How many shoppable procedure prices are published for Northwestern Medicine Marianjoy Rehabilitation Hospital?

Northwestern Medicine Marianjoy Rehabilitation Hospital in Wheaton, IL currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Northwestern Medicine Marianjoy Rehabilitation Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Northwestern Medicine Marianjoy Rehabilitation Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-04-01

Northwestern Medicine Marianjoy Rehabilitation Hospital

26W171 Roosevelt Rd, Wheaton, IL 60187 · 96 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.49×vs. Fair Market Price

Typical commercial prices here are +49% above the fair benchmark (1.49×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 28% of the Time

File Completeness66

Price Logic95

Peer Alignment65

Clean Billing84

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Northwestern Medicine Marianjoy Rehabilitation Hospital prices shoppable and inpatient services (2.0× to 2.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.49× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#97 of 126 in IL · 76th State Percentile#2,615 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.49× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 28% of shoppable procedures (99/100 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 (59.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.49× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.49× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.49× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 13.1× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

2.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+0% Upper Tail

Q25 1.49× · Q50 1.49× · Q75 1.49×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.9× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

28% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Northwestern Medicine Marianjoy Rehabilitation Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$39,524	$28,421	$19,087	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$15,823	$15,823	$6,109	2.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,049	$6,049	$448	13.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,385	$5,385	$511	10.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,802	$4,802	$303	15.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$4,704	$4,704	$8,223	0.6×
Colonoscopy with biopsy CPT Code: `45380`	$4,094	$4,094	$1,256	3.3×
MRI, brain (no contrast) CPT Code: `70551`	$3,887	$3,887	$343	11.3×
MRI, lower back (no contrast) CPT Code: `72148`	$3,837	$3,837	$338	11.4×
MRI, knee or other leg joint CPT Code: `73721`	$3,835	$3,835	$369	10.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,757	$3,757	$258	14.6×
Upper endoscopy with biopsy CPT Code: `43239`	$3,218	$3,218	$987	3.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,168	$3,168	$169	18.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,084	$3,084	$168	18.4×
CT scan, head (with contrast) CPT Code: `70460`	$2,922	$2,922	$242	12.1×
CT scan, sinuses CPT Code: `70486`	$2,606	$2,606	$166	15.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,611	$2,611	$167	15.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,525	$2,525	$981	2.6×
CT scan, head (no contrast) CPT Code: `70450`	$2,475	$2,475	$160	15.5×
CT scan, pelvis CPT Code: `72192`	$2,157	$2,157	$163	13.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,772	$1,772	$134	13.2×
Blood transfusion CPT Code: `36430`	$1,561	$1,561	$498	3.1×
Ultrasound, pelvis CPT Code: `76856`	$1,510	$1,510	$130	11.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,343	$1,343	$132	10.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$929	$929	$272	3.4×
Psychological testing by technician CPT Code: `96138`	$921	$921	$395	2.3×
Neurobehavioral status check CPT Code: `96116`	$805	$805	$231	3.5×
X-ray, lower back CPT Code: `72110`	$582	$582	$112	5.2×
X-ray, hip CPT Code: `73502`	$539	$539	$93	5.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$545	$545	$126	4.3×
Screening mammogram (both breasts) CPT Code: `77067`	$524	$524	$123	4.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$514	$514	$148	3.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$426	$426	$93	4.6×
New patient office visit (30-44 min) CPT Code: `99203`	$380	$380	$110	3.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$343	$343	$185	1.9×
Speech therapy (language evaluation) CPT Code: `92507`	$312	$312	$86	3.6×
X-ray, ankle CPT Code: `73610`	$331	$331	$93	3.6×
X-ray, chest (two views) CPT Code: `71046`	$326	$326	$93	3.5×
X-ray, foot CPT Code: `73630`	$309	$309	$92	3.4×
X-ray, pelvis CPT Code: `72170`	$321	$321	$110	2.9×
X-ray, hand CPT Code: `73130`	$274	$274	$93	2.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$281	$281	$123	2.3×
X-ray, chest (single view) CPT Code: `71045`	$240	$240	$92	2.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$221	$221	$87	2.5×
X-ray, shoulder CPT Code: `73030`	$228	$228	$92	2.5×
