Does Alexian Brothers Medical Center publish its standard charges and chargemaster?

Yes. Alexian Brothers Medical Center publishes a machine-readable file with 17,732 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Alexian Brothers Medical Center charge for procedures?

Alexian Brothers Medical Center (Elk Grove Village, IL) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · IL · CCN 140258

Alexian Brothers Medical Center

Elk Grove Village, IL, 60007-3397

282 bedsAcute Care Hospitals1

Compliance grade

92/100

Rates published

17,732

last crawl 2026-05-23

Procedures tracked

171

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All IL hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/362596381_alexian-brothers-medical-center_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	12	—	—	$1,920	$9,381.25	0.73×	$15,047
Psychiatric diagnostic evaluation	CPT	90791	19	—	—	$159.12	$209.36	1.2×	$534.06
Psychiatric eval with medical services	CPT	90792	19	—	—	$159.12	$209.36	1.2×	$534.06
Psychotherapy 30 minutes	CPT	90832	19	—	—	$159.12	$209.36	1.4×	$293.11
Psychotherapy 45 minutes	CPT	90834	19	—	—	$159.12	$209.36	1.3×	$325.08
Psychotherapy 60 minutes	CPT	90837	19	—	—	$159.12	$209.36	1.1×	$477.3
Crisis psychotherapy 60 minutes	CPT	90839	12	—	—	$159.12	$172.51	1.1×	$293.11
emergency
ED visit level 1	CPT	99281	19	—	—	$65.74	$91.79	0.66×	$881
ED visit level 2	CPT	99282	19	—	—	$126.61	$165.08	0.70×	$881
ED visit level 3	CPT	99283	19	—	—	$202.09	$288.64	0.71×	$2,475
ED visit level 4	CPT	99284	19	—	—	$359.26	$443.88	0.66×	$776.79
ED visit level 5	CPT	99285	19	—	—	$285.89	$639.11	0.61×	$1,118.44
Critical care, first hour	CPT	99291	19	—	—	$141.68	$878.35	0.82×	$1,537.11
imaging
CT head without contrast	CPT	70450	19	—	—	$105.31	$139.06	0.67×	$812.7
CT head with contrast	CPT	70460	19	—	—	$176.29	$237.53	1.0×	$1,003.62
CT head with and without contrast	CPT	70470	19	—	—	$176.29	$237.53	0.89×	$1,215.18
CT neck with contrast	CPT	70491	19	—	—	$176.29	$237.53	0.87×	$1,179.06
MRI brain without contrast	CPT	70551	19	—	—	$239.37	$322.44	0.80×	$2,022.72
MRI brain with contrast	CPT	70552	19	—	—	$353.67	$476.52	1.00×	$2,265.24
MRI brain with and without contrast	CPT	70553	19	—	—	$353.67	$476.52	0.81×	$3,209.52
Chest X-ray single view	CPT	71045	19	—	—	$43.31	$96.38	1.0×	$160.63
Chest X-ray 2 views	CPT	71046	19	—	—	$58.06	$107.89	1.1×	$160.63
Chest X-ray 3 views	CPT	71047	19	—	—	$72.8	$114.74	1.2×	$162.54
CT chest without contrast	CPT	71250	19	—	—	$105.31	$139.06	0.65×	$1,057.8
CT chest with contrast	CPT	71260	19	—	—	$176.29	$237.53	0.84×	$1,269.36
CT chest with and without contrast	CPT	71270	19	—	—	$176.29	$237.53	0.81×	$1,501.56
MRI chest without contrast	CPT	71550	19	—	—	$239.37	$322.52	0.75×	$2,159.46
MRI chest with contrast	CPT	71551	19	—	—	$563.65	$947.11	1.2×	$2,427.78
MRI chest with and without contrast	CPT	71552	19	—	—	$353.67	$476.52	0.79×	$3,323.04
