▸ Hospital · IL · CCN 144031
Alexian Brothers Behavioral Health Hospital
1650 MOON LAKE BOULEVARD, HOFFMAN ESTATES, IL, 60194-
141 bedsPsychiatric1
Compliance grade
B
89/100
Procedures tracked
157
of 209 target codes
Payers
6
with negotiated rates
Rates published
2,646
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 4 | — | — | $209.25 | $523.71 | $534.06 |
| Psychiatric eval with medical services | CPT | 90792 | 4 | — | — | $231.18 | $523.71 | $534.06 |
| Psychotherapy 30 minutes | CPT | 90832 | 4 | — | — | $102.5 | $220.11 | $224.46 |
| Psychotherapy 45 minutes | CPT | 90834 | 4 | — | — | $145.24 | $318.78 | $325.08 |
| Psychotherapy 60 minutes | CPT | 90837 | 4 | — | — | $203.54 | $468.05 | $477.3 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 1 | — | — | $212.16 | $212.16 | $212.16 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 5 | — | — | $25.11 | $576.84 | $881 |
| ED visit level 2 | CPT | 99282 | 5 | — | — | $48.74 | $538.89 | $881 |
| ED visit level 3 | CPT | 99283 | 5 | — | — | $81.86 | $794.42 | $2,475 |
| ED visit level 4 | CPT | 99284 | 4 | — | — | $138.97 | $359.26 | $394.74 |
| ED visit level 5 | CPT | 99285 | 4 | — | — | $203.85 | $285.89 | $588.24 |
| Critical care, first hour | CPT | 99291 | 3 | — | — | $141.68 | $141.68 | $810.12 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 4 | — | — | $171.92 | $796.95 | $812.7 |
| CT head with contrast | CPT | 70460 | 4 | — | — | $245.65 | $984.17 | $1,003.62 |
| CT head with and without contrast | CPT | 70470 | 4 | — | — | $296.34 | $1,191.63 | $1,215.18 |
| CT neck with contrast | CPT | 70491 | 4 | — | — | $311.08 | $1,156.21 | $1,179.06 |
| MRI brain without contrast | CPT | 70551 | 4 | — | — | $329.92 | $1,983.52 | $2,022.72 |
| MRI brain with contrast | CPT | 70552 | 4 | — | — | $488.64 | $2,221.34 | $2,265.24 |
| MRI brain with and without contrast | CPT | 70553 | 4 | — | — | $553.34 | $3,147.32 | $3,209.52 |
| Chest X-ray single view | CPT | 71045 | 4 | — | — | $43.31 | $101.2 | $103.2 |
| Chest X-ray 2 views | CPT | 71046 | 4 | — | — | $58.06 | $111.32 | $113.52 |
| Chest X-ray 3 views | CPT | 71047 | 4 | — | — | $72.8 | $159.39 | $162.54 |
| CT chest without contrast | CPT | 71250 | 4 | — | — | $213.69 | $1,037.3 | $1,057.8 |
| CT chest with contrast | CPT | 71260 | 4 | — | — | $290.6 | $1,244.76 | $1,269.36 |
| CT chest with and without contrast | CPT | 71270 | 4 | — | — | $357.76 | $1,472.46 | $1,501.56 |
| MRI chest without contrast | CPT | 71550 | 4 | — | — | $566.54 | $2,117.61 | $2,159.46 |
| MRI chest with contrast | CPT | 71551 | 4 | — | — | $764.69 | $2,380.73 | $2,427.78 |
| MRI chest with and without contrast | CPT | 71552 | 4 | — | — | $894.11 | $3,258.64 | $3,323.04 |
| Lumbosacral spine X-ray | CPT | 72100 | 4 | — | — | $72.8 | $134.09 | $136.74 |
| CT cervical spine without contrast | CPT | 72125 | 4 | — | — | $215.33 | $994.29 | $1,013.94 |
| CT thoracic spine without contrast | CPT | 72128 | 4 | — | — | $215.33 | $991.76 | $1,011.36 |
| CT lumbar spine without contrast | CPT | 72131 | 4 | — | — | $213.69 | $991.76 | $1,011.36 |
| MRI cervical spine without contrast | CPT | 72141 | 4 | — | — | $315.99 | $1,819.07 | $1,855.02 |
| MRI thoracic spine without contrast | CPT | 72146 | 4 | — | — | $315.99 | $1,872.2 | $1,909.2 |
| MRI lumbar spine without contrast | CPT | 72148 | 4 | — | — | $317.63 | $1,935.45 | $1,973.7 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 4 | — | — | $487.19 | $2,218.81 | $2,262.66 |
| MRI cervical spine with and without contrast | CPT | 72156 | 4 | — | — | $557.43 | $3,010.7 | $3,070.2 |
| MRI lumbar spine with contrast | CPT | 72158 | 4 | — | — | $555.8 | $2,972.75 | $3,031.5 |
| CT pelvis without contrast | CPT | 72192 | 4 | — | — | $212.87 | $989.23 | $1,008.78 |
| CT pelvis with contrast | CPT | 72193 | 4 | — | — | $437.23 | $1,184.04 | $1,207.44 |
| Shoulder X-ray | CPT | 73030 | 4 | — | — | $63.79 | $108.79 | $110.94 |
| Humerus X-ray | CPT | 73060 | 4 | — | — | $60.51 | $101.2 | $103.2 |
| Hand X-ray 3 views | CPT | 73130 | 4 | — | — | $71.16 | $103.73 | $105.78 |
| MRI upper extremity joint without contrast | CPT | 73221 | 4 | — | — | $361.04 | $1,836.78 | $1,873.08 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 4 | — | — | $749.95 | $2,838.66 | $2,894.76 |
