Alexian Brothers Behavioral Health Hospital
IL 60169
Prices last published by the hospital: —
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
Can't afford a bill from Alexian Brothers Behavioral Health Hospital?
This hospital has a financial assistance program that may reduce or erase it.
Financial assistance: see income limits & how to applyPrices at this hospital (297 procedures)
| Procedure | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Abdominal ultrasound | —Insurance typically pays $491Sticker price — | — | $491 | — |
| Ablation for supraventricular tachycardia | —Insurance typically pays $3,918Sticker price — | — | $3,918 | — |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | —Insurance typically pays $1,920Sticker price — | — | $1,920 | — |
| Amino acid analysis, quantitative, each specimen | —Insurance typically pays $28Sticker price — | — | $28 | — |
| Analysis for antibody to Herpes simplex virus | —Insurance typically pays $24Sticker price — | — | $24 | — |
| Ankle-brachial index (ABI), complete | —Insurance typically pays $812Sticker price — | — | $812 | — |
| Ankle-brachial index (ABI), limited | —Insurance typically pays $648Sticker price — | — | $648 | — |
| Application of long leg cast | —Insurance typically pays $362Sticker price — | — | $362 | — |
| Application of short arm cast | —Insurance typically pays $326Sticker price — | — | $326 | — |
| Application of short leg cast | —Insurance typically pays $334Sticker price — | — | $334 | — |
| Application of short leg splint | —Insurance typically pays $263Sticker price — | — | $263 | — |
| Basic metabolic blood panel | —Insurance typically pays $14Sticker price — | — | $14 | — |
| Blood count (CBC) | —Insurance typically pays $11Sticker price — | — | $11 | — |
| Blood count with differential | —Insurance typically pays $13Sticker price — | — | $13 | — |
| Blood draw | —Insurance typically pays $3Sticker price — | — | $3 | — |
| Blood sugar test | —Insurance typically pays $7Sticker price — | — | $7 | — |
| BUN kidney test | —Insurance typically pays $7Sticker price — | — | $7 | — |
| Capillary blood draw (finger stick) | —Insurance typically pays $2Sticker price — | — | $2 | — |
| Cardiac stress test | —Insurance typically pays $473Sticker price — | — | $473 | — |
| Cataract surgery, complex | —Insurance typically pays $3,941Sticker price — | — | $3,941 | — |
| Cataract surgery with lens implant | —Insurance typically pays $3,941Sticker price — | — | $3,941 | — |
| Chemotherapy infusion, additional hour | —Insurance typically pays $650Sticker price — | — | $650 | — |
| Chemotherapy infusion, first hour | —Insurance typically pays $407Sticker price — | — | $407 | — |
| Chemotherapy injection under skin or into muscle | —Insurance typically pays $417Sticker price — | — | $417 | — |
| Chiropractic adjustment | —Insurance typically pays $30Sticker price — | — | $30 | — |
| Cholesterol panel | —Insurance typically pays $22Sticker price — | — | $22 | — |
| Clotting factor VII (proconvertin, stable factor) | —Insurance typically pays $30Sticker price — | — | $30 | — |
| Coronary angiography | —Insurance typically pays $5,678Sticker price — | — | $5,678 | — |
| Coronary angioplasty (balloon), single vessel | —Insurance typically pays $16,990Sticker price — | — | $16,990 | — |
| Creatinine test | —Insurance typically pays $9Sticker price — | — | $9 | — |
| Critical care, additional 30 minutes | —Insurance typically pays $218Sticker price — | — | $218 | — |
| Critical care, first hour | —Insurance typically pays $142Sticker price — | — | $142 | — |
