OSF Little Company of Mary Medical Center
2800 W 95Th St, Evergreen Park, IL · Osfhealthcare · · NPI 1215572045
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $195.00 | $325.00 | $29.28 – $54.46 | 7 |
| 17-hydroxypregnenolone CPT 84143 | $151.80 | $253.00 | $22.81 – $42.43 | 7 |
| 17-ketosteroids CPT 83586 | $157.80 | $263.00 | $12.80 – $23.81 | 7 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $103.80 | $173.00 | $142.67 – $265.37 | 6 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $1,147.20 | $1,912.00 | not published | 0 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $108.87 – $202.49 | 6 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $32.33 – $66.81 | 7 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $142.58 – $265.19 | 6 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $840.06 – $1,562.52 | 6 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $840.06 – $1,562.52 | 6 |
| 2nd order venous cath CPT 36012 | $2,241.00 | $3,735.00 | $308.00 – $1,094.00 | 2 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $137.89 – $256.47 | 6 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $137.89 – $256.47 | 6 |
| 3-d radiotherapy plan CPT 77295 | $6,525.60 | $10,876.00 | $412.74 – $2,758.86 | 6 |
| 3d recon without postprocess indpndt CPT 76376 | $2,244.60 | $3,741.00 | $19.50 – $19.50 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $163.20 | $272.00 | $11.15 – $20.74 | 7 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $69.60 | $116.00 | $19.98 – $59.31 | 2 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $184.20 | $307.00 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $150.60 | $251.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $333.60 | $556.00 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $104.40 | $174.00 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $151.80 | $253.00 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $213.60 | $356.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $113.40 | $189.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $124.20 | $207.00 | not published | 0 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $785.00 – $785.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $43.38 – $83.18 | 7 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $127.20 | $212.00 | $12.01 – $22.34 | 7 |
| Abd aorta w/runoff s&i CPT 75630 | $5,484.00 | $9,140.00 | $178.46 – $6,293.52 | 6 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $785.00 – $785.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | $1,949.40 | $3,249.00 | $308.00 – $1,471.00 | 2 |
| Abd/low ext cath 2nd CPT 36246 | $3,963.60 | $6,606.00 | $308.00 – $1,471.00 | 2 |
| Abd/low ext cath 3rd CPT 36247 | $4,082.40 | $6,804.00 | $308.00 – $1,471.00 | 2 |
| Abd/low ext cath addl CPT 36248 | $2,406.00 | $4,010.00 | $308.00 – $1,471.00 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,681.40 | $4,469.00 | $137.18 – $349.61 | 6 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,355.00 | $3,925.00 | $125.71 – $349.61 | 6 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,176.20 | $3,627.00 | $112.03 – $208.38 | 6 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,576.60 | $5,961.00 | $215.85 – $695.38 | 6 |
| Abdominal MRI (with contrast) CPT 74182 | $2,955.00 | $4,925.00 | $171.40 – $695.38 | 6 |
| Abdominal MRI (without contrast) CPT 74181 | $2,871.00 | $4,785.00 | $144.55 – $475.58 | 6 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,413.60 | $2,356.00 | $971.94 – $3,533.00 | 7 |
| Abdominal Ultrasound (complete) CPT 76700 | $729.00 | $1,215.00 | $71.42 – $208.38 | 6 |
| Abdominal Ultrasound (limited) CPT 76705 | $729.00 | $1,215.00 | $53.19 – $208.38 | 6 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,678.00 – $13,235.25 | 8 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $913.20 | $1,522.00 | $971.94 – $3,533.00 | 7 |
| Abl1 gene CPT 81170 | $1,085.40 | $1,809.00 | $296.56 – $558.00 | 7 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $308.00 – $1,094.00 | 2 |
