▸ Hospital · IL · CCN 140290

St. Alexius Medical Center

1555 BARRINGTON ROAD, HOFFMAN ESTATES, IL, 60194

313 bedsAcute Care Hospitals1

Compliance grade

92/100

Procedures tracked

171

of 209 target codes

Payers

with negotiated rates

Rates published

17,458

last crawl 2026-05-23

▸ Compare with other hospitals All IL hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/364251846_st-alexius-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	$9,542.91	$15,306
Psychiatric diagnostic evaluation	CPT	90791	18	—	—	$159.12	$192.61	$534.06
Psychiatric eval with medical services	CPT	90792	18	—	—	$159.12	$192.61	$534.06
Psychotherapy 30 minutes	CPT	90832	18	—	—	$159.12	$192.61	$296.46
Psychotherapy 45 minutes	CPT	90834	18	—	—	$159.12	$192.61	$325.08
Psychotherapy 60 minutes	CPT	90837	18	—	—	$159.12	$192.61	$477.3
Crisis psychotherapy 60 minutes	CPT	90839	12	—	—	$159.12	$172.51	$296.46
emergency
ED visit level 1	CPT	99281	18	—	—	$65.74	$91.79	$881
ED visit level 2	CPT	99282	18	—	—	$126.61	$165.08	$881
ED visit level 3	CPT	99283	18	—	—	$202.09	$288.64	$2,475
ED visit level 4	CPT	99284	18	—	—	$359.26	$443.88	$785.67
ED visit level 5	CPT	99285	18	—	—	$285.89	$639.11	$1,131.22
Critical care, first hour	CPT	99291	18	—	—	$141.68	$878.35	$1,554.68
imaging
CT head without contrast	CPT	70450	18	—	—	$105.31	$138.56	$812.7
CT head with contrast	CPT	70460	18	—	—	$176.29	$231.96	$1,003.62
CT head with and without contrast	CPT	70470	18	—	—	$176.29	$231.96	$1,215.18
CT neck with contrast	CPT	70491	18	—	—	$176.29	$231.96	$1,179.06
MRI brain without contrast	CPT	70551	18	—	—	$239.37	$314.96	$2,022.72
MRI brain with contrast	CPT	70552	18	—	—	$353.67	$465.35	$2,265.24
MRI brain with and without contrast	CPT	70553	18	—	—	$353.67	$465.35	$3,209.52
Chest X-ray single view	CPT	71045	18	—	—	$43.31	$96.38	$162.47
Chest X-ray 2 views	CPT	71046	18	—	—	$58.06	$107.13	$162.47
Chest X-ray 3 views	CPT	71047	18	—	—	$72.8	$114.74	$162.54
CT chest without contrast	CPT	71250	18	—	—	$105.31	$138.56	$1,057.8
CT chest with contrast	CPT	71260	18	—	—	$176.29	$231.96	$1,269.36
CT chest with and without contrast	CPT	71270	18	—	—	$176.29	$231.96	$1,501.56
MRI chest without contrast	CPT	71550	18	—	—	$239.37	$314.96	$2,159.46
MRI chest with contrast	CPT	71551	18	—	—	$764.69	$1,029.46	$2,427.78
MRI chest with and without contrast	CPT	71552	18	—	—	$353.67	$465.35	$3,323.04
Lumbosacral spine X-ray	CPT	72100	18	—	—	$72.8	$129.05	$196.2
CT cervical spine without contrast	CPT	72125	18	—	—	$105.31	$138.56	$1,013.94
CT thoracic spine without contrast	CPT	72128	18	—	—	$105.31	$138.56	$1,011.36
CT lumbar spine without contrast	CPT	72131	18	—	—	$105.31	$138.56	$1,011.36
MRI cervical spine without contrast	CPT	72141	18	—	—	$239.37	$314.96	$1,855.02
MRI thoracic spine without contrast	CPT	72146	18	—	—	$239.37	$314.96	$1,909.2
MRI lumbar spine without contrast	CPT	72148	18	—	—	$239.37	$314.96	$1,973.7
MRI lumbar spine with and without contrast	CPT	72149	18	—	—	$353.67	$465.35	$2,262.66
MRI cervical spine with and without contrast	CPT	72156	18	—	—	$353.67	$465.35	$3,070.2
MRI lumbar spine with contrast	CPT	72158	18	—	—	$353.67	$465.35	$3,031.5
CT pelvis without contrast	CPT	72192	18	—	—	$105.31	$138.56	$1,008.78
