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 |
|---|---|---|---|---|
| X-ray elbow >= 3 views (both sides) CPT 73080 | $309.40 | $442.00 | not published | 0 |
| Xray endovasc thor ao repr CPT 75957 | $3,993.50 | $5,705.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $828.10 | $1,183.00 | not published | 0 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $823.20 | $1,176.00 | not published | 0 |
| X-ray exam entire spi 6/> vw CPT 72084 | $2,067.10 | $2,953.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $451.50 | $645.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $828.10 | $1,183.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $426.30 | $609.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $266.70 | $381.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $379.40 | $542.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $897.40 | $1,282.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $566.30 | $809.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $319.20 | $456.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $324.10 | $463.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $375.90 | $537.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $521.50 | $745.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $468.30 | $669.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $1,071.00 | $1,530.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $804.30 | $1,149.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $940.80 | $1,344.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $987.70 | $1,411.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $497.00 | $710.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $380.10 | $543.00 | not published | 0 |
| X-ray joint survey 1 view CPT 77077 | $485.10 | $693.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $556.50 | $795.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $584.50 | $835.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $481.60 | $688.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $478.80 | $684.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $637.00 | $910.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $582.40 | $832.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,169.00 | $1,670.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $719.60 | $1,028.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $524.30 | $749.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $716.10 | $1,023.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $378.00 | $540.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $406.00 | $580.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $321.30 | $459.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $662.90 | $947.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,158.50 | $1,655.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $399.00 | $570.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $787.50 | $1,125.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $514.50 | $735.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $988.40 | $1,412.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $410.90 | $587.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $401.10 | $573.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $500.50 | $715.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $415.10 | $593.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $840.70 | $1,201.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,332.10 | $1,903.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $484.40 | $692.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $604.10 | $863.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $790.30 | $1,129.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $781.90 | $1,117.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $450.10 | $643.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $706.30 | $1,009.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $538.30 | $769.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $790.30 | $1,129.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,001.00 | $1,430.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $803.60 | $1,148.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $707.00 | $1,010.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $414.40 | $592.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $649.60 | $928.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $613.20 | $876.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $804.30 | $1,149.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $536.90 | $767.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $436.10 | $623.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,048.60 | $1,498.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $822.50 | $1,175.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $425.60 | $608.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $125.30 | $179.00 | not published | 0 |
| Yersinia antibody CPT 86793 | $144.20 | $206.00 | not published | 0 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $65,419.20 | $93,456.00 | 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.