Elmhurst Memorial Hospital

Elmhurst, IL

Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $3,503 $3,503 3.7×
Transforaminal epidural injection, lumbar/sacral (64483) $2,792 $2,792 2.9×
CT head/brain without contrast (70450) $2,592 $2,592 23.1×
MRI brain without contrast (70551) $4,028 $4,028 15.8×
MRI brain with contrast (70552) $5,279 $5,279 14.1×
MRI brain without and with contrast (70553) $7,315 $7,315 19.6×
X-ray lower spine, 4+ views (72110) $1,321 $1,321 11.8×
MRI lumbar spine without contrast (72148) $4,705 $4,705 18.4×
CT pelvis with contrast (72193) $4,501 $4,501 23.9×
MRI lower-extremity joint without contrast (73721)
range across 3 matching MRF lines
$4,766–$8,084 $4,766–$8,084 varies
CT abdomen and pelvis with contrast (74177) $8,609 $8,609 23.0×
Ultrasound, abdomen complete (76700) $2,072 $2,072 18.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,720 $1,720 15.4×
Ultrasound, transvaginal (76830) $1,679 $1,679 15.0×
Mammography, one breast (diagnostic) (77065) $710 $710 8.2×
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$828–$1,226 $828–$1,226 varies
Mammography, screening (bilateral) (77067)
range across 4 matching MRF lines
$521–$986 $521–$986 varies
Basic metabolic panel (80048) $217 $217 25.7×
Comprehensive metabolic panel (80053) $244 $244 23.1×
Lipid panel (80061) $251 $251 18.7×
Renal function panel (80069) $166 $166 19.1×
Hepatic function panel (80076) $217 $217 26.6×
Urinalysis, non-automated, without microscopy (81002) $98 $98 28.2×
PSA, total (84153)
range across 2 matching MRF lines
$235–$256 $235–$256 varies
Thyroid stimulating hormone (TSH) (84443) $230 $230 13.7×
CBC with automated differential (85025) $115 $115 14.8×
CBC, automated (85027) $135 $135 20.9×
Prothrombin time (PT) (85610) $66 $66 15.4×
Partial thromboplastin time (PTT) (85730) $100 $100 16.6×
Psychotherapy, 30 minutes (90832)
range across 2 matching MRF lines
$160–$216 $160–$216 varies
Psychotherapy, 45 minutes (90834) $160 $160 0.8×
Psychotherapy, 60 minutes (90837) $160 $160 0.8×
Left heart catheterization (93452) $13,382 $13,382 3.9×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$7,100–$7,854 $7,100–$7,854 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 2 matching MRF lines
$276–$281 $276–$281 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 4 matching MRF lines
$297–$668 $297–$668 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 4 matching MRF lines
$437–$1,010 $437–$1,010 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 4 matching MRF lines
$564–$1,267 $564–$1,267 varies
Preventive visit, new patient (age 18–39) (99385)
range across 2 matching MRF lines
$38–$301 $38–$301 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (JSON, 28.1 MB) ↓ — captured 2026-10-01

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