| C-section delivery | —Insurance typically pays $7,919Sticker price — | — | $7,919 | — |
| CT abdomen and pelvis with contrast | —Insurance typically pays $2,507Sticker price — | — | $2,507 | — |
| CT head without contrast | —Insurance typically pays $797Sticker price — | — | $797 | — |
| Defibrillator interrogation in office | —Insurance typically pays $250Sticker price — | — | $250 | — |
| DEPRESSIVE NEUROSES | —Insurance typically pays $1,920Sticker price — | — | $1,920 | — |
| Detailed obstetric ultrasound | —Insurance typically pays $799Sticker price — | — | $799 | — |
| Detection test by immunoassay technique for rotavirus | —Insurance typically pays $20Sticker price — | — | $20 | — |
| DISORDERS OF PERSONALITY AND IMPULSE CONTROL | —Insurance typically pays $1,920Sticker price — | — | $1,920 | — |
| Doctor office visit (established patient) | —Insurance typically pays $197Sticker price — | — | $197 | — |
| Doctor visit, established patient | —Insurance typically pays $311Sticker price — | — | $311 | — |
| Doctor visit, established patient, complex | —Insurance typically pays $443Sticker price — | — | $443 | — |
| Doctor visit, established patient, quick | —Insurance typically pays $173Sticker price — | — | $173 | — |
| Doctor visit, new patient | —Insurance typically pays $180Sticker price — | — | $180 | — |
| Doctor visit, new patient | —Insurance typically pays $121Sticker price — | — | $121 | — |
| Doctor visit, new patient, complex | —Insurance typically pays $271Sticker price — | — | $271 | — |
| Doctor visit, new patient, quick | —Insurance typically pays $63Sticker price — | — | $63 | — |
| Duplex ultrasound of aorta and iliac arteries | —Insurance typically pays $126Sticker price — | — | $126 | — |
| Duplex ultrasound of dialysis access | —Insurance typically pays $139Sticker price — | — | $139 | — |
| Duplex ultrasound of lower extremity arteries, bilateral | —Insurance typically pays $402Sticker price — | — | $402 | — |
| ECG reading | —Insurance typically pays $94Sticker price — | — | $94 | — |
| EEG, awake and asleep | —Insurance typically pays $4,164Sticker price — | — | $4,164 | — |
| EEG, awake and drowsy | —Insurance typically pays $1,305Sticker price — | — | $1,305 | — |
| EKG | —Insurance typically pays $106Sticker price — | — | $106 | — |
| Electrophysiology study, comprehensive | —Insurance typically pays $1,361Sticker price — | — | $1,361 | — |
| Emergency room visit, high complexity | —Insurance typically pays $286Sticker price — | — | $286 | — |
| Emergency room visit (high severity) | —Insurance typically pays $359Sticker price — | — | $359 | — |
| Emergency room visit, low complexity | —Insurance typically pays $539Sticker price — | — | $539 | — |
| Emergency room visit, minor | —Insurance typically pays $577Sticker price — | — | $577 | — |
| Emergency room visit, moderate | —Insurance typically pays $794Sticker price — | — | $794 | — |
| ESRD dialysis management, adult | —Insurance typically pays $1,055Sticker price — | — | $1,055 | — |
| Extended doctor visit | —Insurance typically pays $39Sticker price — | — | $39 | — |
| Eye exam | —Insurance typically pays $248Sticker price — | — | $248 | — |
| Eye exam, established patient | —Insurance typically pays $362Sticker price — | — | $362 | — |
| Eye exam, new patient | —Insurance typically pays $235Sticker price — | — | $235 | — |
| Eye exam, new patient, comprehensive | —Insurance typically pays $440Sticker price — | — | $440 | — |
| Ferritin test | —Insurance typically pays $23Sticker price — | — | $23 | — |
| Flu shot | —Insurance typically pays $65Sticker price — | — | $65 | — |
