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 |
|---|---|---|---|---|
| Endoluminl ivus oct c ea CPT 92979 | $527.80 | $754.00 | not published | 0 |
| Endo outlet restrict w/tube HCPCS C9785 | $17,566.50 | $25,095.00 | not published | 0 |
| Endoscopy swallow (fees) i&r CPT 92613 | $71.40 | $102.00 | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $672.00 | $960.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $3,669.40 | $5,242.00 | not published | 0 |
| Endo sleeve gastro w/tube HCPCS C9784 | $17,566.50 | $25,095.00 | not published | 0 |
| Endovasc tempory vessel occl CPT 61623 | $7,317.80 | $10,454.00 | not published | 0 |
| Endovenous laser vein addon 36479 CPT 36479 | $1,043.00 | $1,490.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | $8,828.40 | $12,612.00 | not published | 0 |
| Endovenous rf abl vein addl CPT 36476 | $4,347.00 | $6,210.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $12,296.90 | $17,567.00 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $273.87 | $391.25 | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $78.40 | $112.00 | not published | 0 |
| Enzyme cell activity ra CPT 82658 | $30.80 | $44.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $618.80 | $884.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $4,568.55 | $6,526.50 | $58.10 – $58.10 | 2 |
| Epidural lysis on single day 62264 CPT 62264 | $3,359.30 | $4,799.00 | not published | 0 |
| Epilepsy gen seq alys panel CPT 81419 | $5,142.20 | $7,346.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $2,848.30 | $4,069.00 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $72.10 | $103.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $87.50 | $125.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $100.80 | $144.00 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $1,660.40 | $2,372.00 | not published | 0 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $6,370.70 | $9,101.00 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $103.77 | $148.25 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $399.70 | $571.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $757.40 | $1,082.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $1,346.80 | $1,924.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $2,524.90 | $3,607.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $3,534.30 | $5,049.00 | not published | 0 |
| Esd endoscopy or colonoscopy HCPCS C9779 | $6,483.40 | $9,262.00 | not published | 0 |
| Esophageal dilat s&i CPT 74360 | $538.30 | $769.00 | not published | 0 |
| Esophageal motility CPT 78258 | $1,381.10 | $1,973.00 | not published | 0 |
| Esophagosc dilate balloon 30 CPT 43214 | $2,403.80 | $3,434.00 | not published | 0 |
| Esophagosc flex trnsn biopsy CPT 43198 | $4,008.20 | $5,726.00 | not published | 0 |
| Esophagoscop mucosal resect CPT 43211 | $4,972.10 | $7,103.00 | not published | 0 |
| Esophagoscop stent placement CPT 43212 | $4,491.20 | $6,416.00 | not published | 0 |
| Esophagoscopy flex dx brush CPT 43197 | $2,194.50 | $3,135.00 | not published | 0 |
| Esophagoscopy lesion removal CPT 43216 | $3,875.90 | $5,537.00 | not published | 0 |
| Esophagoscopy retro balloon CPT 43213 | $5,180.70 | $7,401.00 | not published | 0 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $3,994.20 | $5,706.00 | not published | 0 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | $6,645.80 | $9,494.00 | not published | 0 |
| Esophagoscp rig trnso biopsy CPT 43193 | $5,497.80 | $7,854.00 | not published | 0 |
| Esophagoscp rig trnso inject CPT 43192 | $5,570.60 | $7,958.00 | not published | 0 |
| Esophgl motil w/stim/perfus CPT 91013 | $1,563.10 | $2,233.00 | not published | 0 |
| Esoph optical endomicroscopy CPT 43206 | $6,174.00 | $8,820.00 | not published | 0 |
| Esoph scope w/sclerosis inj CPT 43204 | $1,724.10 | $2,463.00 | not published | 0 |
| Establish brain cavity shunt CPT 62223 | $4,312.70 | $6,161.00 | not published | 0 |
| Establish brain cavity shunt CPT 62220 | $6,550.60 | $9,358.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $158.90 | $227.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $196.00 | $280.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $291.20 | $416.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $398.30 | $569.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $609.00 | $870.00 | not published | 0 |
| Estradiol total CPT 82670 | $165.20 | $236.00 | not published | 0 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $524.30 | $749.00 | not published | 0 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $801.50 | $1,145.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $309.40 | $442.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $392.70 | $561.00 | not published | 0 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $4,795.00 | $6,850.00 | not published | 0 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $10,782.10 | $15,403.00 | not published | 0 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $17,607.10 | $25,153.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $343.00 | $490.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $393.40 | $562.00 | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | $7,265.30 | $10,379.00 | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $5,856.90 | $8,367.00 | not published | 0 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $5,827.50 | $8,325.00 | not published | 0 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $6,570.20 | $9,386.00 | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | $5,334.70 | $7,621.00 | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $5,852.00 | $8,360.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $3,463.60 | $4,948.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $6,308.40 | $9,012.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $2,552.20 | $3,646.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $3,920.00 | $5,600.00 | not published | 0 |
| Exc forearm les sc 3 cm/> CPT 25071 | $7,167.30 | $10,239.00 | not published | 0 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $5,503.40 | $7,862.00 | not published | 0 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $2,813.30 | $4,019.00 | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $3,959.20 | $5,656.00 | not published | 0 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $5,797.40 | $8,282.00 | not published | 0 |
| Excision graft extremity CPT 35903 | $16,016.00 | $22,880.00 | not published | 0 |
| Excision of anal lesion(s) CPT 46922 | $3,147.90 | $4,497.00 | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $7,009.10 | $10,013.00 | not published | 0 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $3,039.40 | $4,342.00 | not published | 0 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $3,430.00 | $4,900.00 | not published | 0 |
| Exc prtl bn phlnx toe CPT 28124 | $6,665.40 | $9,522.00 | not published | 0 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $7,004.20 | $10,006.00 | not published | 0 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $7,609.70 | $10,871.00 | not published | 0 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $6,657.00 | $9,510.00 | not published | 0 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $5,107.20 | $7,296.00 | not published | 0 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $7,757.40 | $11,082.00 | not published | 0 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $8,011.50 | $11,445.00 | not published | 0 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $7,861.00 | $11,230.00 | not published | 0 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $9,697.10 | $13,853.00 | not published | 0 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $6,636.00 | $9,480.00 | not published | 0 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $7,278.60 | $10,398.00 | not published | 0 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $6,339.90 | $9,057.00 | not published | 0 |
| Exome sequence analysis CPT 81415 | $11,041.80 | $15,774.00 | not published | 0 |
| Exome sequence analysis CPT 81416 | $27,720.00 | $39,600.00 | not published | 0 |
| Exploration carotid artery 35701 CPT 35701 | $1,580.60 | $2,258.00 | not published | 0 |
| Explore chest vessels 35820 CPT 35820 | $5,129.60 | $7,328.00 | 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.