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 |
|---|---|---|---|---|
| Warde zinc CPT 84630 | $159.00 | $265.00 | $11.39 – $21.19 | 7 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $148.00 – $148.00 | 1 |
| Wash harvest stem cells CPT 38209 | not published | not published | $308.00 – $879.35 | 7 |
| Wbc automated CPT 85048 | $45.00 | $75.00 | $2.54 – $4.72 | 7 |
| Wcd device interrogate CPT 93292 | not published | not published | $39.99 – $74.39 | 6 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $4,100.00 – $4,100.00 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $1,678.00 – $14,780.53 | 7 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $785.00 – $785.00 | 1 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $785.00 – $785.00 | 1 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $785.00 – $785.00 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $299.72 – $557.49 | 7 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $299.72 – $557.49 | 7 |
| Western blot test CPT 84181 | $334.80 | $558.00 | $17.03 – $31.68 | 7 |
| Wet mounts/ w preparations HCPCS Q0111 | $78.00 | $130.00 | $5.24 – $34.48 | 7 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $240.60 | $401.00 | not published | 0 |
| Whole blood for transfusion HCPCS P9010 | $778.80 | $1,298.00 | not published | 0 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $1,015.20 | $1,692.00 | not published | 0 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $907.20 | $1,512.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | $5,424.60 | $9,041.00 | $0.02 – $2,393.82 | 7 |
| Whole mitochondrial genome CPT 81465 | $1,954.80 | $3,258.00 | $0.02 – $1,740.96 | 7 |
| Wilate injection HCPCS J7183 | not published | not published | $1.28 – $2.46 | 7 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $308.00 – $1,094.00 | 2 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $308.00 – $308.00 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $249.00 | $415.00 | $435.63 – $810.27 | 6 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $252.00 | $420.00 | $435.63 – $810.27 | 6 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $601.80 | $1,003.00 | $215.00 – $399.91 | 6 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $483.60 | $806.00 | $435.63 – $810.27 | 6 |
| Wrist arthroscopy CPT 29840 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,678.00 – $8,800.00 | 8 |
| Wrist X-ray CPT 73110 | $482.40 | $804.00 | $15.74 – $173.46 | 6 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $2,733.00 – $8,238.78 | 7 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,360.00 – $5,500.00 | 8 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $2,733.00 – $10,606.48 | 7 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $2,733.00 – $8,238.78 | 7 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $2,733.00 – $10,606.48 | 7 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $4,965.00 | $8,275.00 | $1,471.00 – $4,112.55 | 8 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,678.00 – $4,112.55 | 8 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $0.02 – $1,700.04 | 7 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.02 – $1,700.04 | 7 |
| Xm archive tissue molec anal CPT 88363 | $132.00 | $220.00 | $11.43 – $57.65 | 7 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $308.00 – $1,094.00 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,780.20 | $2,967.00 | $785.00 – $785.00 | 1 |
| X-ray abdomen 1 view CPT 74018 | $277.20 | $462.00 | $16.35 – $173.46 | 6 |
| X-ray abdomen 2 views CPT 74019 | $337.80 | $563.00 | $20.60 – $208.38 | 6 |
| X-ray abdomen >=3 views CPT 74021 | $389.40 | $649.00 | $23.62 – $208.38 | 6 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $551.40 | $919.00 | $29.03 – $208.38 | 6 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $241.80 | $403.00 | $16.95 – $173.46 | 6 |
| X-ray ankle 2 views (both sides) CPT 73600 | $408.60 | $681.00 | $15.13 – $173.46 | 6 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $709.20 | $1,182.00 | $50.80 – $695.38 | 6 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $23.29 | 7 |
