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 |
|---|---|---|---|---|
| Chromosome analysis 15-20 cell count CPT 88262 | $1,336.80 | $2,228.00 | $125.49 – $233.41 | 7 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $322.10 | 7 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $279.54 | 7 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $216.68 – $491.67 | 7 |
| Chromosome analysis 50-100 CPT 88248 | $325.80 | $543.00 | $173.17 – $322.10 | 7 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $350.74 | 7 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $127.60 | 7 |
| Chromosome count additional CPT 88285 | $347.40 | $579.00 | $23.29 – $50.05 | 7 |
| Chromosome karyotype study CPT 88280 | $594.00 | $990.00 | $30.77 – $62.25 | 7 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $64.04 | 7 |
| Chronic urticaria - sendout CPT 86343 | $432.00 | $720.00 | $12.46 – $23.18 | 7 |
| Chylomicron screen, bf - sendout CPT 82664 | $194.40 | $324.00 | $42.12 – $114.39 | 7 |
| Cidofovir injection HCPCS J0740 | not published | not published | $521.83 – $1,043.07 | 7 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,471.00 – $4,738.83 | 8 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $553,169.30 – $1,094,600.34 | 7 |
| Cine/video x-rays CPT 76120 | not published | not published | $36.83 – $208.38 | 6 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $23.62 – $23.62 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,471.00 – $4,166.57 | 8 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $747.24 – $4,100.00 | 8 |
| Circumcision (newborn) CPT 54150 | $1,315.80 | $2,193.00 | $1,094.00 – $4,166.57 | 8 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.83 – $2.83 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $0.02 – $612.89 | 7 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.73 – $16.23 | 7 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $785.00 – $785.00 | 1 |
| Clamp neck artery CPT 61703 | not published | not published | $785.00 – $785.00 | 1 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,360.00 – $6,521.79 | 8 |
| Claviculectomy total CPT 23125 | not published | not published | $2,360.00 – $6,521.79 | 8 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $308.00 – $1,075.00 | 7 |
| Clearance of airways CPT 31720 | $290.40 | $484.00 | $234.66 – $1,400.00 | 8 |
| Clearance of airways CPT 31725 | not published | not published | $785.00 – $1,094.00 | 2 |
| Clearance of tear duct CPT 68530 | not published | not published | $308.00 – $632.66 | 7 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $142.58 – $265.19 | 6 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $142.58 – $265.19 | 6 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $142.58 – $265.19 | 6 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $40.03 – $74.45 | 6 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,468.96 – $6,452.27 | 7 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $785.00 – $785.00 | 1 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $10.94 – $20.34 | 7 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $1,678.00 – $4,100.00 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $785.00 – $785.00 | 1 |
| Close chest after drainage CPT 32810 | not published | not published | $785.00 – $785.00 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $373.80 | $623.00 | $264.33 – $491.66 | 7 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,008.00 | $1,680.00 | $308.00 – $3,205.07 | 8 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,094.00 – $3,533.00 | 7 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $151.20 | $252.00 | $264.33 – $491.66 | 7 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,164.20 | $3,607.00 | $1,471.00 – $4,100.00 | 8 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $1,001.40 | $1,669.00 | $264.33 – $491.66 | 7 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,662.80 | $4,438.00 | $308.00 – $3,205.07 | 8 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $405.60 | $676.00 | $264.33 – $491.66 | 7 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,662.71 – $5,500.00 | 8 |
| Closed tx orbit without manipulj CPT 21400 | $321.00 | $535.00 | $308.00 – $1,600.00 | 8 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,662.71 – $3,533.00 | 8 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,510.80 | $2,518.00 | $1,471.00 – $3,533.00 | 8 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $1,471.00 – $6,608.41 | 8 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $264.33 – $491.66 | 7 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $273.60 | $456.00 | $264.33 – $491.66 | 7 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,094.00 – $2,825.00 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $453.60 | $756.00 | $253.81 – $472.09 | 7 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,662.71 – $3,533.00 | 8 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Close mult vsd CPT 33675 | not published | not published | $785.00 – $785.00 | 1 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $785.00 – $785.00 | 1 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $785.00 – $785.00 | 1 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $785.00 – $785.00 | 1 |
| Close tear duct opening CPT 68760 | not published | not published | $308.00 – $632.66 | 7 |
| Close tear duct opening CPT 68761 | not published | not published | $308.00 – $632.66 | 7 |
| Close tear system fistula CPT 68770 | not published | not published | $2,074.00 – $4,738.83 | 8 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $14.70 – $29.76 | 7 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,167.80 | $3,613.00 | $1,471.00 – $3,533.00 | 8 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $785.00 – $785.00 | 1 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $785.00 – $785.00 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $785.00 – $785.00 | 1 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $785.00 – $785.00 | 1 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $308.00 – $1,400.00 | 8 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $1,068.27 – $3,533.00 | 7 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,094.00 – $6,608.41 | 8 |
| Closure of valve CPT 33600 | not published | not published | $785.00 – $785.00 | 1 |
| Closure of valve CPT 33602 | not published | not published | $785.00 – $785.00 | 1 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,094.00 – $6,608.41 | 8 |
| Closure paravalvlr leak pq CPT 33999 | $1,120.20 | $1,867.00 | $672.23 – $2,825.00 | 7 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $785.00 – $785.00 | 1 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $785.00 – $785.00 | 1 |
| Clot factor fletcher fact CPT 85292 | $448.80 | $748.00 | $18.93 – $35.21 | 7 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $37.98 | 7 |
| Clot factor wght kininogen CPT 85293 | $448.80 | $748.00 | $18.93 – $35.21 | 7 |
| Clot factor xii hageman CPT 85280 | $374.40 | $624.00 | $19.35 – $35.99 | 7 |
| Clot factor xiii fibrin scrn CPT 85291 | $336.00 | $560.00 | $9.11 – $16.94 | 7 |
| Clot factor xiii fibrin stab CPT 85290 | $464.40 | $774.00 | $16.34 – $30.39 | 7 |
| Clotting assay whole blood CPT 85396 | not published | not published | $19.01 – $31.74 | 2 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,004.40 | $1,674.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $264.33 – $1,400.00 | 8 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $484.80 | $808.00 | $264.33 – $491.66 | 7 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $411.60 | $686.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $1,094.00 – $3,205.07 | 8 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $228.00 | $380.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $180.60 | $301.00 | $264.33 – $491.66 | 7 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $537.60 | $896.00 | $264.33 – $491.66 | 7 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $498.00 | $830.00 | $264.33 – $1,400.00 | 8 |
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.