| Flu shot | —Insurance typically pays $73Sticker price — | — | $73 | — |
| HCHG ACTH PLASMA LC | —Insurance typically pays $65Sticker price — | — | $65 | — |
| HCHG AFB CONCENTRATION | —Insurance typically pays $11Sticker price — | — | $11 | — |
| HCHG ALDOLASE LC | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG ALK PHOSPHATASE | —Insurance typically pays $9Sticker price — | — | $9 | — |
| HCHG ALPHA-1-ANTITRYPSIN SERUM LC | —Insurance typically pays $23Sticker price — | — | $23 | — |
| HCHG AMINO ACIDEMIAS (PKU) | —Insurance typically pays $30Sticker price — | — | $30 | — |
| HCHG AMPA RECEPTOR ABY TITER SPINAL FLUID | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG ANA | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG ANAEROBIC CULTURE | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG ANTI-DNASE B STREP ANTIBODIES LC | —Insurance typically pays $22Sticker price — | — | $22 | — |
| HCHG ANTISTREPTOLYSIN O AB LC | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG ANTITHROMBIN III | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG ARC-ABY ID EACH SELECTED REAGENT CELL | —Insurance typically pays $6Sticker price — | — | $6 | — |
| HCHG CA15.3 | —Insurance typically pays $35Sticker price — | — | $35 | — |
| HCHG CARBAMAZEPINE | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG CATECHOLAMINESURFREE24 HR LC | —Insurance typically pays $42Sticker price — | — | $42 | — |
| HCHG CF SCREEN | —Insurance typically pays $19Sticker price — | — | $19 | — |
| HCHG CHROMIUM BLOOD | —Insurance typically pays $34Sticker price — | — | $34 | — |
| HCHG CHROMOGRANIN A | —Insurance typically pays $42Sticker price — | — | $42 | — |
| HCHG CMV IGM ABY | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG CMV QUANT DNA PCR (PLASMA) LC | —Insurance typically pays $72Sticker price — | — | $72 | — |
| HCHG COMPREHENSIVE METABOLIC PANE | —Insurance typically pays $18Sticker price — | — | $18 | — |
| HCHG COVID 19 NAA LC | —Insurance typically pays $51Sticker price — | — | $51 | — |
| HCHG C-PEPTIDE SERUM | —Insurance typically pays $35Sticker price — | — | $35 | — |
| HCHG CREATININE URINE | —Insurance typically pays $9Sticker price — | — | $9 | — |
| HCHG CROSSMATCH IS | —Insurance typically pays $83Sticker price — | — | $83 | — |
| HCHG CRYOGLOBULIN QUAL WITH REFLEX | —Insurance typically pays $11Sticker price — | — | $11 | — |
| HCHG CRYPTOCOCCAL AG LATEX SCREEN W/REFL TITER QUE | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG CT SOFT TISSUE NECK W CONTRAST | —Insurance typically pays $1,156Sticker price — | — | $1,156 | — |
| HCHG DHEA SERUM LC | —Insurance typically pays $42Sticker price — | — | $42 | — |
| HCHG DIPTHERIA TOXOID IGG ABY | —Insurance typically pays $25Sticker price — | — | $25 | — |
| HCHG DIRECT ANTIGLOBULIN TEST | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG EBV NA | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG EBV VCA IGG | —Insurance typically pays $30Sticker price — | — | $30 | — |
| HCHG ECHO 2D F-U OR LTD STUDY W BUBBLE | —Insurance typically pays $172Sticker price — | — | $172 | — |
| HCHG FACTOR 2 GENE MUTATION | —Insurance typically pays $66Sticker price — | — | $66 | — |
| HCHG FACTOR 8 ASSAY | —Insurance typically pays $30Sticker price — | — | $30 | — |
| HCHG FACTOR IX ACTIVITY LC | —Insurance typically pays $32Sticker price — | — | $32 | — |
| HCHG FLUORO < 1 HOUR | —Insurance typically pays $329Sticker price — | — | $329 | — |
| HCHG FOLIC ACID | —Insurance typically pays $25Sticker price — | — | $25 | — |
| HCHG FSH-SERUM | —Insurance typically pays $31Sticker price — | — | $31 | — |