Lumbosacral spine X-ray	CPT	72100	19	—	—	$72.8	$128.45	1.2×	$193.99
CT cervical spine without contrast	CPT	72125	19	—	—	$105.31	$139.06	0.69×	$1,013.94
CT thoracic spine without contrast	CPT	72128	19	—	—	$105.31	$139.06	0.70×	$1,011.36
CT lumbar spine without contrast	CPT	72131	19	—	—	$105.31	$139.06	0.68×	$1,011.36
MRI cervical spine without contrast	CPT	72141	19	—	—	$239.37	$315.48	0.79×	$1,855.02
MRI thoracic spine without contrast	CPT	72146	19	—	—	$239.37	$315.48	0.85×	$1,909.2
MRI lumbar spine without contrast	CPT	72148	19	—	—	$239.37	$316.3	0.84×	$1,973.7
MRI lumbar spine with and without contrast	CPT	72149	19	—	—	$353.67	$476.27	1.0×	$2,262.66
MRI cervical spine with and without contrast	CPT	72156	19	—	—	$353.67	$476.52	0.88×	$3,070.2
MRI lumbar spine with contrast	CPT	72158	19	—	—	$353.67	$476.52	0.87×	$3,031.5
CT pelvis without contrast	CPT	72192	19	—	—	$105.31	$139.06	0.70×	$1,008.78
CT pelvis with contrast	CPT	72193	19	—	—	$176.29	$237.53	0.84×	$1,207.44
Shoulder X-ray	CPT	73030	19	—	—	$63.79	$101.73	1.1×	$160.63
Humerus X-ray	CPT	73060	19	—	—	$60.51	$97.99	1.1×	$160.63
Hand X-ray 3 views	CPT	73130	19	—	—	$71.16	$99.24	1.1×	$160.63
MRI upper extremity joint without contrast	CPT	73221	19	—	—	$239.37	$322.52	0.78×	$1,873.08
MRI upper extremity joint with and without contrast	CPT	73223	19	—	—	$353.67	$476.52	0.78×	$2,894.76
Hip X-ray 2 views	CPT	73510	9	—	—	$126.61	$134.16	1.8×	$134.16
Knee X-ray 1-2 views	CPT	73560	19	—	—	$65.43	$96.14	1.0×	$160.63
Ankle X-ray 3 views	CPT	73610	19	—	—	$71.16	$99.24	1.1×	$160.63
MRI lower extremity joint without contrast	CPT	73721	19	—	—	$239.37	$322.52	0.69×	$1,991.76
MRI lower extremity joint with and without contrast	CPT	73723	19	—	—	$353.67	$476.52	0.75×	$2,887.02
CT abdomen without contrast	CPT	74150	19	—	—	$105.31	$139.06	0.74×	$1,016.52
CT abdomen with contrast	CPT	74160	19	—	—	$176.29	$237.53	0.83×	$1,349.34
CT abdomen with and without contrast	CPT	74170	19	—	—	$176.29	$237.53	0.71×	$1,759.56
CT abdomen and pelvis without contrast	CPT	74176	19	—	—	$238.17	$289.77	0.80×	$2,025.3
CT abdomen and pelvis with contrast	CPT	74177	19	—	—	$353.67	$465.35	0.85×	$2,556.78
CT abdomen and pelvis with and without contrast	CPT	74178	19	—	—	$353.67	$465.35	0.81×	$3,227.58
MRI abdomen without contrast	CPT	74181	19	—	—	$239.37	$322.52	0.83×	$1,803.42
MRI abdomen with and without contrast	CPT	74183	19	—	—	$353.67	$476.52	0.84×	$3,049.56
Abdominal ultrasound complete	CPT	76700	19	—	—	$105.31	$141.89	0.95×	$500.52
Abdominal ultrasound limited	CPT	76705	19	—	—	$105.31	$141.89	0.97×	$363.78
Retroperitoneal ultrasound complete	CPT	76770	19	—	—	$105.31	$141.89	0.99×	$459.24
Obstetric ultrasound first trimester	CPT	76801	19	—	—	$105.31	$141.89	1.0×	$482.46
Obstetric ultrasound after first trimester	CPT	76805	19	—	—	$105.31	$141.89	0.93×	$534.06
Obstetric ultrasound with fetal anatomy	CPT	76811	19	—	—	$190.54	$289.77	1.2×	$815.28
Transvaginal ultrasound	CPT	76830	19	—	—	$105.31	$141.89	0.96×	$441.18