CT pelvis with contrast	CPT	72193	18	—	—	$176.29	$231.96	$1,207.44
Shoulder X-ray	CPT	73030	18	—	—	$63.79	$104.7	$162.47
Humerus X-ray	CPT	73060	18	—	—	$60.51	$97.39	$162.47
Hand X-ray 3 views	CPT	73130	18	—	—	$71.16	$99.83	$162.47
MRI upper extremity joint without contrast	CPT	73221	18	—	—	$239.37	$314.96	$1,873.08
MRI upper extremity joint with and without contrast	CPT	73223	18	—	—	$353.67	$465.35	$2,894.76
Hip X-ray 2 views	CPT	73510	8	—	—	$126.61	$134.16	$134.16
Knee X-ray 1-2 views	CPT	73560	18	—	—	$65.43	$96.14	$162.47
Ankle X-ray 3 views	CPT	73610	18	—	—	$71.16	$99.83	$162.47
MRI lower extremity joint without contrast	CPT	73721	18	—	—	$239.37	$314.96	$1,991.76
MRI lower extremity joint with and without contrast	CPT	73723	18	—	—	$353.67	$465.35	$2,887.02
CT abdomen without contrast	CPT	74150	18	—	—	$105.31	$138.56	$1,016.52
CT abdomen with contrast	CPT	74160	18	—	—	$176.29	$231.96	$1,349.34
CT abdomen with and without contrast	CPT	74170	18	—	—	$176.29	$231.96	$1,759.56
CT abdomen and pelvis without contrast	CPT	74176	18	—	—	$239.37	$314.96	$2,025.3
CT abdomen and pelvis with contrast	CPT	74177	18	—	—	$353.67	$465.35	$2,556.78
CT abdomen and pelvis with and without contrast	CPT	74178	18	—	—	$353.67	$465.35	$3,227.58
MRI abdomen without contrast	CPT	74181	18	—	—	$239.37	$314.96	$1,803.42
MRI abdomen with and without contrast	CPT	74183	18	—	—	$353.67	$465.35	$3,049.56
Abdominal ultrasound complete	CPT	76700	18	—	—	$105.31	$138.56	$500.52
Abdominal ultrasound limited	CPT	76705	18	—	—	$105.31	$138.56	$363.78
Retroperitoneal ultrasound complete	CPT	76770	18	—	—	$105.31	$138.56	$459.24
Obstetric ultrasound first trimester	CPT	76801	18	—	—	$105.31	$138.56	$482.46
Obstetric ultrasound after first trimester	CPT	76805	18	—	—	$105.31	$138.56	$534.06
Obstetric ultrasound with fetal anatomy	CPT	76811	18	—	—	$215.05	$314.96	$815.28
Transvaginal ultrasound	CPT	76830	18	—	—	$105.31	$138.56	$441.18
Pelvic ultrasound complete	CPT	76856	18	—	—	$105.31	$138.56	$443.76
Scrotal ultrasound	CPT	76870	18	—	—	$105.31	$138.56	$420.54
Diagnostic mammography unilateral	CPT	77065	18	—	—	$83.29	$100.82	$485.04
Diagnostic mammography bilateral	CPT	77066	18	—	—	$105.92	$128.23	$601.14
Screening mammography bilateral	CPT	77067	18	—	—	$87.38	$105.78	$518.58
EKG complete	CPT	93000	8	—	—	$80.35	$85.14	$106.26
EKG tracing only	CPT	93005	18	—	—	$46.26	$61.92	$394.68
EKG interpretation only	CPT	93010	8	—	—	$34.09	$36.12	$93.61
Transthoracic echocardiogram complete	CPT	93306	18	—	—	$542.98	$657.3	$1,103.08
Transthoracic echocardiogram	CPT	93307	18	—	—	$239.37	$289.77	$1,153.68
Stress echocardiogram	CPT	93350	18	—	—	$542.98	$657.3	$2,884.2
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	17	—	—	$1,920	$10,571	$17,124
COPD w MCC	MS-DRG	190	17	—	—	$1,920	$7,492.86	$12,138
COPD w CC	MS-DRG	191	17	—	—	$1,920	$5,702.34	$9,237.79
COPD w/o CC/MCC	MS-DRG	192	17	—	—	$1,920	$4,472.99	$10,458
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	—	—	$1,920	$5,451.38	$8,831.24
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	12	—	—	$1,920	$4,293.9	$6,887.25
AMI discharged alive w MCC	MS-DRG	280	17	—	—	$1,920	$10,851	$20,788
AMI discharged alive w CC	MS-DRG	281	17	—	—	$1,920	$6,217.1	$17,933
