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 |
|---|---|---|---|---|
| Dmpk gene detc abnor allele CPT 81234 | $316.40 | $452.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $130.20 | $186.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $88.90 | $127.00 | not published | 0 |
| Doppler echo complete CPT 93320 | $1,038.10 | $1,483.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,260.20 | $6,086.00 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $477.40 | $682.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,531.60 | $2,188.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $3,717.00 | $5,310.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $1,015.00 | $1,450.00 | not published | 0 |
| Drainage of eye CPT 65800 | $5,379.50 | $7,685.00 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $751.80 | $1,074.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $742.70 | $1,061.00 | not published | 0 |
| Drainage of salivary gland CPT 42305 | $5,553.10 | $7,933.00 | not published | 0 |
| Drainage of urethra abscess 53060 CPT 53060 | $3,805.20 | $5,436.00 | not published | 0 |
| Drain bladder by trocar/cath CPT 51101 | $556.50 | $795.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,505.50 | $7,865.00 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,912.40 | $2,732.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,556.00 | $5,080.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $2,342.20 | $3,346.00 | not published | 0 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $5,700.80 | $8,144.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $184.80 | $264.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $158.20 | $226.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $509.60 | $728.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $120.40 | $172.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $367.50 | $525.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $81.90 | $117.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $100.80 | $144.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $257.60 | $368.00 | not published | 0 |
| Drug test def 22+ classes HCPCS G0483 | $405.30 | $579.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $289.80 | $414.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $437.50 | $625.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $116.20 | $166.00 | not published | 0 |
| Dry needling (97799) CPT 97799 | $700.00 | $1,000.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $5,598.60 | $7,998.00 | $165.10 – $165.10 | 2 |
| Duodenal motility study CPT 91022 | $1,143.10 | $1,633.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,732.50 | $2,475.00 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $550.20 | $786.00 | not published | 0 |
| Dx laryngoscopy newborn CPT 31520 | $408.80 | $584.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $78.40 | $112.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $234.50 | $335.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $863.80 | $1,234.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,305.50 | $1,865.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,383.90 | $1,977.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $877.80 | $1,254.00 | not published | 0 |
| Echo exam of fetal heart CPT 76825 | $1,170.40 | $1,672.00 | not published | 0 |
| Echo exam of fetal heart CPT 76826 | $952.00 | $1,360.00 | not published | 0 |
| Echo exam of fetal heart CPT 76827 | $987.70 | $1,411.00 | not published | 0 |
| Echo exam of fetal heart CPT 76828 | $387.80 | $554.00 | not published | 0 |
| Echo exam uterus 76831- CPT 76831 | $1,399.30 | $1,999.00 | not published | 0 |
| Echograp trans r pros study CPT 76873 | $2,104.90 | $3,007.00 | not published | 0 |
| Echo guide for amniocentesis CPT 76946 | $1,050.70 | $1,501.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $721.00 | $1,030.00 | not published | 0 |
| Echo guide for heart biopsy CPT 76932 | $781.20 | $1,116.00 | not published | 0 |
| Echo guide for transfusion CPT 76941 | $472.50 | $675.00 | not published | 0 |
| Echo guide villus sampling CPT 76945 | $963.20 | $1,376.00 | not published | 0 |
| Echo tee guidance CPT 93355 | $5,871.60 | $8,388.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,572.50 | $3,675.00 | not published | 0 |
| Echo transthoracic CPT 93303 | $2,471.70 | $3,531.00 | not published | 0 |
| Echo transthoracic CPT 93304 | $1,957.90 | $2,797.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,997.10 | $2,853.00 | not published | 0 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $2,922.50 | $4,175.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,356.60 | $1,938.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $1,043.70 | $1,491.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $835.10 | $1,193.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,010.80 | $1,444.00 | not published | 0 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,142.40 | $1,632.00 | not published | 0 |
| Eeg monitoring/function test CPT 95958 | $707.70 | $1,011.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $885.50 | $1,265.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $2,022.30 | $2,889.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $1,092.00 | $1,560.00 | not published | 0 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $4,246.90 | $6,067.00 | not published | 0 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $3,033.80 | $4,334.00 | not published | 0 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $3,370.50 | $4,815.00 | not published | 0 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $4,246.90 | $6,067.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $162.40 | $232.00 | not published | 0 |
| Egd esophagogastrc fndoplsty CPT 43210 | $9,573.90 | $13,677.00 | not published | 0 |
| Egd optical endomicroscopy CPT 43252 | $2,372.30 | $3,389.00 | not published | 0 |
| Egd w/transmural drain cyst CPT 43240 | $4,375.00 | $6,250.00 | not published | 0 |
| Egfr gene com variants CPT 81235 | $984.20 | $1,406.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $81.20 | $116.00 | not published | 0 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $7,676.55 | $10,966.50 | $38.97 – $38.97 | 2 |
| Elect analysis of infusion pump 62367 CPT 62367 | $677.60 | $968.00 | not published | 0 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $1,070.30 | $1,529.00 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $189.70 | $271.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $74.90 | $107.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,185.10 | $1,693.00 | not published | 0 |
| Electrophysiologic study CPT 93624 | $9,277.80 | $13,254.00 | not published | 0 |
| Electrophysiology evaluation CPT 93619 | $8,975.40 | $12,822.00 | not published | 0 |
| Embolization s&i CPT 75894 | $4,783.80 | $6,834.00 | not published | 0 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $15,229.20 | $21,756.00 | not published | 0 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $13,282.50 | $18,975.00 | not published | 0 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $553.70 | $791.00 | not published | 0 |
| Emg needle test 4-extremities CPT 95864 | $1,495.20 | $2,136.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $182.70 | $261.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $162.40 | $232.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $162.40 | $232.00 | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $1,198.40 | $1,712.00 | not published | 0 |
| Endo cath panc duct s&i CPT 74329 | $360.50 | $515.00 | not published | 0 |
| Endo defect closure gi tract HCPCS C9901 | $22,791.30 | $32,559.00 | not published | 0 |
| Endoluminl ivus oct c 1st CPT 92978 | $4,148.90 | $5,927.00 | 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.