Pelvic ultrasound complete	CPT	76856	19	—	—	$105.31	$141.89	0.99×	$443.76
Scrotal ultrasound	CPT	76870	19	—	—	$105.31	$141.89	1.1×	$420.54
Diagnostic mammography unilateral	CPT	77065	19	—	—	$83.29	$109.59	0.73×	$485.04
Diagnostic mammography bilateral	CPT	77066	19	—	—	$105.92	$139.38	0.73×	$601.14
Screening mammography bilateral	CPT	77067	19	—	—	$87.38	$114.98	0.73×	$518.58
EKG complete	CPT	93000	9	—	—	$80.35	$85.14	3.5×	$106.26
EKG tracing only	CPT	93005	19	—	—	$46.26	$61.92	0.53×	$394.68
EKG interpretation only	CPT	93010	9	—	—	$34.09	$36.12	2.0×	$93.61
Transthoracic echocardiogram complete	CPT	93306	19	—	—	$542.98	$714.45	1.2×	$1,103.08
Transthoracic echocardiogram	CPT	93307	19	—	—	$239.37	$314.96	1.3×	$1,153.68
Stress echocardiogram	CPT	93350	19	—	—	$542.98	$714.45	1.4×	$2,884.2
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	18	—	—	$1,920	$10,444	0.68×	$16,834
COPD w MCC	MS-DRG	190	18	—	—	$1,920	$7,365.93	0.66×	$11,933
COPD w CC	MS-DRG	191	18	—	—	$1,920	$5,605.74	0.64×	$9,081.3
COPD w/o CC/MCC	MS-DRG	192	18	—	—	$1,920	$4,354.52	0.62×	$10,458
Simple pneumonia & pleurisy w CC	MS-DRG	194	18	—	—	$1,920	$5,359.03	0.63×	$8,681.63
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	12	—	—	$1,920	$4,221.16	0.63×	$6,770.58
AMI discharged alive w MCC	MS-DRG	280	18	—	—	$1,920	$10,667	0.68×	$20,788
AMI discharged alive w CC	MS-DRG	281	18	—	—	$1,920	$6,111.79	0.63×	$17,933
AMI discharged alive w/o CC/MCC	MS-DRG	282	18	—	—	$1,920	$4,856.51	0.62×	$14,703
Heart failure & shock w MCC	MS-DRG	291	12	—	—	$1,920	$8,622.32	0.67×	$13,830
Heart failure & shock w CC	MS-DRG	292	12	—	—	$1,920	$5,702.1	0.64×	$9,145.94
Heart failure & shock w/o CC/MCC	MS-DRG	293	12	—	—	$1,920	$3,801.4	0.61×	$6,097.29
Cardiac arrhythmia w MCC	MS-DRG	308	18	—	—	$1,920	$8,166.43	0.68×	$12,970
Cardiac arrhythmia w CC	MS-DRG	309	18	—	—	$1,920	$5,211.12	0.67×	$15,992
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	18	—	—	$1,920	$4,127.63	0.67×	$8,117.98
GI hemorrhage w CC	MS-DRG	378	12	—	—	$1,920	$6,586.62	0.66×	$10,565
GI hemorrhage w/o CC/MCC	MS-DRG	379	12	—	—	$1,920	$4,233.92	0.62×	$6,791.04
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	12	—	—	$1,920	$5,235.99	0.65×	$8,398.32
Fractures of femur w/o MCC	MS-DRG	533	12	—	—	$1,920	$10,529	0.69×	$16,888
Kidney/UTI w MCC	MS-DRG	689	12	—	—	$1,920	$7,792.86	0.67×	$12,499
Kidney/UTI w/o MCC	MS-DRG	690	18	—	—	$1,920	$5,544.46	0.67×	$20,610
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	12	—	—	$1,920	$13,046	0.70×	$20,926
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	12	—	—	$1,920	$6,872.74	0.66×	$11,024
Initial hospital care, low complexity	CPT	99221	9	—	—	$258.09	$273.48	2.9×	$283.36
Initial hospital care, moderate complexity	CPT	99222	9	—	—	$353.05	$374.1	2.2×	$384.56
Initial hospital care, high complexity	CPT	99223	9	—	—	$500.94	$549.54	2.4×	$549.54
Hospital discharge, <30 min	CPT	99238	9	—	—	$192.35	$203.82	2.4×	$389.62