| HCHG GENERAL LAB 8007400 | —Insurance typically pays $80Sticker price — | — | $80 | — |
| HCHG GENERAL LAB 8663103 LC | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG GENERAL LAB 8670600 | —Insurance typically pays $18Sticker price — | — | $18 | — |
| HCHG GENERAL LAB 8680300 | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG GENERAL LAB 8738900 | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG GENERAL LAB 8748602 LC | —Insurance typically pays $59Sticker price — | — | $59 | — |
| HCHG GENERAL LAB 8749100 | —Insurance typically pays $59Sticker price — | — | $59 | — |
| HCHG GENERAL LAB 87522 LCC | —Insurance typically pays $72Sticker price — | — | $72 | — |
| HCHG GENTAMICIN KINETICS | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG GRAM STAIN | —Insurance typically pays $7Sticker price — | — | $7 | — |
| HCHG HEMOGLOBINOPATHIES | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG H HEMACHROMATOSIS | —Insurance typically pays $65Sticker price — | — | $65 | — |
| HCHG H. PYLORI ANTIGEN STOOL | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG ICU MD RETROPERITONEAL LIMITED | —Insurance typically pays $400Sticker price — | — | $400 | — |
| HCHG IHC STAIN ADDL | —Insurance typically pays $157Sticker price — | — | $157 | — |
| HCHG IHC STAIN FIRST | —Insurance typically pays $172Sticker price — | — | $172 | — |
| HCHG INTRINSIC FACTOR ABS SERUM LC | —Insurance typically pays $25Sticker price — | — | $25 | — |
| HCHG IRON | —Insurance typically pays $11Sticker price — | — | $11 | — |
| HCHG JAK2 MUTATION DETECTION | —Insurance typically pays $92Sticker price — | — | $92 | — |
| HCHG LEAD FILTER PAPER | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG LUTEINIZING HORMONE | —Insurance typically pays $31Sticker price — | — | $31 | — |
| HCHG N METHYLHISTAMINE URINE | —Insurance typically pays $30Sticker price — | — | $30 | — |
| HCHG OCCULT BLOOD IFOBT | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG OT APPLICATION LONG ARM CAST | —Insurance typically pays $354Sticker price — | — | $354 | — |
| HCHG OT EVAL HIGH COMPLEXITY | —Insurance typically pays $171Sticker price — | — | $171 | — |
| HCHG OT EVAL LOW COMPLEXITY | —Insurance typically pays $171Sticker price — | — | $171 | — |
| HCHG OT EVAL MOD COMPLEXITY | —Insurance typically pays $171Sticker price — | — | $171 | — |
| HCHG OT RE-EVALUATION | —Insurance typically pays $109Sticker price — | — | $109 | — |
| HCHG OT THER INTERVENT COGNITIVE FUNCT 1 1 EA ADDL | —Insurance typically pays $75Sticker price — | — | $75 | — |
| HCHG OT THER INTERVENT COGNITIVE FUNCT 1 1 INIT 15 | —Insurance typically pays $77Sticker price — | — | $77 | — |
| HCHG PFT C0 MEMBRANE DIFFUSE CAPACITY | —Insurance typically pays $134Sticker price — | — | $134 | — |
| HCHG PHENOBARBITAL | —Insurance typically pays $19Sticker price — | — | $19 | — |
| HCHG POTASSIUM | —Insurance typically pays $8Sticker price — | — | $8 | — |
| HCHG PROCALCITONIN | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG PROTEIN TOTAL | —Insurance typically pays $6Sticker price — | — | $6 | — |
| HCHG PROTHOMBIN TIME | —Insurance typically pays $7Sticker price — | — | $7 | — |
| HCHG PT APPLICATION LONG ARM SPLINT | —Insurance typically pays $321Sticker price — | — | $321 | — |
| HCHG PT E-STIM-ATTENDED 15MIN | —Insurance typically pays $52Sticker price — | — | $52 | — |
| HCHG PT EVAL HIGH COMPLEXITY | —Insurance typically pays $230Sticker price — | — | $230 | — |
| HCHG PT EVAL LOW COMPLEXITY | —Insurance typically pays $230Sticker price — | — | $230 | — |
