40 | $5,442.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,743.30 | $3,919.00 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $3,217.90 | $4,597.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $58.80 | $84.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $56.00 | $80.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $839.30 | $1,199.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $897.40 | $1,282.00 | not published | 0 |
| Uric acid blood CPT 84550 | $79.10 | $113.00 | not published | 0 |
| Uric acid urine CPT 84560 | $53.20 | $76.00 | not published | 0 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $30.10 | $43.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $58.80 | $84.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $44.80 | $64.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $91.70 | $131.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $84.00 | $120.00 | not published | 0 |
| Urography, antegrade CPT 74425 | $1,262.80 | $1,804.00 | not published | 0 |
| Use 1st target lesion CPT 76982 | $482.30 | $689.00 | not published | 0 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $69.30 | $99.00 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $137.90 | $197.00 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $92.40 | $132.00 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $107.10 | $153.00 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $326.90 | $467.00 | not published | 0 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $84.00 | $120.00 | not published | 0 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $440.30 | $629.00 | not published | 0 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $423.50 | $605.00 | not published | 0 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $347.20 | $496.00 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $81.20 | $116.00 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $33.60 | $48.00 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $33.60 | $48.00 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $329.00 | $470.00 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $247.80 | $354.00 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $242.90 | $347.00 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $164.50 | $235.00 | not published | 0 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $275.80 | $394.00 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $314.30 | $449.00 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $77.70 | $111.00 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $77.00 | $110.00 | not published | 0 |
| Vaginal bx CPT 58999 | $132.30 | $189.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $127.40 | $182.00 | not published | 0 |
| Valvuloplasty mitral CPT 92987 | $9,664.90 | $13,807.00 | not published | 0 |
| Valvuloplasty pulmonary CPT 92990 | $6,469.40 | $9,242.00 | not published | 0 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | $21,092.40 | $30,132.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $278.95 | $398.50 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $154.70 | $221.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $83.30 | $119.00 | not published | 0 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $31,976.00 | $45,680.00 | not published | 0 |
| Veeg cont 2-12 hrs CPT 95713 | $4,044.60 | $5,778.00 | not published | 0 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,044.60 | $5,778.00 | not published | 0 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $3,707.20 | $5,296.00 | not published | 0 |
| Vein x-ray eye socket CPT 75880 | $1,353.10 | $1,933.00 | not published | 0 |
| Vein x-ray kidney CPT 75831 | $3,749.20 | $5,356.00 | not published | 0 |
| Vein x-ray liver CPT 75891 | $3,462.20 | $4,946.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,871.00 | $5,530.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,899.00 | $5,570.00 | not published | 0 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,452.80 | $3,504.00 | not published | 0 |
| Vein x-ray skull CPT 75870 | $1,862.00 | $2,660.00 | not published | 0 |
| Vein x-ray spleen/liver CPT 75810 | $1,512.70 | $2,161.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $816.90 | $1,167.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $2,265.20 | $3,236.00 | not published | 0 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,736.00 | $2,480.00 | not published | 0 |
| Venous m-thrombectomy add-on CPT 37188 | $6,379.10 | $9,113.00 | not published | 0 |
| Venous sampling s&i CPT 75893 | $2,668.40 | $3,812.00 | not published | 0 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $1,391.60 | $1,988.00 | not published | 0 |
| Version cephalic external CPT 59412 | $3,833.20 | $5,476.00 | not published | 0 |
| Very long chain fatty acids CPT 82726 | $149.10 | $213.00 | not published | 0 |
| Visc & infraren abd 3 prosth CPT 34847 | $17,873.10 | $25,533.00 | not published | 0 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $201.60 | $288.00 | not published | 0 |
| Vital capacity test CPT 94150 | $49.70 | $71.00 | 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.