Hospital discharge, >30 min	CPT	99239	9	—	—	$277.57	$294.12	2.4×	$569.25
lab
Basic metabolic panel (BMP)	CPT	80048	19	—	—	$8.04	$9.86	0.30×	$37.48
General health panel	CPT	80050	12	—	—	$35.77	$177.1	1.6×	$209.8
Electrolyte panel	CPT	80051	19	—	—	$4.34	$8.17	0.34×	$31.05
Comprehensive metabolic panel	CPT	80053	19	—	—	$10.03	$13.2	0.30×	$46.78
Lipid panel	CPT	80061	19	—	—	$11.58	$15.4	0.40×	$59.32
Renal function panel	CPT	80069	19	—	—	$8.25	$10.85	0.40×	$38.45
Hepatic function panel	CPT	80076	19	—	—	$7.59	$9.52	0.36×	$36.19
Urinalysis non-automated	CPT	81002	19	—	—	$2.61	$3.97	0.57×	$15.42
Urinalysis automated	CPT	81003	19	—	—	$1.69	$2.62	0.19×	$9.97
Glucose quantitative	CPT	82947	19	—	—	$1.28	$4.58	0.26×	$17.41
Hemoglobin A1c	CPT	83036	19	—	—	$7.28	$11.31	0.42×	$43.02
Thyroid stimulating hormone (TSH)	CPT	84443	19	—	—	$12.6	$19.58	0.41×	$74.42
Complete blood count with automated differential	CPT	85025	19	—	—	$5.83	$9.06	0.34×	$34.42
Complete blood count without differential	CPT	85027	19	—	—	$4.85	$7.54	0.35×	$28.66
Urine culture bacterial	CPT	87086	19	—	—	$6.05	$9.41	0.40×	$35.75
Urine culture identification	CPT	87088	19	—	—	$6.07	$9.43	0.42×	$35.84
Tissue exam by pathologist level IV	CPT	88305	19	—	—	$27.25	$69.63	0.68×	$245.1
maternity
Fetal non-stress test	CPT	59025	12	—	—	$199.21	$215.99	1.1×	$366.97
office
Office visit, new patient, 15-29 min	CPT	99202	9	—	—	$63.25	$203.82	2.4×	$203.82
Office visit, new patient, 30-44 minutes	CPT	99203	9	—	—	$121.44	$299.28	2.4×	$299.28
Office visit, new patient, 45-59 min	CPT	99204	9	—	—	$179.63	$454.08	2.6×	$454.08
Office visit, new patient, 60-74 min	CPT	99205	9	—	—	$270.71	$572.76	2.6×	$572.76
Office visit, established patient, 5 min	CPT	99211	9	—	—	$60.87	$64.5	1.0×	$389.62
Office visit, established patient, 10-19 min	CPT	99212	9	—	—	$116.87	$123.84	1.5×	$222.64
Office visit, established patient, 20-29 minutes	CPT	99213	9	—	—	$172.87	$183.18	1.6×	$209.99
Office visit, established patient, 30-39 minutes	CPT	99214	9	—	—	$260.53	$276.06	1.8×	$346.61
Office visit, established patient, 40-54 min	CPT	99215	9	—	—	$374.97	$397.32	2.1×	$488.29
preventive
Upper GI endoscopy diagnostic	CPT	43235	12	—	—	$928.46	$1,006.65	1.1×	$1,710.33
Upper GI endoscopy with biopsy	CPT	43239	12	—	—	$928.46	$1,006.65	1.0×	$1,710.33
Sigmoidoscopy diagnostic	CPT	45330	12	—	—	$902.86	$978.89	1.2×	$1,663.16
Sigmoidoscopy with biopsy	CPT	45331	12	—	—	$902.86	$978.89	1.1×	$1,663.16
Colonoscopy diagnostic	CPT	45378	12	—	—	$902.86	$978.89	1.1×	$1,663.16
surgery
Knee revision arthroplasty single component	CPT	27486	1	—	—	$9,156.6	$9,156.6	5.5×	$9,156.6
Knee revision arthroplasty all components	CPT	27487	1	—	—	$11,495	$11,495	5.7×	$11,495
Shoulder arthroscopy with rotator cuff repair	CPT	29827	1	—	—	$9,654	$9,654	2.9×	$9,654
ACL reconstruction	CPT	29888	1	—	—	$9,654	$9,654	2.9×	$9,654
Major small/large bowel procedures w MCC	MS-DRG	329	12	—	—	$1,920	$30,871	0.72×	$49,516