AMI discharged alive w/o CC/MCC	MS-DRG	282	17	—	—	$1,920	$4,891.29	$14,703
Heart failure & shock w MCC	MS-DRG	291	12	—	—	$1,920	$8,770.9	$14,068
Heart failure & shock w CC	MS-DRG	292	12	—	—	$1,920	$5,800.35	$9,303.53
Heart failure & shock w/o CC/MCC	MS-DRG	293	12	—	—	$1,920	$3,866.91	$6,202.36
Cardiac arrhythmia w MCC	MS-DRG	308	17	—	—	$1,920	$8,184.99	$13,194
Cardiac arrhythmia w CC	MS-DRG	309	17	—	—	$1,920	$5,255.38	$15,992
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	—	—	$1,920	$4,161.68	$13,963
GI hemorrhage w CC	MS-DRG	378	12	—	—	$1,920	$6,700.13	$10,747
GI hemorrhage w/o CC/MCC	MS-DRG	379	12	—	—	$1,920	$4,306.88	$6,908.07
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	12	—	—	$1,920	$5,326.21	$8,543.04
Fractures of femur w/o MCC	MS-DRG	533	12	—	—	$1,920	$10,711	$17,179
Kidney/UTI w MCC	MS-DRG	689	12	—	—	$1,920	$7,927.15	$12,715
Kidney/UTI w/o MCC	MS-DRG	690	17	—	—	$1,920	$5,503.11	$20,610
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	12	—	—	$1,920	$13,271	$21,286
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	12	—	—	$1,920	$6,991.17	$11,214
Initial hospital care, low complexity	CPT	99221	8	—	—	$258.09	$273.48	$283.36
Initial hospital care, moderate complexity	CPT	99222	8	—	—	$353.05	$374.1	$384.56
Initial hospital care, high complexity	CPT	99223	8	—	—	$500.94	$549.54	$549.54
Hospital discharge, <30 min	CPT	99238	8	—	—	$192.35	$203.82	$389.62
Hospital discharge, >30 min	CPT	99239	8	—	—	$277.57	$294.12	$569.25
lab
Basic metabolic panel (BMP)	CPT	80048	18	—	—	$8.04	$9.73	$37.48
General health panel	CPT	80050	11	—	—	$35.77	$178.85	$209.8
Electrolyte panel	CPT	80051	18	—	—	$4.34	$8.06	$31.05
Comprehensive metabolic panel	CPT	80053	18	—	—	$10.03	$13.2	$46.78
Lipid panel	CPT	80061	18	—	—	$11.58	$15.4	$59.32
Renal function panel	CPT	80069	18	—	—	$8.25	$10.85	$38.45
Hepatic function panel	CPT	80076	18	—	—	$7.59	$9.4	$36.19
Urinalysis non-automated	CPT	81002	18	—	—	$2.61	$3.97	$15.42
Urinalysis automated	CPT	81003	18	—	—	$1.69	$2.59	$9.97
Glucose quantitative	CPT	82947	18	—	—	$1.28	$4.52	$17.41
Hemoglobin A1c	CPT	83036	18	—	—	$7.28	$11.17	$43.02
Thyroid stimulating hormone (TSH)	CPT	84443	18	—	—	$12.6	$19.32	$74.42
Complete blood count with automated differential	CPT	85025	18	—	—	$5.83	$8.94	$34.42
Complete blood count without differential	CPT	85027	18	—	—	$4.85	$7.44	$28.66
Urine culture bacterial	CPT	87086	18	—	—	$6.05	$9.28	$35.75
Urine culture identification	CPT	87088	18	—	—	$6.07	$9.3	$35.84
Tissue exam by pathologist level IV	CPT	88305	18	—	—	$32.52	$69.63	$245.1
maternity
Fetal non-stress test	CPT	59025	12	—	—	$199.21	$215.99	$371.17
office
Office visit, new patient, 15-29 min	CPT	99202	8	—	—	$63.25	$203.82	$203.82
Office visit, new patient, 30-44 minutes	CPT	99203	8	—	—	$121.44	$299.28	$299.28
Office visit, new patient, 45-59 min	CPT	99204	8	—	—	$179.63	$454.08	$454.08
Office visit, new patient, 60-74 min	CPT	99205	8	—	—	$270.71	$572.76	$572.76
Office visit, established patient, 5 min	CPT	99211	8	—	—	$60.87	$64.5	$389.62
Office visit, established patient, 10-19 min	CPT	99212	8	—	—	$116.87	$123.84	$222.64
Office visit, established patient, 20-29 minutes	CPT	99213	8	—	—	$172.87	$183.18	$209.99
Office visit, established patient, 30-39 minutes	CPT	99214	8	—	—	$260.53	$276.06	$346.61
