Northwest Community Hospital
Northwest Community Hospital in Arlington Heights, IL publishes cash prices for 46 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
800 W Central Road, Arlington Heights, IL 60005 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hb Ct Abd & Pelv W/Contrast | $4,206.00 | $4,206.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hb Ct Abd & Pelv W/Contrast | $4,206.00 | $4,206.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Hb Ct Head/Brain W/O Dye | $1,808.00 | $1,808.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hb Ct Head/Brain W/O Dye | $1,808.00 | $1,808.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Hb Ct Pelvis W/Dye | $2,348.00 | $2,348.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hb Ct Pelvis W/Dye | $2,348.00 | $2,348.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hb Dx Mammo Incl Cad Bi | $589.00 | $589.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hb Dx Mammo Incl Cad Bi | $589.00 | $589.00 | — |
| Diagnostic mammogram, one breast CPT 77065 Hb Dx Mammo Incl Cad Uni | $448.00 | $448.00 | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 Hb Dx Mammo Incl Cad Uni | $448.00 | $448.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 Hb Mri Jnt Of Lwr Extre W/O Dye, Bilateral | $5,750.00 | $5,750.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hb Mri Jnt Of Lwr Extre W/O Dye | $2,860.00 | $2,860.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 Hb Mri Jnt Of Lwr Extre W/O Dye, Bilateral | $5,750.00 | $5,750.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hb Mri Jnt Of Lwr Extre W/O Dye | $2,860.00 | $2,860.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hb Mri Joint Lwr Extr W/O&W/Dye | $3,448.00 | $3,448.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hb Mri Joint Lwr Extr W/O&W/Dye | $3,448.00 | $3,448.00 | — |
| MRI of the brain, no contrast dye CPT 70551 Hb Mri Brain Stem W/O Dye | $2,987.00 | $2,987.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hb Mri Brain Stem W/O Dye | $2,987.00 | $2,987.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 Hb Mri Brain Stem W/O & W/Dye | $3,992.00 | $3,992.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hb Mri Brain Stem W/O & W/Dye | $3,992.00 | $3,992.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 Hb Mri Lumbar Spine W/O Dye | $3,186.00 | $3,186.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hb Mri Lumbar Spine W/O Dye | $3,186.00 | $3,186.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hb Ob Us >/= 14 Wks Sngl Fetus | $689.00 | $689.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hb Ob Us >/= 14 Wks Sngl Fetus | $689.00 | $689.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 Hb Scr Mammo Bi Incl Cad | $625.00 | $625.00 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hb Scr Mammo Bi Incl Cad | $625.00 | $625.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hb Polysom 6/> Yrs 4/> Param | $4,250.00 | $4,250.00 | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hb Polysom 6/> Yrs 4/> Param | $4,250.00 | $4,250.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Hb Transvaginal Us Non-Ob | $510.00 | $510.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hb Transvaginal Us Non-Ob | $510.00 | $510.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 Hb Us Exam Abdom Complete | $1,045.00 | $1,045.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hb Us Exam Abdom Complete | $1,045.00 | $1,045.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 Hb X-Ray Exam L-2 Spine 4/>Vws | $505.00 | $505.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hb X-Ray Exam L-2 Spine 4/>Vws | $505.00 | $505.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Hb Metabolic Panel Total Ca | $162.00 | $162.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hb Metabolic Panel Total Ca | $162.00 | $162.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Prof With Calc Ldl | $137.00 | $137.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Panel | $137.00 | $137.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Panel | $137.00 | $137.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Prof With Calc Ldl | $137.00 | $137.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Hb Complete Cbc W/Auto Diff Wbc | $103.00 | $103.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hb Complete Cbc W/Auto Diff Wbc | $103.00 | $103.00 | — |
| Complete blood count (CBC), no differential CPT 85027 Hb Complete Cbc Automated | $63.00 | $63.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hb Complete Cbc Automated | $63.00 | $63.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Hb Comprehen Metabolic Panel | $237.00 | $237.00 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hb Comprehen Metabolic Panel | $237.00 | $237.00 | — |
| Kidney function blood test panel CPT 80069 Hb Renal Function Panel | $235.00 | $235.00 | — |
| Kidney function blood test panel inpatient CPT 80069 Hb Renal Function Panel | $235.00 | $235.00 | — |
| Liver function blood test panel CPT 80076 Hb Hepatic Function Panel | $168.00 | $168.00 | — |
| Liver function blood test panel inpatient CPT 80076 Hb Hepatic Function Panel | $168.00 | $168.00 | — |
| Obstetric blood test panel CPT 80055 Hb Obstetric Panel | $204.00 | $204.00 | — |