Major small/large bowel procedures w CC	MS-DRG	330	12	—	—	$1,920	$16,100	0.69×	$25,824
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	12	—	—	$1,920	$11,303	0.69×	$18,129
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	12	—	—	$1,920	$11,361	0.69×	$18,223
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	12	—	—	$1,920	$9,173.05	0.68×	$14,713
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	18	—	—	$1,680.33	$22,656	0.70×	$36,703
Major joint replacement w MCC	MS-DRG	469	18	—	—	$1,796.59	$20,170	0.68×	$32,675
Major joint replacement w/o MCC	MS-DRG	470	18	—	—	$1,502.18	$12,827	0.68×	$20,779
Laparoscopic cholecystectomy	CPT	47562	1	—	—	$9,654	$9,654	5.4×	$9,654
Lap cholecystectomy with cholangiography	CPT	47563	1	—	—	$9,654	$9,654	5.1×	$9,654
Hip & femur procedures except major joint w MCC	MS-DRG	480	18	—	—	$1,920	$19,366	0.69×	$31,373
Hip & femur procedures except major joint w CC	MS-DRG	481	12	—	—	$1,920	$14,067	0.69×	$22,563
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	18	—	—	$1,920	$10,846	0.68×	$17,570
Open umbilical hernia repair	CPT	49560	1	—	—	$9,654	$9,654	5.1×	$9,654
Lap inguinal hernia repair	CPT	49650	1	—	—	$9,654	$9,654	8.6×	$9,654
Total abdominal hysterectomy	CPT	58150	1	—	—	$9,654	$9,654	9.9×	$9,654
OR procedure for obesity w MCC	MS-DRG	619	12	—	—	$17,113	$19,777	0.73×	$31,105
OR procedure for obesity w CC	MS-DRG	620	12	—	—	$10,110	$10,961	0.68×	$31,052
OR procedure for obesity w/o CC/MCC	MS-DRG	621	18	—	—	$1,575.19	$10,432	0.69×	$31,052
Complex cataract surgery	CPT	66982	1	—	—	$3,941	$3,941	1.8×	$3,941
Cataract surgery with lens implant	CPT	66984	1	—	—	$3,941	$3,941	1.8×	$3,941
Intravitreal injection	CPT	67028	12	—	—	$328.47	$356.13	1.0×	$605.08
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	12	—	—	$1,920	$8,332.84	0.68×	$13,366
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	12	—	—	$1,920	$13,762	0.72×	$22,074
PCI single major coronary artery	CPT	92920	3	—	—	$6,903	$13,322	2.3×	$17,154
PCI with drug-eluting stent	CPT	92928	2	—	—	$7,607	$16,990	1.7×	$17,154
PCI bypass graft	CPT	92937	2	—	—	$7,607	$16,990	1.6×	$17,154
Left heart catheterization	CPT	93452	4	—	—	$5,623	$7,517.5	2.4×	$10,271
Coronary angiography with cath	CPT	93455	3	—	—	$5,623	$6,855	2.2×	$10,271
Coronary angiography with bypass cath	CPT	93458	4	—	—	$5,623	$7,517.5	2.4×	$10,271

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 19)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	164	$251.97
Aetna	162	$251.97
UnitedHealthcare	143	$239.37
Humana	140	$251.97
smarthealth	137	$259.8
aarp	136	$176.29
actin care	136	$287.63
Ambetter	136	$300.62
Bright Health	136	$231.96
Medicare	136	$191.14
Molina	136	$191.14
Self-Pay (Cash)	136	$185.57
county care	124	$561.15
illinicare	124	$561.15
meridian	124	$561.15
Medicaid	124	$561.15
harmony health plan	124	$561.15
family health plan	124	$561.15
Cigna	108	$384.56

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