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Elmhurst Memorial Hospital

155 East Brush Hill Road, Elmhurst, IL 60126 · (331) 221-1000

Acute Care HospitalsProprietaryCMS rating 3/5Chicago, IL-IN metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

1,280 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $83

$217
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,050

$8,609
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,250

$2,592
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,580

$4,501
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $123

$286
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $75

$115
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $108

$244
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $283

$828
cash
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Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 10 lines · metro median $208

$396
cash
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Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $144

$280
cash
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Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $5,550

$13,382
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $91

$251
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $85

$217
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,750

$7,315
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines · metro median $1,790

$4,766
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,765

$4,705
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,765

$4,287
cash
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cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,220

$2,792
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 8 lines · metro median $148

$297
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 8 lines · metro median $178

$437
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 8 lines · metro median $208

$564
cash
PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $92

$235
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $48

$100
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $85

$276
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $590

$1,720
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 4 lines · metro median $103

$38
cash
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Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $2,110

$7,255
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $28

$66
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $160

$160
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $180

$160
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $184

$160
cash
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Screening mammogram (both breasts)

CPT 77067 · lowest of 8 lines · metro median $238

$521
cash
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Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines · metro median $2,105

$7,100
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $996

$3,503
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,145

$3,176
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $80

$230
cash
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Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $570

$1,679
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $740

$2,072
cash
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Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $35

$119
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $478

$1,321
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.