| HCHG PT EVAL MOD COMPLEXITY | —Insurance typically pays $230Sticker price — | — | $230 | — |
| HCHG PT FLUIDOTHERAPY | —Insurance typically pays $57Sticker price — | — | $57 | — |
| HCHG PT GAIT TRAINING 15MIN | —Insurance typically pays $74Sticker price — | — | $74 | — |
| HCHG PT GROUP THERAPY | —Insurance typically pays $57Sticker price — | — | $57 | — |
| HCHG PT IONTOPHORESIS 15MIN | —Insurance typically pays $77Sticker price — | — | $77 | — |
| HCHG PT MANUAL THERAPY 15MIN | —Insurance typically pays $83Sticker price — | — | $83 | — |
| HCHG PT MASSAGE 15 MIN | —Insurance typically pays $73Sticker price — | — | $73 | — |
| HCHG PT MECHANICAL TRACTION | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG PT NEUROMUSCULAR RE-ED 15MIN | —Insurance typically pays $81Sticker price — | — | $81 | — |
| HCHG PT ORTHO/PROSTHETIC TRAIN UPR/LWR EXT TRUNK S | —Insurance typically pays $108Sticker price — | — | $108 | — |
| HCHG PT ORTHOTIC FIT/TRAIN UPR/LWR EXT TRUNK INITI | —Insurance typically pays $99Sticker price — | — | $99 | — |
| HCHG PT PHONOPHORESIS 15MIN | —Insurance typically pays $36Sticker price — | — | $36 | — |
| HCHG PT PROSTHETIC TRAIN UPR/LWR EXT INITIAL ENC E | —Insurance typically pays $86Sticker price — | — | $86 | — |
| HCHG PT RE-EVALUATION | —Insurance typically pays $126Sticker price — | — | $126 | — |
| HCHG PT SELFCARE/HOME MNGMNT 15MIN | —Insurance typically pays $93Sticker price — | — | $93 | — |
| HCHG PT STRAPPING ANKLE | —Insurance typically pays $162Sticker price — | — | $162 | — |
| HCHG PT THERAPEUTIC ACTIVITY 15MIN | —Insurance typically pays $88Sticker price — | — | $88 | — |
| HCHG PT THERAPEUTIC EXERCISE 15MIN | —Insurance typically pays $72Sticker price — | — | $72 | — |
| HCHG RAD CT ANGIO CHEST | —Insurance typically pays $1,791Sticker price — | — | $1,791 | — |
| HCHG RAD CT ANGIO HEART CORONARY ARTERIES | —Insurance typically pays $403Sticker price — | — | $403 | — |
| HCHG RAD CT ANGIO LOWER EXTREMITY | —Insurance typically pays $1,796Sticker price — | — | $1,796 | — |
| HCHG RAD CT ANGIO NECK W CONTRAST | —Insurance typically pays $2,249Sticker price — | — | $2,249 | — |
| HCHG RAD CT GUIDED NEEDLE PLACEMENT | —Insurance typically pays $719Sticker price — | — | $719 | — |
| HCHG RAD CT HEAD BRAIN WWO | —Insurance typically pays $1,192Sticker price — | — | $1,192 | — |
| HCHG RAD CT LIMITED OR LOCALIZED FOLLOW UP | —Insurance typically pays $708Sticker price — | — | $708 | — |
| HCHG RAD CT LOWER EXTREMITY WO | —Insurance typically pays $936Sticker price — | — | $936 | — |
| HCHG RAD ECHO STRESS TRANSTHORACIC 2D EXERCISE OR | —Insurance typically pays $2,884Sticker price — | — | $2,884 | — |
| HCHG RAD MRI ANGIO HEAD BRAIN WWO | —Insurance typically pays $3,233Sticker price — | — | $3,233 | — |
| HCHG RAD MRI ANGIO HEAD WO | —Insurance typically pays $2,070Sticker price — | — | $2,070 | — |
| HCHG RAD MRI ANGIO NECK WO | —Insurance typically pays $2,064Sticker price — | — | $2,064 | — |
| HCHG RAD MRI ANGIO NECK WWO | —Insurance typically pays $3,236Sticker price — | — | $3,236 | — |
| HCHG RAD MRI JOINT LOWER EXTREMITY WO | —Insurance typically pays $1,953Sticker price — | — | $1,953 | — |
| HCHG RAD MRI SPINE CERVICAL WO | —Insurance typically pays $1,819Sticker price — | — | $1,819 | — |
| HCHG RAD MRI SPINE THORACIC WO | —Insurance typically pays $1,872Sticker price — | — | $1,872 | — |
| HCHG RAD NM BONE SCAN WHOLE BODY | —Insurance typically pays $850Sticker price — | — | $850 | — |
| HCHG RAD NM LUNG PERFUSION SCAN | —Insurance typically pays $711Sticker price — | — | $711 | — |
