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 |
|---|---|---|---|---|
| Assay of thiocyanate CPT 84430 | $24.50 | $35.00 | not published | 0 |
| Assay of urine sulfate CPT 84392 | $45.50 | $65.00 | not published | 0 |
| Assay phosphohexose enzymes CPT 84087 | $493.50 | $705.00 | not published | 0 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $362.60 | $518.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $47.60 | $68.00 | not published | 0 |
| Ast/sgot CPT 84450 | $66.50 | $95.00 | not published | 0 |
| Asxl1 full gene sequence CPT 81175 | $1,641.50 | $2,345.00 | not published | 0 |
| Asxl1 gene target seq alys CPT 81176 | $904.40 | $1,292.00 | not published | 0 |
| Atn1 gene detc abnor alleles CPT 81177 | $316.40 | $452.00 | not published | 0 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $350.70 | $501.00 | not published | 0 |
| Atxn10 gene detc abnor allel CPT 81183 | $316.40 | $452.00 | not published | 0 |
| Atxn1 gene detc abnor allele CPT 81178 | $316.40 | $452.00 | not published | 0 |
| Atxn2 gene detc abnor allele CPT 81179 | $316.40 | $452.00 | not published | 0 |
| Atxn3 gene detc abnor allele CPT 81180 | $316.40 | $452.00 | not published | 0 |
| Atxn7 gene detc abnor allele CPT 81181 | $316.40 | $452.00 | not published | 0 |
| Atxn8os gen detc abnor allel CPT 81182 | $316.40 | $452.00 | not published | 0 |
| Audiometry air + bone CPT 92553 | $182.00 | $260.00 | not published | 0 |
| Autologous blood process CPT 86890 | $977.90 | $1,397.00 | not published | 0 |
| Autolog prp diab wound ulcer HCPCS G0465 | $4,004.00 | $5,720.00 | not published | 0 |
| Autonomic nrv adrenrg inervj CPT 95922 | $952.70 | $1,361.00 | not published | 0 |
| Autonomic nrv syst funj test CPT 95923 | $1,099.00 | $1,570.00 | not published | 0 |
| Avul nail plate addl CPT 11732 | $1,981.70 | $2,831.00 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $5.07 | $7.25 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $47.42 | $67.75 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $463.92 | $662.75 | not published | 0 |
| Baclofen eval charges CPT 97750 | $147.70 | $211.00 | not published | 0 |
| Bacterial meningitis antigen CPT 86403 | $107.80 | $154.00 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $1,701.00 | $2,430.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $106.40 | $152.00 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $5,342.40 | $7,632.00 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $252.70 | $361.00 | not published | 0 |
| B cells total count CPT 86355 | $141.40 | $202.00 | not published | 0 |
| Bckdhb gene CPT 81205 | $230.30 | $329.00 | not published | 0 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $105.00 | $150.00 | not published | 0 |
| Benign lesion paring 2-4 CPT 11056 | $264.60 | $378.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $217.70 | $311.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $236.77 | $338.25 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $98.70 | $141.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $102.20 | $146.00 | not published | 0 |
| Beta-amyloid 1-40 CPT 82233 | $331.10 | $473.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $392.00 | $560.00 | not published | 0 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $185.50 | $265.00 | not published | 0 |
| B-hexosaminidase ea assay CPT 83080 | $69.30 | $99.00 | not published | 0 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $2,525.60 | $3,608.00 | not published | 0 |
| Biliary endo perq dx w/speci CPT 47552 | $2,288.30 | $3,269.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47553 | $6,700.40 | $9,572.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47555 | $3,804.50 | $5,435.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47556 | $6,652.10 | $9,503.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $68.60 | $98.00 | not published | 0 |
| Bilirubin total CPT 82247 | $44.10 | $63.00 | not published | 0 |
| Biopsy, bone open deep CPT 20245 | $7,266.70 | $10,381.00 | not published | 0 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $3,561.60 | $5,088.00 | not published | 0 |
| Biopsy lower leg soft tissue CPT 27613 | $3,856.30 | $5,509.00 | not published | 0 |
| Biopsy of inestine 44100 CPT 44100 | $2,052.40 | $2,932.00 | not published | 0 |
| Biopsy of nail unit 11755 CPT 11755 | $2,163.00 | $3,090.00 | not published | 0 |
| Biopsy of nerve CPT 64795 | $6,381.90 | $9,117.00 | not published | 0 |
| Biopsy of penis 54100 CPT 54100 | $4,982.60 | $7,118.00 | not published | 0 |
| Biopsy of prostate CPT 55700 | $5,028.80 | $7,184.00 | not published | 0 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $6,904.80 | $9,864.00 | not published | 0 |
| Biopsy/removal lymph nodes CPT 38525 | $8,311.10 | $11,873.00 | not published | 0 |
| Biopsy roof of mouth CPT 42100 | $2,534.00 | $3,620.00 | not published | 0 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $1,097.60 | $1,568.00 | not published | 0 |
| Biospy of bladder CPT 53899 | $7,735.00 | $11,050.00 | not published | 0 |
| Biotinidase - quest CPT 82261 | $35.70 | $51.00 | not published | 0 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $642.60 | $918.00 | not published | 0 |
| Bld exchange truj oth thn nb CPT 36455 | $851.90 | $1,217.00 | not published | 0 |
| Blink reflex test CPT 95933 | $368.90 | $527.00 | not published | 0 |
| Blm gene CPT 81209 | $95.20 | $136.00 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $343.00 | $490.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $51.80 | $74.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $77.00 | $110.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $78.40 | $112.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $67.90 | $97.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $739.90 | $1,057.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $18.20 | $26.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $275.80 | $394.00 | not published | 0 |
| Blood, l/r, irradiated HCPCS P9056 | $974.40 | $1,392.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $63.00 | $90.00 | not published | 0 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $39.90 | $57.00 | not published | 0 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $37.80 | $54.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $57.40 | $82.00 | not published | 0 |
| Blood split unit HCPCS P9011 | $308.00 | $440.00 | not published | 0 |
| Blood typing abo CPT 86900 | $84.00 | $120.00 | not published | 0 |
| Blood typing ag donor ea ag CPT 86902 | $258.30 | $369.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $258.30 | $369.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $65.80 | $94.00 | not published | 0 |
| Blood typing rh phenotype complete reference CPT 86906 | $105.00 | $150.00 | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $637.00 | $910.00 | not published | 0 |
| Bone marrow interpretation CPT 85097 | $618.80 | $884.00 | not published | 0 |
| Bone survey-lead poisoning CPT 77074 | $1,142.40 | $1,632.00 | not published | 0 |
| Borrelia antibody CPT 86619 | $32.20 | $46.00 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $305.20 | $436.00 | not published | 0 |
| Borrelia miyamotoi amp prb CPT 87478 | $81.20 | $116.00 | not published | 0 |
| (both sides) smear without diff wbc count CPT 85008 | $53.90 | $77.00 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $735.70 | $1,051.00 | not published | 0 |
| Brace m arm board HCPCS L3809 | $305.20 | $436.00 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $405.30 | $579.00 | not published | 0 |
| Brachytx isodose complex CPT 77318 | $4,649.40 | $6,642.00 | not published | 0 |
| Brachytx isodose intermed CPT 77317 | $4,071.20 | $5,816.00 | not published | 0 |
| Brachytx isodose plan simple CPT 77316 | $3,780.70 | $5,401.00 | 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.