Northwest Community Hospital 1

800 W Central Road, Arlington Heights, IL 60005 · (847) 618-1000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Chicago, IL-IN metro Website ↗

Price file

Prices published

File dated 2026-03-16

1,390 price rows for 35 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

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

$27

cash

$21 to $251

52 negotiated rates

$27

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $3,050

$5,582

cash

$4,410 to $5,582

26 negotiated rates

$5,582

list

CT scan of the head, no contrast

CPT 70450 · metro median $1,250

$290

cash

$229 to $290

26 negotiated rates

$290

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,580

$3,681

cash

$2,908 to $3,681

26 negotiated rates

$3,681

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $29,533

$14,382

cash

$14,382 to $14,382

1 negotiated rates

$14,382

list

Chlamydia test (DNA)

CPT 87491 · metro median $123

$123

cash

$97 to $185

52 negotiated rates

$123

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $75

$34

cash

$27 to $46

52 negotiated rates

$34

list

Comprehensive metabolic panel (blood test)

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

$46

cash

$36 to $60

52 negotiated rates

$46

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $283

$481

cash

$380 to $481

26 negotiated rates

$481

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $26

$514

cash

$406 to $514

26 negotiated rates

$514

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $208

$393

cash

$311 to $393

26 negotiated rates

$393

list

Gonorrhea test (DNA)

CPT 87591 · metro median $144

$167

cash

$132 to $167

26 negotiated rates

$167

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $66,627

$28,934

cash

$28,934 to $28,934

1 negotiated rates

$28,934

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $24,764

$11,694

cash

$11,694 to $11,694

1 negotiated rates

$11,694

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $46,281

$18,611

cash

$18,611 to $18,611

1 negotiated rates

$18,611

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $91

$165

cash

$130 to $165

52 negotiated rates

$165

list

Liver function panel

CPT 80076 · metro median $85

$36

cash

$13 to $36

52 negotiated rates

$36

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $2,750

$3,881

cash

$3,066 to $3,881

26 negotiated rates

$3,881

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $1,765

$2,809

cash

$2,219 to $2,809

26 negotiated rates

$2,809

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,765

$2,838

cash

$2,242 to $2,838

26 negotiated rates

$2,838

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $73,213

$36,620

cash

$36,620 to $36,620

1 negotiated rates

$36,620

list

New patient office visit (about 45 minutes)

CPT 99204 · metro median $178

$1,942

cash

$1,534 to $1,942

26 negotiated rates

$1,942

list

New patient office visit (about 60 minutes)

CPT 99205 · metro median $208

$1,905

cash

$1,505 to $1,905

26 negotiated rates

$1,905

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $92

$30

cash

$24 to $36

52 negotiated rates

$30

list

Partial thromboplastin time (blood clotting test)

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

$28

cash

$22 to $43

52 negotiated rates

$28

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $85

$105

cash

$83 to $124

78 negotiated rates

$105

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $590

$904

cash

$714 to $904

26 negotiated rates

$904

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 3 lines · metro median $28

$10

cash

$8 to $78

104 negotiated rates

$10

list

Screening mammogram (both breasts)

CPT 77067 · metro median $238

$211

cash

$167 to $211

26 negotiated rates

$211

list

TSH test (thyroid)

CPT 84443 · lowest of 3 lines · metro median $80

$53

cash

$42 to $211

104 negotiated rates

$53

list

Transvaginal ultrasound

CPT 76830 · metro median $570

$963

cash

$761 to $963

26 negotiated rates

$963

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $740

$378

cash

$299 to $378

26 negotiated rates

$378

list

Urinalysis with microscope

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

cash

$7 to $14

52 negotiated rates

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $11,970

$10,113

cash

$10,113 to $10,113

1 negotiated rates

$10,113

list

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

CPT 72110 · metro median $478

$569

cash

$449 to $569

26 negotiated rates

$569

list

Source files

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

https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/884348984_mercy-rehabilitation-hospital-northwest-arkansas_standardcharges.csv
Mercy Rehabilitation Hospital Northwest Arkansas · parsed · tall v3.0.0 · file dated 2026-03-16 · 94.4 MB · 1390 price rows read · read Nov 2026
https://www.nch.org/wp-content/uploads/362340313_Northwest-Community-Hospital_standardcharges.csv
Northwest Community Hospital · unsupported · 0.1 MB · read Sep 2026