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 |
|---|---|---|---|---|
| Culture fungi definitive id yeast CPT 87106 | $86.10 | $123.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $137.90 | $197.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $72.80 | $104.00 | not published | 0 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $112.70 | $161.00 | not published | 0 |
| Culture quantitative aerobic other source CPT 87071 | $168.00 | $240.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $102.20 | $146.00 | not published | 0 |
| Culture typing added method CPT 87158 | $75.60 | $108.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $46.90 | $67.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $529.20 | $756.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $135.80 | $194.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $71.40 | $102.00 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $84.70 | $121.00 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $47.07 | $67.25 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $198.10 | $283.00 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $116.20 | $166.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $38.15 | $54.50 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $946.75 | $1,352.50 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $656.60 | $938.00 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $403.20 | $576.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $1,041.60 | $1,488.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $403.20 | $576.00 | not published | 0 |
| Cystatin c CPT 82610 | $78.40 | $112.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $1,877.40 | $2,682.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $121.10 | $173.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $921.20 | $1,316.00 | not published | 0 |
| Cystoscopy chemodenervation CPT 52287 | $5,490.80 | $7,844.00 | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | $8,536.50 | $12,195.00 | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | $7,205.80 | $10,294.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $7,727.30 | $11,039.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $230.30 | $329.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $6,578.60 | $9,398.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $125.30 | $179.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $105.00 | $150.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $179.20 | $256.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $83.30 | $119.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $407.40 | $582.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $242.20 | $346.00 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $161.00 | $230.00 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,541.57 | $2,202.25 | not published | 0 |
| D&c after delivery 59160 CPT 59160 | $5,761.00 | $8,230.00 | not published | 0 |
| Dch glucoscan CPT 82948 | $37.80 | $54.00 | not published | 0 |
| Dch validity tests CPT 81002 | $31.50 | $45.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $163.10 | $233.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,899.80 | $2,714.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $475.30 | $679.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $160.30 | $229.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $1,523.20 | $2,176.00 | not published | 0 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,899.80 | $2,714.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,985.90 | $2,837.00 | not published | 0 |
| Decalcification CPT 88311 | $75.60 | $108.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $478.10 | $683.00 | not published | 0 |
| Decompression of leg CPT 27894 | $7,102.90 | $10,147.00 | not published | 0 |
| Decompression of lower leg CPT 27600 | $7,102.90 | $10,147.00 | not published | 0 |
| Delivery of placenta 59414 CPT 59414 | $2,444.40 | $3,492.00 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $65.10 | $93.00 | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $425.60 | $608.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $8,549.10 | $12,213.00 | $217.62 – $217.62 | 2 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $8,549.10 | $12,213.00 | $151.10 – $151.10 | 2 |
| Destruction anal lesion(s) CPT 46910 | $4,953.90 | $7,077.00 | not published | 0 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $678.30 | $969.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $154.70 | $221.00 | not published | 0 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $2,856.00 | $4,080.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $9,423.40 | $13,462.00 | $131.96 – $131.96 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $9,423.40 | $13,462.00 | $218.00 – $218.00 | 2 |
| Detect agent nos dna dir CPT 87797 | $105.00 | $150.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $209.30 | $299.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $399.00 | $570.00 | not published | 0 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $199.50 | $285.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $368.20 | $526.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $9.10 | $13.00 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $69.82 | $99.75 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $41.47 | $59.25 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $33.60 | $48.00 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $36.22 | $51.75 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $163.10 | $233.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $116.90 | $167.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $13,423.20 | $19,176.00 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | $618.80 | $884.00 | not published | 0 |
| Diagnostic anoscopy & biopsy CPT 46607 | $3,735.90 | $5,337.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $261.80 | $374.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $112.70 | $161.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $102.20 | $146.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $513.80 | $734.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $464.80 | $664.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $5,055.40 | $7,222.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,066.70 | $4,381.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $1,194.90 | $1,707.00 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $460.77 | $658.25 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $97.30 | $139.00 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $1,451.10 | $2,073.00 | not published | 0 |
| Dilation of cervical canal 57800 CPT 57800 | $4,780.30 | $6,829.00 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $3,345.30 | $4,779.00 | not published | 0 |
| Dilation of salivary duct CPT 42660 | $6,040.30 | $8,629.00 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,789.80 | $5,414.00 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $7,464.80 | $10,664.00 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $2.80 | $4.00 | not published | 0 |
| Disaccharidases CPT 82657 | $623.70 | $891.00 | not published | 0 |
| Dissolve clot heart vessel CPT 92975 | $1,688.40 | $2,412.00 | not published | 0 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $4,795.00 | $6,850.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $644.70 | $921.00 | 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.