| Obstetric blood test panel inpatient CPT 80055 Hb Obstetric Panel | $204.00 | $204.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Assay Of Psa Free | $149.00 | $149.00 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Assay Of Psa Free | $149.00 | $149.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hb Assay Of Psa Total | $170.00 | $170.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hb Assay Of Psa Total | $170.00 | $170.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Thromboplastin Time, Partial (Ptt) Plasma Or Whole Blood | $121.00 | $121.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Thromboplastin Time, Partial (Ptt) Plasma Or Whole Blood | $121.00 | $121.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time | $52.00 | $52.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time | $52.00 | $52.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hb Assay Thyroid Stim Hormone | $158.00 | $158.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hb Assay Thyroid Stim Hormone | $158.00 | $158.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Hb Urinalysis Auto W/Scope | $88.00 | $88.00 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hb Urinalysis Auto W/Scope | $88.00 | $88.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Hb Urine,Ua Dipstick* | $3.00 | $3.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Hb Urinalysis Auto W/O Scope | $63.00 | $63.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hb Urine,Ua Dipstick* | $3.00 | $3.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hb Urinalysis Auto W/O Scope | $63.00 | $63.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Hb Urinalysis Nonauto W/O Scope | $9.00 | $9.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hb Urinalysis Nonauto W/O Scope | $9.00 | $9.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 Hb Left Hrt Cath W/Ventrclgrphy | $13,382.00 | $13,382.00 | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Hb Left Hrt Cath W/Ventrclgrphy | $13,382.00 | $13,382.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hb Inject Spine Lumbar/Sacral | $3,176.00 | $3,176.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hb Inject Spine Lumbar/Sacral | $3,176.00 | $3,176.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hb Inj Foramen Epidural L/S | $2,792.00 | $2,792.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hb Inj Foramen Epidural L/S | $2,792.00 | $2,792.00 | — |
| Prostate biopsy CPT 55700 Hb Biopsy Of Prostate | $3,229.00 | $3,229.00 | — |
| Prostate biopsy inpatient CPT 55700 Hb Biopsy Of Prostate | $3,229.00 | $3,229.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Hb Family Psytx W/Pt 50 Min | $302.00 | $302.00 | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hb Family Psytx W/Pt 50 Min | $302.00 | $302.00 | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hb Family Psytx W/O Pt 50 Min | $277.00 | $277.00 | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hb Family Psytx W/O Pt 50 Min | $277.00 | $277.00 | — |
| Group psychotherapy session CPT 90853 Hb Group Psychotherapy | $500.00 | $500.00 | — |
| Group psychotherapy session CPT 90853 Hb Group Psychotherapy (Iop) | $500.00 | $500.00 | — |
| Group psychotherapy session CPT 90853 Hb Group Psychotherapy (Php) | $750.00 | $750.00 | — |
| Group psychotherapy session inpatient CPT 90853 Hb Group Psychotherapy | $500.00 | $500.00 | — |
| Group psychotherapy session inpatient CPT 90853 Hb Group Psychotherapy (Iop) | $500.00 | $500.00 | — |
| Group psychotherapy session inpatient CPT 90853 Hb Group Psychotherapy (Php) | $750.00 | $750.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Hb E&M New L&D Pt - Level 3 | $594.00 | $594.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Hb E&M New Pt - Level 3 | $594.00 | $594.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hb E&M New Pt - Level 3 | $594.00 | $594.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hb E&M New L&D Pt - Level 3 | $594.00 | $594.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Hb E&M New Pt - Level 4 | $639.00 | $639.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Hb E&M New L&D Pt - Level 4 | $639.00 | $639.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Hb E&M New Pt - Level 4 | $639.00 | $639.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Hb E&M New L&D Pt - Level 4 | $639.00 | $639.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Hb E&M New L&D Pt - Level 5 | $710.00 | $710.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Hb E&M New Pt - Level 5 | $710.00 | $710.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Hb Level 5 New Pt Visit W/Px | $862.00 | $862.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Hb E&M New L&D Pt - Level 5 | $710.00 | $710.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Hb E&M New Pt - Level 5 | $710.00 | $710.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Hb Level 5 New Pt Visit W/Px | $862.00 | $862.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Therapeutic Exercises-Pt | $148.00 | $148.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Therapeutic Exercises-Ot | $148.00 | $148.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Therapeutic Exercises-Pt | $148.00 | $148.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Therapeutic Exercises-Ot | $148.00 | $148.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 Hb Psytx W Pt 30 Minutes | $216.00 | $216.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hb Psytx W Pt 30 Minutes | $216.00 | $216.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 Hb Psytx W Pt 45 Minutes | $346.00 | $346.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hb Psytx W Pt 45 Minutes | $346.00 | $346.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 Hb Psytx W Pt 60 Minutes | $419.00 | $419.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hb Psytx W Pt 60 Minutes | $419.00 | $419.00 | — |
Source file: https://www.endeavorhealth.org/362340313_1770531600_northwest-community-hospital_standardcharges.json