▸ Hospital · IL · CCN 140258

Alexian Brothers Medical Center

800 BIESTERFIELD ROAD, 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 hospitals JSON

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

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