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 |
|---|---|---|---|---|
| Change stent via transureth CPT 50385 | $6,201.30 | $8,859.00 | not published | 0 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $701.40 | $1,002.00 | not published | 0 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $1,084.30 | $1,549.00 | not published | 0 |
| Chemodenervation anal musc CPT 46505 | $3,590.30 | $5,129.00 | not published | 0 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $1,827.70 | $2,611.00 | not published | 0 |
| Chemo ia infusion up to 1 hr CPT 96422 | $725.90 | $1,037.00 | not published | 0 |
| Chemo intralesional over 7 CPT 96406 | $301.70 | $431.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $966.00 | $1,380.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $900.20 | $1,286.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,416.00 | $4,880.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $3,173.80 | $4,534.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $2,611.00 | $3,730.00 | not published | 0 |
| Chest X-ray CPT 71046 | $325.50 | $465.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $240.10 | $343.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $855.40 | $1,222.00 | not published | 0 |
| Chimerism anal no cell selec CPT 81267 | $847.00 | $1,210.00 | not published | 0 |
| Chimerism anal w/cell select CPT 81268 | $896.00 | $1,280.00 | not published | 0 |
| Chlamydia type CPT 87140 | $46.90 | $67.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $51.10 | $73.00 | not published | 0 |
| Chloroprocaine hcl injection HCPCS J2401 | $181.65 | $259.50 | not published | 0 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $728.70 | $1,041.00 | not published | 0 |
| Cholangiogram percutaneous compl CPT 47532 | $5,539.80 | $7,914.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $921.20 | $1,316.00 | not published | 0 |
| Cholesterol CPT 82465 | $54.60 | $78.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $1,131.20 | $1,616.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $184.10 | $263.00 | not published | 0 |
| Cholinesterase CPT 82480 | $42.70 | $61.00 | not published | 0 |
| Chorion biopsy CPT 59015 | $1,399.30 | $1,999.00 | not published | 0 |
| Chromatography CPT 83021 | $281.40 | $402.00 | not published | 0 |
| Chromogenic substrate assay CPT 85130 | $480.20 | $686.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $1,273.30 | $1,819.00 | not published | 0 |
| Chromosome analys amniotic CPT 88269 | $1,143.10 | $1,633.00 | not published | 0 |
| Chromosome analysis 100 CPT 88249 | $208.60 | $298.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $665.70 | $951.00 | not published | 0 |
| Chromosome analysis 45 CPT 88263 | $315.70 | $451.00 | not published | 0 |
| Chromosome analysis 5 CPT 88261 | $976.50 | $1,395.00 | not published | 0 |
| Chromosome analysis 50-100 CPT 88248 | $1,129.10 | $1,613.00 | not published | 0 |
| Chromosome analys placenta CPT 88267 | $396.20 | $566.00 | not published | 0 |
| Chromosome count additional CPT 88285 | $149.80 | $214.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $188.30 | $269.00 | not published | 0 |
| Chromosome study additional CPT 88289 | $385.70 | $551.00 | not published | 0 |
| Chronic urticaria - sendout CPT 86343 | $100.10 | $143.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $171.50 | $245.00 | not published | 0 |
| Ciliary transsleral therapy CPT 66710 | $5,567.80 | $7,954.00 | not published | 0 |
| Cine/video x-rays CPT 76120 | $440.30 | $629.00 | not published | 0 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $4,342.10 | $6,203.00 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $739.20 | $1,056.00 | not published | 0 |
| Clearance of airways CPT 31720 | $397.60 | $568.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,339.80 | $1,914.00 | not published | 0 |
| Closed tx septal&nose fx CPT 21337 | $4,728.50 | $6,755.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $445.20 | $636.00 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,115.10 | $1,593.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $41,293.70 | $58,991.00 | not published | 0 |
| Clot factor fletcher fact CPT 85292 | $242.90 | $347.00 | not published | 0 |
| Clot factor viii reltd antgn CPT 85244 | $377.30 | $539.00 | not published | 0 |
| Clot factor wght kininogen CPT 85293 | $262.50 | $375.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $143.50 | $205.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $86.10 | $123.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $148.40 | $212.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $3,256.40 | $4,652.00 | not published | 0 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $808.50 | $1,155.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $336.70 | $481.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $930.30 | $1,329.00 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $1,141.70 | $1,631.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $829.50 | $1,185.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $829.50 | $1,185.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,790.50 | $5,415.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $5,644.80 | $8,064.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $609.00 | $870.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,084.20 | $4,406.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $760.90 | $1,087.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $829.50 | $1,185.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,967.30 | $4,239.00 | not published | 0 |
| Cltx post ankle fx CPT 27767 | $525.00 | $750.00 | not published | 0 |
| Cltx thigh fx w/mnpj CPT 27268 | $2,366.70 | $3,381.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $179.90 | $257.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $257.60 | $368.00 | not published | 0 |
| Cnbp gene detc abnor allele CPT 81187 | $434.00 | $620.00 | not published | 0 |
| Co2 monitor per day CPT 94681 | $1,104.60 | $1,578.00 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $81.90 | $117.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $58.80 | $84.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | $96.25 | $137.50 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $178.50 | $255.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $6,898.85 | $9,855.50 | $1.80 – $1.80 | 1 |
| Colonoscopy (diagnostic) CPT 45378 | $2,524.90 | $3,607.00 | not published | 0 |
| Colonoscopy w/decompression CPT 44408 | $1,572.20 | $2,246.00 | not published | 0 |
| Colonoscopy w/dilation CPT 44405 | $1,415.40 | $2,022.00 | not published | 0 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $4,094.30 | $5,849.00 | not published | 0 |
| Colonoscopy with ablation CPT 44401 | $4,067.00 | $5,810.00 | not published | 0 |
| Colonoscopy (with biopsy) CPT 45380 | $4,094.30 | $5,849.00 | not published | 0 |
| Colonoscopy (with polyp removal) CPT 45385 | $4,094.30 | $5,849.00 | not published | 0 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | $5,565.70 | $7,951.00 | not published | 0 |
| Colonoscopy w/ultrasound CPT 44406 | $1,449.00 | $2,070.00 | not published | 0 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $3,504.90 | $5,007.00 | not published | 0 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $327.60 | $468.00 | not published | 0 |
| Colposcopy vulva 56820 CPT 56820 | $676.90 | $967.00 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $205.80 | $294.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $150.50 | $215.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $112.70 | $161.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $125.30 | $179.00 | 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.