Supplies, drugs & other prices at Northwest Community Hospital 1
Arlington Heights, IL · every code in this section with a posted price and a Medicare benchmark.
58 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,219 | $1,219 | 3.3× |
| Adm tocilizu covid-19 1st (M0249) | $929 | $929 | 2.0× |
| Admin hepatitis b vaccine (G0010) range across 3 matching MRF lines |
$87–$124 | $87–$124 | varies |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$44–$64 | $44–$64 | varies |
| Admin pneumococcal vaccine (G0009) range across 3 matching MRF lines |
$44–$64 | $44–$64 | varies |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$373–$793 | $373–$793 | varies |
| Diab manage trn per indiv (G0108) | $205 | $205 | 3.7× |
| Diab manage trn ind/group (G0109) | $101 | $101 | 6.3× |
| Direct refer hospital observ (G0379) | $908 | $908 | 1.4× |
| Eia hiv-1/hiv-2 screen (G0432) range across 2 matching MRF lines |
$32–$175 | $32–$175 | varies |
| Elec stim other than wound (G0283) | $163 | $163 | 12.8× |
| Group mnt 2 or more 30 mins (G0271) | $69 | $69 | 4.1× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $59,886 | $59,886 | 1.8× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $49,478 | $49,478 | 2.1× |
| Intens cardiac rehab no exer (G0423) | $413 | $413 | 3.0× |
| Intens cardiac rehab w/exerc (G0422) | $413 | $413 | 3.0× |
| Mnt subs tx for change dx (G0270) | $135 | $135 | 4.3× |
| Mra w/cont, abd (C8900) | $1,152 | $1,152 | 3.1× |
| Mra w/cont, chest (C8909) | $1,175 | $1,175 | 3.1× |
| Mra w/cont, lwr ext (C8912) | $1,175 | $1,175 | 3.1× |
| Mra w/cont, pelvis (C8918) | $1,175 | $1,175 | 3.1× |
| Mra w/o cont, abd (C8901) | $648 | $648 | 2.5× |
| Mra w/o cont, chest (C8910) | $677 | $677 | 2.6× |
| Mra w/o cont, lwr ext (C8913) | $720 | $720 | 2.8× |
| Mra w/o cont, pelvis (C8919) | $720 | $720 | 2.8× |
| Mra w/o fol w/cont, abd (C8902) | $3,498 | $3,498 | 9.4× |
| Mra w/o fol w/cont, chest (C8911) | $3,479 | $3,479 | 9.3× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$1,200–$3,374 | $1,200–$3,374 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,200 | $1,200 | 3.2× |
| Mra, w/dye, upper extremity (C8934) | $1,175 | $1,175 | 3.1× |
| Mra, w/o dye, upper extr (C8935) | $728 | $728 | 2.8× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,200 | $1,200 | 3.2× |
| Mri w/o fol w/cont, breast, (C8908) | $5,326 | $5,326 | 14.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,175 | $1,175 | 3.1× |
| Neuro csf prion prtn qual (0035U) | $444 | $444 | 0.8× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$404–$607 | $404–$607 | varies |
| Oral hiv-1/hiv-2 screen (G0435) range across 2 matching MRF lines |
$32–$154 | $32–$154 | varies |
| Oth resp proc, group (G0239) | $233 | $233 | 5.8× |
| Oth resp proc, indiv (G0238) | $181 | $181 | 5.8× |
| Perc d-e cor revasc chro sin (C9607) | $27,495 | $27,495 | 1.4× |
| Perc d-e cor revasc t cabg s (C9604) | $27,846 | $27,846 | 2.3× |
| Perc d-e cor stent ather s (C9602) | $33,232 | $33,232 | 1.7× |
| Perc drug-el cor stent sing (C9600) | $30,687 | $30,687 | 2.5× |
| Perq Sacral Augmt Bilat Inj (0201T) | $31,068 | $31,068 | 4.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $19,042 | $19,042 | 2.4× |
| Place device/marker, non pro (C9728) range across 2 matching MRF lines |
$3,946–$4,256 | $3,946–$4,256 | varies |
| Psa screening (G0103) range across 2 matching MRF lines |
$25–$175 | $25–$175 | varies |
| Revasc intra lithotrip-ather (C9766) | $41,228 | $41,228 | 2.1× |
| Revasc intra lithotrip-stent (C9765) | $35,278 | $35,278 | 1.8× |
| Revasc intravasc lithotripsy (C9764) | $19,075 | $19,075 | 1.5× |
| Revasc lithotrip-stent-ather (C9767) | $46,828 | $46,828 | 2.4× |
| Therapeutic procd strg endur (G0237) | $132 | $132 | 4.3× |
| Tomosynthesis, mammo (G0279) | $122 | $122 | 9.6× |
| Trauma respons w/hosp criti (G0390) | $6,675 | $6,675 | 4.7× |
| Trluml Perip Athrc Iliac Art (0238T) | $49,748 | $49,748 | 2.5× |
| Tte w or w/o fol w/con,stres (C8928) | $2,706 | $2,706 | 3.2× |
| Tte w or wo fol wcon,doppler (C8929) | $3,756 | $3,756 | 4.5× |
| Unsched dialysis esrd pt hos (G0257) | $1,689 | $1,689 | 2.3× |
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.