Speech therapy (group session) CPT Code: `92508`	$156	$156	$27	5.8×
Physical therapy (gait training) CPT Code: `97116`	$133	$133	$33	4.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$148	$148	$38	3.9×
Physical therapy (manual therapy) CPT Code: `97140`	$132	$132	$34	3.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$127	$127	$35	3.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$127	$127	$38	3.3×
Occupational therapy (self-care training) CPT Code: `97535`	$127	$127	$38	3.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$126	$126	$40	3.1×
Prosthetic fitting and training CPT Code: `97761`	$127	$127	$45	2.8×
Orthotic fitting and training CPT Code: `97760`	$127	$127	$51	2.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$96	$96	$35	2.7×
Group therapy session CPT Code: `90853`	$84	$84	$100	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$307	$307	$11	27.9×
Blood test, basic metabolic panel CPT Code: `80048`	$220	$220	$9	24.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$243	$243	$111	2.2×
Drug screening test HCPCS Code: `G0480`	$209	$209	$116	1.8×
Culture, blood CPT Code: `87040`	$181	$181	$11	16.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$184	$184	$14	13.1×
Blood test, vitamin D CPT Code: `82306`	$191	$191	$31	6.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$162	$162	$18	9.0×
Pneumococcal vaccine HCPCS Code: `90732`	$165	$165	$140	1.2×
Blood test, lipase CPT Code: `83690`	$96	$96	$7	13.7×
Blood test, liver function panel CPT Code: `80076`	$120	$120	$9	13.3×
Culture, bacterial CPT Code: `87070`	$120	$120	$9	13.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$144	$144	$14	10.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$117	$117	$10	11.7×
Blood test, vitamin B12 CPT Code: `82607`	$135	$135	$16	8.4×
Hepatitis C antibody test CPT Code: `86803`	$112	$112	$15	7.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$116	$116	$19	6.1×
Blood antibody screen CPT Code: `86850`	$115	$115	$46	2.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$58	$58	$3	19.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$71	$71	$6	11.8×
Blood test, amylase CPT Code: `82150`	$82	$82	$7	11.7×
Blood test, magnesium CPT Code: `83735`	$81	$81	$7	11.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$105	$105	$20	5.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$78	$78	$56	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$78	$78	$64	1.2×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$45	$45	$4	11.3×
Blood test, hemoglobin CPT Code: `85018`	$32	$32	$3	10.7×
Blood test, calcium CPT Code: `82310`	$52	$52	$5	10.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$41	$41	$4	10.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$51	$5	10.2×
Blood test, sodium CPT Code: `84295`	$51	$51	$5	10.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$50	$5	10.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$73	$73	$8	9.1×
Blood test, potassium CPT Code: `84132`	$46	$46	$5	9.2×
Behavioral health outpatient services HCPCS Code: `H2015`	$50	$50	$16	3.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$62	$62	$49	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$27	$27	$25	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$48	$48	$48	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$52	$52	$201	0.3×

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 59.0%

Audit a Bill or Quote at Northwestern Medicine Marianjoy Rehabilitation Hospital (Zero PHI Required)

CMS CCN: 143027

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $39,524

Insurer Median $28,421

1. Amount on Your Bill or Quote ($) Pre-filled with Northwestern Medicine Marianjoy Rehabilitation Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $33,342 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $33,342

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (59.0% of gross = $33,342).

Step 2 · Cash vs. Insurance Arbitrage Save $16,940 Paying Cash

Self-Pay Cash Rate ($39,524) Beats Your Bill

Northwestern Medicine Marianjoy Rehabilitation Hospital's published 45 CFR § 180 self-pay cash rate is $39,524 (vs. $28,421 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$37,377 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($56,464) is $37,377 above the denoised Fair BaseRate ($19,087) and 4.0× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (59.0% of gross charges)

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. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Northwestern Medicine Marianjoy Rehabilitation Hospital.

Price Index: 2.06× regional baseline

Quality: 54/100 CMS composite

Median Household Income$119,048U.S. Census ACS

Local Uninsured Share3.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 143027

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 143027) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows3,912 (CMS v3.0.0)

File Integrity DigestVerified · CCN 143027

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.

Submit MRF Update Correction Policy