| Hip X-ray 2 views | CPT | 73510 | 3 | — | — | $131.56 | $131.56 | $134.16 |
| Knee X-ray 1-2 views | CPT | 73560 | 4 | — | — | $65.43 | $96.14 | $98.04 |
| Ankle X-ray 3 views | CPT | 73610 | 4 | — | — | $71.16 | $103.73 | $105.78 |
| MRI lower extremity joint without contrast | CPT | 73721 | 4 | — | — | $361.04 | $1,953.16 | $1,991.76 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 4 | — | — | $747.49 | $2,831.07 | $2,887.02 |
| CT abdomen without contrast | CPT | 74150 | 4 | — | — | $210.41 | $996.82 | $1,016.52 |
| CT abdomen with contrast | CPT | 74160 | 4 | — | — | $437.23 | $1,323.19 | $1,349.34 |
| CT abdomen with and without contrast | CPT | 74170 | 4 | — | — | $438.05 | $1,725.46 | $1,759.56 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 4 | — | — | $264.4 | $1,986.05 | $2,025.3 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 4 | — | — | $569.93 | $2,507.23 | $2,556.78 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 4 | — | — | $642.82 | $3,165.03 | $3,227.58 |
| MRI abdomen without contrast | CPT | 74181 | 4 | — | — | $334.01 | $1,768.47 | $1,803.42 |
| MRI abdomen with and without contrast | CPT | 74183 | 4 | — | — | $618.06 | $2,990.46 | $3,049.56 |
| Abdominal ultrasound complete | CPT | 76700 | 4 | — | — | $194.85 | $490.82 | $500.52 |
| Abdominal ultrasound limited | CPT | 76705 | 4 | — | — | $148.99 | $356.73 | $363.78 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 4 | — | — | $183.39 | $450.34 | $459.24 |
| Obstetric ultrasound first trimester | CPT | 76801 | 4 | — | — | $176.01 | $473.11 | $482.46 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 4 | — | — | $220.15 | $523.71 | $534.06 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 4 | — | — | $215.05 | $799.48 | $815.28 |
| Transvaginal ultrasound | CPT | 76830 | 4 | — | — | $215.33 | $432.63 | $441.18 |
| Pelvic ultrasound complete | CPT | 76856 | 4 | — | — | $180.93 | $435.16 | $443.76 |
| Scrotal ultrasound | CPT | 76870 | 4 | — | — | $175.2 | $412.39 | $420.54 |
| Diagnostic mammography unilateral | CPT | 77065 | 4 | — | — | $88.78 | $475.64 | $485.04 |
| Diagnostic mammography bilateral | CPT | 77066 | 4 | — | — | $113.18 | $589.49 | $601.14 |
| Screening mammography bilateral | CPT | 77067 | 4 | — | — | $93.87 | $508.53 | $518.58 |
| EKG complete | CPT | 93000 | 3 | — | — | $85.14 | $106.26 | $106.26 |
| EKG tracing only | CPT | 93005 | 3 | — | — | $49.02 | $394.68 | $394.68 |
| EKG interpretation only | CPT | 93010 | 3 | — | — | $36.12 | $93.61 | $93.61 |
| Transthoracic echocardiogram complete | CPT | 93306 | 3 | — | — | $1,078.44 | $1,103.08 | $1,103.08 |
| Transthoracic echocardiogram | CPT | 93307 | 3 | — | — | $714.66 | $1,153.68 | $1,153.68 |
| Stress echocardiogram | CPT | 93350 | 3 | — | — | $838.5 | $2,884.2 | $2,884.2 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | — | — | $1,920 | $8,963.5 | $12,367 |
| COPD w MCC | MS-DRG | 190 | 3 | — | — | $1,920 | $3,284.49 | $3,284.49 |
| COPD w CC | MS-DRG | 191 | 3 | — | — | $1,920 | $3,595.16 | $5,473.09 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | — | — | $1,920 | $4,798.97 | $10,458 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | — | — | $1,920 | $3,641.98 | $3,641.98 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | — | — | $1,920 | $2,278.67 | $20,788 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | — | — | $1,920 | $3,292.62 | $17,933 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | — | — | $1,920 | $2,039.81 | $14,703 |
| Heart failure & shock w MCC | MS-DRG | 291 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Heart failure & shock w CC | MS-DRG | 292 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | — | — | $1,920 | $5,448.49 | $11,926 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | — | — | $1,920 | $7,029.63 | $15,992 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | — | — | $1,920 | $4,302.61 | $4,302.61 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Kidney/UTI w MCC | MS-DRG | 689 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 3 | — | — | $1,920 | $20,610 | $20,610 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Initial hospital care, low complexity | CPT | 99221 | 4 | — | — | $113.29 | $278.42 | $283.36 |