Office visit, established patient, 40-54 min	CPT	99215	8	—	—	$374.97	$397.32	$488.29
preventive
Upper GI endoscopy diagnostic	CPT	43235	12	—	—	$928.46	$1,006.65	$1,729.87
Upper GI endoscopy with biopsy	CPT	43239	12	—	—	$928.46	$1,006.65	$1,729.87
Sigmoidoscopy diagnostic	CPT	45330	12	—	—	$902.86	$978.89	$1,682.17
Sigmoidoscopy with biopsy	CPT	45331	12	—	—	$902.86	$978.89	$1,682.17
Colonoscopy diagnostic	CPT	45378	12	—	—	$902.86	$978.89	$1,682.17
surgery
Knee revision arthroplasty single component	CPT	27486	2	—	—	$9,156.6	$9,156.6	$9,156.6
Knee revision arthroplasty all components	CPT	27487	2	—	—	$11,495	$11,495	$11,495
Shoulder arthroscopy with rotator cuff repair	CPT	29827	1	—	—	$9,180	$9,180	$9,180
ACL reconstruction	CPT	29888	1	—	—	$9,180	$9,180	$9,180
Major small/large bowel procedures w MCC	MS-DRG	329	12	—	—	$1,920	$31,403	$50,370
Major small/large bowel procedures w CC	MS-DRG	330	12	—	—	$1,920	$16,378	$26,269
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	12	—	—	$1,920	$11,498	$18,442
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	12	—	—	$1,920	$11,557	$18,537
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	12	—	—	$1,920	$9,331.13	$14,967
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	17	—	—	$1,680.33	$23,047	$37,336
Major joint replacement w MCC	MS-DRG	469	17	—	—	$1,796.59	$20,518	$33,239
Major joint replacement w/o MCC	MS-DRG	470	17	—	—	$1,920	$13,048	$21,137
Laparoscopic cholecystectomy	CPT	47562	1	—	—	$9,180	$9,180	$9,180
Lap cholecystectomy with cholangiography	CPT	47563	1	—	—	$9,180	$9,180	$9,180
Hip & femur procedures except major joint w MCC	MS-DRG	480	17	—	—	$1,920	$19,700	$31,914
Hip & femur procedures except major joint w CC	MS-DRG	481	12	—	—	$1,920	$14,310	$22,952
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	17	—	—	$1,920	$11,033	$17,873
Open umbilical hernia repair	CPT	49560	1	—	—	$9,180	$9,180	$9,180
Lap inguinal hernia repair	CPT	49650	1	—	—	$9,180	$9,180	$9,180
Total abdominal hysterectomy	CPT	58150	1	—	—	$9,180	$9,180	$9,180
OR procedure for obesity w MCC	MS-DRG	619	12	—	—	$16,839	$20,117	$31,641
OR procedure for obesity w CC	MS-DRG	620	12	—	—	$10,284	$11,150	$31,052
OR procedure for obesity w/o CC/MCC	MS-DRG	621	17	—	—	$9,693.16	$12,444	$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	$612
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	12	—	—	$1,920	$8,476.45	$13,596
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	12	—	—	$1,920	$13,999	$22,455
PCI single major coronary artery	CPT	92920	3	—	—	$6,903	$13,085	$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	$7,602	$10,153
Coronary angiography with cath	CPT	93455	3	—	—	$5,623	$6,855	$10,153
Coronary angiography with bypass cath	CPT	93458	4	—	—	$5,623	$7,602	$10,153

Payer mix (top 18)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	164	$294.12
Aetna	162	$251.97
UnitedHealthcare	145	$209.7
Humana	140	$251.97
smarthealth	137	$259.8
Bright Health	136	$231.96
Ambetter	136	$300.62
aarp	136	$176.29
Medicare	136	$191.14
Molina	136	$191.14
Self-Pay (Cash)	136	$185.57
actin care	136	$287.63
county care	124	$561.15
harmony health plan	124	$561.15
meridian	124	$561.15
illinicare	124	$561.15
Medicaid	124	$561.15
Cigna	108	$468.05