| HCHG RAD NM LUNG VENTILATION AND PERFUSION QUANTIT | —Insurance typically pays $1,265Sticker price — | — | $1,265 | — |
| HCHG RAD NM RADIOPHARM ORAL THERAPY | —Insurance typically pays $531Sticker price — | — | $531 | — |
| HCHG RAD US ARTERIAL UPPER EXTREMITY BILATERAL COM | —Insurance typically pays $559Sticker price — | — | $559 | — |
| HCHG RAD XRAY ABDOMEN ACUTE W CHEST 1 VIEW | —Insurance typically pays $167Sticker price — | — | $167 | — |
| HCHG RAD XRAY CHEST FRONTAL 1 VIEW | —Insurance typically pays $101Sticker price — | — | $101 | — |
| HCHG RAD XRAY FEMUR 1 VIEW UNILATERAL | —Insurance typically pays $99Sticker price — | — | $99 | — |
| HCHG RAD XRAY FOOT 2 VIEWS | —Insurance typically pays $89Sticker price — | — | $89 | — |
| HCHG RAD XRAY KNEE 3 VIEWS | —Insurance typically pays $124Sticker price — | — | $124 | — |
| HCHG RAD XRAY KNEES STANDING BILATERAL | —Insurance typically pays $101Sticker price — | — | $101 | — |
| HCHG RAD XRAY MANDIBLE MINIMUM OF FOUR VIEWS | —Insurance typically pays $134Sticker price — | — | $134 | — |
| HCHG RAD XRAY RIBS 3 VIEWS BILATERAL | —Insurance typically pays $142Sticker price — | — | $142 | — |
| HCHG RESPIRATORY DISEASE MULTIPLEX PCR PANEL | —Insurance typically pays $417Sticker price — | — | $417 | — |
| HCHG REVERSE T3 SERUM LC | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG SCHISTOSOMA IGG ABY | —Insurance typically pays $22Sticker price — | — | $22 | — |
| HCHG SELENIUM SERUM/PLASMA LC | —Insurance typically pays $43Sticker price — | — | $43 | — |
| HCHG SLP EVAL ORAL/PHAR SWALLOWING | —Insurance typically pays $286Sticker price — | — | $286 | — |
| HCHG SLP EVAL SPEECH SOUND W LANGUAGE COMP | —Insurance typically pays $569Sticker price — | — | $569 | — |
| HCHG SLP INDIV TX COMMUNICATION | —Insurance typically pays $235Sticker price — | — | $235 | — |
| HCHG SODIUM URINE | —Insurance typically pays $8Sticker price — | — | $8 | — |
| HCHG SP STAIN 1 ORG | —Insurance typically pays $194Sticker price — | — | $194 | — |
| HCHG STONE ANALYSIS LC | —Insurance typically pays $22Sticker price — | — | $22 | — |
| HCHG STOOL CULTURE AEROBIC BACTERIA LC | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG T3 FREE | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG T4 FREE | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG TACROLIMUS AHL | —Insurance typically pays $23Sticker price — | — | $23 | — |
| HCHG TESTOSTERONE FREE EQUILIBRIUM ULTRAFILTRATION | —Insurance typically pays $43Sticker price — | — | $43 | — |
| HCHG THY PEROXIDASE ABY | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG THYROGLOBULIN ABY LC | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG THYROGLOBULIN TUMOR MARKER FNA ASP BX NEEDLE | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG TISSUE LEVEL 2 | —Insurance typically pays $60Sticker price — | — | $60 | — |
| HCHG TOTAL T CELLS | —Insurance typically pays $63Sticker price — | — | $63 | — |
| HCHG URIC ACID URINE | —Insurance typically pays $8Sticker price — | — | $8 | — |
| HCHG US ABDOMEN LIMITED | —Insurance typically pays $357Sticker price — | — | $357 | — |
| HCHG VALPROIC ACID | —Insurance typically pays $23Sticker price — | — | $23 | — |
| HCHG VANILLYLMANDELIC ACID 24-HR U LC | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG VEDOLIZUMAB QUANT LC | —Insurance typically pays $39Sticker price — | — | $39 | — |
| HCHG VITAMIN A SERUM LC | —Insurance typically pays $19Sticker price — | — | $19 | — |
| HCHG VITAMIN B6 PLASMA LC | —Insurance typically pays $47Sticker price — | — | $47 | — |
| Heart catheterization | —Insurance typically pays $5,678Sticker price — | — | $5,678 | — |