| Ablate arrhythmia add on CPT 93655 | $10,738.20 | $17,897.00 | $1,094.00 – $4,701.00 | 2 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $785.00 – $785.00 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $785.00 – $785.00 | 1 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $785.00 – $785.00 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $785.00 – $785.00 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $785.00 – $785.00 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $2,362.80 | $3,938.00 | $1,471.00 – $14,463.16 | 7 |
| Ablate bone tumor(s) perq CPT 20982 | $9,102.00 | $15,170.00 | $1,094.00 – $34,948.59 | 7 |
| Ablate heart dysrhythm focus CPT 93650 | $10,516.20 | $17,527.00 | $3,274.00 – $15,546.37 | 7 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $785.00 – $785.00 | 1 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $785.00 – $785.00 | 1 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $785.00 – $785.00 | 1 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Ablate pulm tumor perq crybl CPT 32994 | $8,307.60 | $13,846.00 | $2,074.00 – $21,187.50 | 7 |
| Ablate pulm tumor perq rf CPT 32998 | $8,455.80 | $14,093.00 | $2,074.00 – $12,050.01 | 7 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $304.80 | $508.00 | $137.89 – $308.00 | 7 |
| Ablation cryo abd perit om CPT 49999 | $5,364.00 | $8,940.00 | $971.94 – $3,533.00 | 7 |
| Ablation cryo adrenal tumor CPT 60699 | $1,427.40 | $2,379.00 | $1,094.00 – $12,050.01 | 7 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $1,351.20 | $2,252.00 | $264.33 – $491.66 | 7 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $8,307.60 | $13,846.00 | $2,822.00 – $21,187.50 | 7 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $308.00 – $879.35 | 7 |
| Ablation cryo thigh/knee CPT 27599 | $1,566.60 | $2,611.00 | $264.33 – $491.66 | 7 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $11,391.13 – $21,187.50 | 6 |
| Ablation of upper extremity nerves rf CPT 64999 | $657.00 | $1,095.00 | $308.00 – $611.82 | 7 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,094.00 – $3,533.00 | 7 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,471.00 – $18,868.65 | 7 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $785.00 – $1,471.00 | 2 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $1,678.00 – $26,297.34 | 7 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.90 – $16.56 | 7 |
| Abortion CPT 59850 | not published | not published | $785.00 – $1,471.00 | 2 |
| Abortion (mpr) CPT 59866 | not published | not published | $308.00 – $607.39 | 7 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $308.00 – $308.00 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $215.00 – $399.91 | 7 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,520.80 | $5,868.00 | $1,471.00 – $3,533.00 | 7 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $1,694.40 | $2,824.00 | $308.00 – $1,094.00 | 2 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $308.00 – $308.00 | 1 |
| Acetaminophen level CPT 80143 | $135.60 | $226.00 | $16.78 – $34.67 | 7 |
| Acetone qualitative CPT 82009 | $97.20 | $162.00 | $4.52 – $8.41 | 7 |
| Acetylcholine receptor modulating antibody CPT 86043 | $157.80 | $263.00 | $10.85 – $22.41 | 7 |
| Acetylcholinesterase assay CPT 82013 | $223.20 | $372.00 | $12.29 – $22.86 | 7 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $308.00 – $743.78 | 7 |
| Acne surgery 10040 CPT 10040 | $125.40 | $209.00 | $215.00 – $399.91 | 7 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $181.55 – $337.68 | 6 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $136.48 – $253.85 | 6 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $215.40 | $359.00 | $108.87 – $202.49 | 6 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $567.00 | $945.00 | $142.67 – $265.37 | 6 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $56.40 | $94.00 | $12.87 – $23.94 | 6 |
| Acoustic immitance testing CPT 92570 | $178.20 | $297.00 | $137.89 – $256.47 | 6 |
| Acoustic refl threshold tst CPT 92568 | $257.40 | $429.00 | $40.03 – $74.45 | 6 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,360.00 – $6,521.79 | 8 |
| Acth stimulation panel CPT 80402 | not published | not published | $86.96 – $161.75 | 7 |
| Acth stimulation panel CPT 80406 | not published | not published | $78.26 – $145.56 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.