Alexian Brothers Behavioral Hlth Hosp
1650 Moon Lake Blvd, Hoffman Estates, IL 60169 · 93 Priced Procedures
Typical commercial prices here are +55% above the fair benchmark (1.55×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Alexian Brothers Behavioral Hlth Hosp prices routine shoppable procedures at 3.6× Medicare (median 1.52× Fair BaseRate) while upper-quartile commercial rates jump +78% to 2.70× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.26× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (33.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 4.5× markup over Medicare rates
- Commercial insurance median sits at 1.52× Fair BaseRate (3.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.70×) jump +78% above the median procedure ratio (Q50 1.52×)
- Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Alexian Brothers Behavioral Hlth Hosp
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $16,952 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $3,941 | 1.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,147 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,984 | 5.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,935 | 5.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,953 | 5.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,192 | 4.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,197 | 1.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,103 | 1.9× |
| CT scan, sinuses CPT Code: 70486 | $1,017 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,037 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $984 | 4.1× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $994 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $992 | unverified |
| CT scan, pelvis CPT Code: 72192 | $989 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $797 | 5.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $794 | 2.9× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $589 | unverified |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $468 | 2.6× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $491 | unverified |
| Screening mammogram (both breasts) CPT Code: 77067 | $509 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $435 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $395 | 3.0× |
| Family therapy session CPT Code: 90847 | $387 | 2.2× |
| Rabies immune globulin HCPCS Code: 90375 | $410 | 1.3× |
Audit a Bill or Quote at Alexian Brothers Behavioral Hlth Hosp (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $13,764
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (33.8% of gross = $13,764).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Alexian Brothers Behavioral Hlth Hosp's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)
Your bill ($40,685) is $22,749 above the denoised Fair BaseRate ($17,936) and 3.2× the $12,807 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Illustrative National Nonprofit Peer Median (33.8% of gross — request this hospital's exact FAP Look-Back AGB percentage)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Alexian Brothers Behavioral Hlth Hosp.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.