| Heart catheterization with bypass graft angiography | —Insurance typically pays $5,678Sticker price — | — | $5,678 | — |
| Heart stent placement | —Insurance typically pays $16,990Sticker price — | — | $16,990 | — |
| Heart ultrasound | —Insurance typically pays $1,103Sticker price — | — | $1,103 | — |
| Hemodialysis with repeated evaluation | —Insurance typically pays $407Sticker price — | — | $407 | — |
| Hemodialysis with single evaluation | —Insurance typically pays $248Sticker price — | — | $248 | — |
| Hormonal chemotherapy injection | —Insurance typically pays $240Sticker price — | — | $240 | — |
| Hospital admission visit | —Insurance typically pays $379Sticker price — | — | $379 | — |
| Hospital admission visit | —Insurance typically pays $501Sticker price — | — | $501 | — |
| Hospital discharge visit | —Insurance typically pays $297Sticker price — | — | $297 | — |
| Hospital discharge visit, extended | —Insurance typically pays $432Sticker price — | — | $432 | — |
| Hospital follow-up visit | —Insurance typically pays $412Sticker price — | — | $412 | — |
| Hospital follow-up visit, complex | —Insurance typically pays $200Sticker price — | — | $200 | — |
| Insertion of tube in bypass graft for diagnosis with review by radiologist | —Insurance typically pays $5,678Sticker price — | — | $5,678 | — |
| Insertion of tube in right heart chambers for measurement | —Insurance typically pays $5,678Sticker price — | — | $5,678 | — |
| Iron test | —Insurance typically pays $15Sticker price — | — | $15 | — |
| Irrigation of implanted venous access (port flush) | —Insurance typically pays $76Sticker price — | — | $76 | — |
| IV hydration infusion, additional hour | —Insurance typically pays $71Sticker price — | — | $71 | — |
| IV hydration infusion, first hour | —Insurance typically pays $119Sticker price — | — | $119 | — |
| IV infusion, additional drug or sequence | —Insurance typically pays $243Sticker price — | — | $243 | — |
| IV infusion, additional hour | —Insurance typically pays $56Sticker price — | — | $56 | — |
| IV infusion, first hour | —Insurance typically pays $503Sticker price — | — | $503 | — |
| IV push injection | —Insurance typically pays $137Sticker price — | — | $137 | — |
| Kidney function panel | —Insurance typically pays $15Sticker price — | — | $15 | — |
| Laparoscopic gastric bypass | —Insurance typically pays $6,130Sticker price — | — | $6,130 | — |
| Laparoscopic partial colectomy | —Insurance typically pays $2,080Sticker price — | — | $2,080 | — |
| Laparoscopic sleeve gastrectomy | —Insurance typically pays $5,740Sticker price — | — | $5,740 | — |
| LDH test | —Insurance typically pays $10Sticker price — | — | $10 | — |
| Left heart catheterization with coronary angiography | —Insurance typically pays $5,678Sticker price — | — | $5,678 | — |
| Leg vein ultrasound | —Insurance typically pays $794Sticker price — | — | $794 | — |
| Liver function panel | —Insurance typically pays $14Sticker price — | — | $14 | — |
| Molecular pathology procedure level 6 genetic analysis | —Insurance typically pays $349Sticker price — | — | $349 | — |
| Molecular pathology procedure level 7 genetic analysis | —Insurance typically pays $363Sticker price — | — | $363 | — |
| Molecular pathology procedure level 9 genetic analysis | —Insurance typically pays $2,200Sticker price — | — | $2,200 | — |
| MRI brain with and without contrast | —Insurance typically pays $3,147Sticker price — | — | $3,147 | — |
| MRI brain without contrast | —Insurance typically pays $1,984Sticker price — | — | $1,984 | — |