| Initial hospital care, moderate complexity | CPT | 99222 | 4 | — | — | $150.56 | $379.33 | $384.56 |
| Initial hospital care, high complexity | CPT | 99223 | 4 | — | — | $220.69 | $500.94 | $549.54 |
| Hospital discharge, <30 min | CPT | 99238 | 4 | — | — | $79.39 | $296.72 | $389.62 |
| Hospital discharge, >30 min | CPT | 99239 | 4 | — | — | $116.88 | $431.69 | $569.25 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 6 | — | — | $8.46 | $14.2 | $28.38 |
| General health panel | CPT | 80050 | 5 | — | — | $35.77 | $49.49 | $180.6 |
| Electrolyte panel | CPT | 80051 | 6 | — | — | $4.34 | $11.76 | $23.22 |
| Comprehensive metabolic panel | CPT | 80053 | 6 | — | — | $10.56 | $17.72 | $36.12 |
| Lipid panel | CPT | 80061 | 6 | — | — | $11.58 | $22.46 | $46.44 |
| Renal function panel | CPT | 80069 | 6 | — | — | $8.68 | $14.56 | $25.8 |
| Hepatic function panel | CPT | 80076 | 6 | — | — | $7.59 | $13.7 | $25.8 |
| Urinalysis non-automated | CPT | 81002 | 6 | — | — | $2.44 | $4.28 | $8.14 |
| Urinalysis automated | CPT | 81003 | 6 | — | — | $1.69 | $3.77 | $7.74 |
| Glucose quantitative | CPT | 82947 | 6 | — | — | $1.2 | $6.58 | $12.9 |
| Hemoglobin A1c | CPT | 83036 | 6 | — | — | $7.28 | $16.27 | $33.54 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 6 | — | — | $12.6 | $28.16 | $51.6 |
| Complete blood count with automated differential | CPT | 85025 | 6 | — | — | $5.83 | $13.03 | $25.8 |
| Complete blood count without differential | CPT | 85027 | 6 | — | — | $4.85 | $10.85 | $23.22 |
| Urine culture bacterial | CPT | 87086 | 6 | — | — | $6.05 | $13.54 | $28.38 |
| Urine culture identification | CPT | 87088 | 6 | — | — | $6.07 | $13.57 | $28.38 |
| Tissue exam by pathologist level IV | CPT | 88305 | 6 | — | — | $32.52 | $105.03 | $245.1 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 4 | — | — | $55.62 | $63.25 | $203.82 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 4 | — | — | $94.03 | $121.44 | $299.28 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 4 | — | — | $152.67 | $179.63 | $454.08 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 4 | — | — | $207.28 | $270.71 | $572.76 |
| Office visit, established patient, 5 min | CPT | 99211 | 3 | — | — | $64.5 | $389.62 | $389.62 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 4 | — | — | $25.03 | $173.24 | $222.64 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 4 | — | — | $75.13 | $196.59 | $209.99 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 4 | — | — | $110.74 | $311.34 | $346.61 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 4 | — | — | $163.18 | $442.81 | $488.29 |
| 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 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | — | — | $1,680.33 | $1,920 | $6,242.83 |
| Major joint replacement w MCC | MS-DRG | 469 | 3 | — | — | $1,920 | $3,636.42 | $6,803.47 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 3 | — | — | $1,920 | $5,921.04 | $5,921.04 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 3 | — | — | $1,920 | $5,059.25 | $8,671.47 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 3 | — | — | $1,920 | $3,406.3 | $3,406.3 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | — | — | $28,162 | $29,607 | $31,052 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | — | — | $28,162 | $29,607 | $31,052 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 3 | — | — | $1,575.19 | $16,632 | $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 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | — | — | $1,920 | $1,920 | $1,920 |
| PCI single major coronary artery | CPT | 92920 | 2 | — | — | $6,903 | $16,990 | $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 | 2 | — | — | $5,623 | $5,678 | $6,855 |
| Coronary angiography with cath | CPT | 93455 | 2 | — | — | $5,623 | $5,678 | $6,855 |
| Coronary angiography with bypass cath | CPT | 93458 | 2 | — | — | $5,623 | $5,678 | $6,855 |
Payer mix (top 6)
| Payer | Codes covered | Median rate |
|---|---|---|
| family health plan | 124 | $561.15 |
| Medicaid | 124 | $561.15 |
| Cigna | 108 | $473.11 |
| Aetna | 105 | $183.39 |
| UnitedHealthcare | 66 | $1,920 |
| smarthealth | 17 | $7.28 |