| X-ray bone age studies CPT 77072 | $212.40 | $354.00 | $16.95 – $208.38 | 6 |
| X-ray bone length studies CPT 77073 | $456.00 | $760.00 | $24.79 – $208.38 | 6 |
| X-ray bone survey complete CPT 77075 | $729.00 | $1,215.00 | $50.18 – $208.38 | 6 |
| X-ray bone survey infant CPT 77076 | $729.00 | $1,215.00 | $62.94 – $208.38 | 6 |
| X-ray cervical spine 2-3 views CPT 72040 | $412.80 | $688.00 | $19.99 – $173.46 | 6 |
| X-ray cervical spine 4-5 views CPT 72050 | $510.00 | $850.00 | $24.25 – $208.38 | 6 |
| X-ray cervical spine >= 6 views CPT 72052 | $560.40 | $934.00 | $27.20 – $208.38 | 6 |
| X-ray clavicle complete (both sides) CPT 73000 | $431.40 | $719.00 | $15.13 – $173.46 | 6 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $837.00 | $1,395.00 | $90.85 – $349.61 | 6 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,325.40 | $2,209.00 | $111.92 – $349.61 | 6 |
| X-ray consultation CPT 76140 | not published | not published | $31.11 – $31.11 | 1 |
| X-ray elbow 2 views (both sides) CPT 73070 | $495.60 | $826.00 | $15.13 – $173.46 | 6 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $486.60 | $811.00 | $15.74 – $173.46 | 6 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $665.28 – $665.28 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $570.46 – $570.46 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $631.80 | $1,053.00 | $54.43 – $349.61 | 6 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $334.20 | $557.00 | $31.54 – $208.38 | 6 |
| X-ray exam entire spi 6/> vw CPT 72084 | $385.20 | $642.00 | $37.55 – $208.38 | 6 |
| X-ray exam of arm infant CPT 73092 | $1,133.40 | $1,889.00 | $14.52 – $208.38 | 6 |
| X-ray exam of eye sockets CPT 70200 | $583.80 | $973.00 | $24.85 – $208.38 | 6 |
| X-ray exam of femur 1 CPT 73551 | $484.20 | $807.00 | $15.13 – $173.46 | 6 |
| X-ray exam of jaw joint CPT 70328 | $430.20 | $717.00 | $16.35 – $173.46 | 6 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $49.57 – $475.58 | 6 |
| X-ray exam of mastoids CPT 70120 | $215.40 | $359.00 | $16.35 – $208.38 | 6 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $31.56 – $1,089.12 | 6 |
| X-ray exam of penis CPT 74445 | $1,805.40 | $3,009.00 | $97.49 – $208.38 | 6 |
| X-ray exam of perineum CPT 74775 | not published | not published | $56.25 – $475.58 | 6 |
| X-ray exam of salivary gland CPT 70380 | $262.20 | $437.00 | $15.11 – $173.46 | 6 |
| X-ray exam of sinuses CPT 70210 | $377.40 | $629.00 | $15.74 – $173.46 | 6 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $27.20 – $475.58 | 6 |
| X-ray exam of teeth CPT 70300 | $245.40 | $409.00 | $9.66 – $173.46 | 6 |
| X-ray exam of teeth CPT 70310 | $307.20 | $512.00 | $14.52 – $475.58 | 6 |
| X-ray exam si joints CPT 72200 | $482.40 | $804.00 | $15.11 – $208.38 | 6 |
| X-ray exam thorac spine4/>vw CPT 72074 | $502.20 | $837.00 | $21.80 – $208.38 | 6 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $430.80 | $718.00 | $16.35 – $173.46 | 6 |
| X-ray facial bones complete > 3 views CPT 70150 | $720.00 | $1,200.00 | $23.01 – $208.38 | 6 |
| X-ray fallopian tube CPT 74742 | $721.80 | $1,203.00 | $55.04 – $55.04 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $426.60 | $711.00 | $16.35 – $173.46 | 6 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $280.20 | $467.00 | $12.70 – $173.46 | 6 |
| X-ray foot 2 views (both sides) CPT 73620 | $402.00 | $670.00 | $13.90 – $173.46 | 6 |
| X-ray forearm 2 views (both sides) CPT 73090 | $376.80 | $628.00 | $14.52 – $173.46 | 6 |
| X-ray hand 2 views (both sides) CPT 73120 | $405.00 | $675.00 | $15.13 – $208.38 | 6 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $15.74 – $173.46 | 6 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $371.40 | $619.00 | $14.52 – $173.46 | 6 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $729.00 | $1,215.00 | $24.25 – $208.38 | 6 |
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.