| MRI lower back with and without contrast | —Insurance typically pays $2,973Sticker price — | — | $2,973 | — |
| MRI lower back without contrast | —Insurance typically pays $1,935Sticker price — | — | $1,935 | — |
| Nebulizer treatment | —Insurance typically pays $230Sticker price — | — | $230 | — |
| Neck artery ultrasound | —Insurance typically pays $868Sticker price — | — | $868 | — |
| Needle EMG, one extremity | —Insurance typically pays $390Sticker price — | — | $390 | — |
| Needle EMG, two extremities | —Insurance typically pays $319Sticker price — | — | $319 | — |
| Nuclear heart stress test | —Insurance typically pays $2,219Sticker price — | — | $2,219 | — |
| Nursing home visit | —Insurance typically pays $246Sticker price — | — | $246 | — |
| Nursing home visit, complex | —Insurance typically pays $296Sticker price — | — | $296 | — |
| Obstetric ultrasound | —Insurance typically pays $524Sticker price — | — | $524 | — |
| OTHER CARDIOTHORACIC PROCEDURES WITH MCC | —Insurance typically pays $7,003Sticker price — | — | $7,003 | — |
| OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | —Insurance typically pays $1,920Sticker price — | — | $1,920 | — |
| OTHER HEART ASSIST SYSTEM IMPLANT | —Insurance typically pays $77,001Sticker price — | — | $77,001 | — |
| Pacemaker insertion, single chamber | —Insurance typically pays $11,749Sticker price — | — | $11,749 | — |
| Pacemaker interrogation in office | —Insurance typically pays $243Sticker price — | — | $243 | — |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | —Insurance typically pays $18,287Sticker price — | — | $18,287 | — |
| Peritoneal dialysis with single evaluation | —Insurance typically pays $258Sticker price — | — | $258 | — |
| Retina scan (OCT) | —Insurance typically pays $149Sticker price — | — | $149 | — |
| Salpingo-oophorectomy (tube and ovary removal) | —Insurance typically pays $4,097Sticker price — | — | $4,097 | — |
| Screening mammogram (3D) | —Insurance typically pays $509Sticker price — | — | $509 | — |
| Shot in muscle or under skin | —Insurance typically pays $250Sticker price — | — | $250 | — |
| Sleep study (polysomnography) | —Insurance typically pays $1,646Sticker price — | — | $1,646 | — |
| Sleep study with CPAP initiation | —Insurance typically pays $1,678Sticker price — | — | $1,678 | — |
| Spirometry before and after bronchodilator | —Insurance typically pays $167Sticker price — | — | $167 | — |
| Spirometry (lung function test) | —Insurance typically pays $245Sticker price — | — | $245 | — |
| Stool blood test | —Insurance typically pays $5Sticker price — | — | $5 | — |
| Tdap vaccine | —Insurance typically pays $152Sticker price — | — | $152 | — |
| Therapy session, 60 minutes | —Insurance typically pays $468Sticker price — | — | $468 | — |
| Thyroid (TSH) test | —Insurance typically pays $28Sticker price — | — | $28 | — |
| Tilt table test | —Insurance typically pays $185Sticker price — | — | $185 | — |
| Tissue lab exam (pathology) | —Insurance typically pays $105Sticker price — | — | $105 | — |
| Unattended home sleep study | —Insurance typically pays $797Sticker price — | — | $797 | — |
| Urinalysis | —Insurance typically pays $5Sticker price — | — | $5 | — |
| VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | —Insurance typically pays $6,020Sticker price — | — | $6,020 | — |
| Vertebroplasty | —Insurance typically pays $8,736Sticker price — | — | $8,736 | — |
| Visual field test | —Insurance typically pays $256Sticker price — | — | $256 | — |
Source: this hospital's own published price file. Original file · Methodology