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 |
|---|---|---|---|---|
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $330.00 | $550.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $450.00 | $750.00 | $264.33 – $491.66 | 7 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,871.40 | $3,119.00 | $1,471.00 – $3,533.00 | 8 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,678.00 – $3,533.00 | 8 |
| Clsd tx fracture of radius 25500 CPT 25500 | $203.40 | $339.00 | $264.33 – $491.66 | 7 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $180.60 | $301.00 | $264.33 – $491.66 | 7 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $492.00 | $820.00 | $264.33 – $491.66 | 7 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $441.60 | $736.00 | $264.33 – $491.66 | 7 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,192.80 | $1,988.00 | $1,678.00 – $3,205.07 | 8 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $203.40 | $339.00 | $264.33 – $491.66 | 7 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,991.80 | $6,653.00 | $308.00 – $3,205.07 | 8 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $453.60 | $756.00 | $264.33 – $491.66 | 7 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $293.40 | $489.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $249.00 | $415.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $565.80 | $943.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $1,637.40 | $2,729.00 | $299.72 – $557.49 | 7 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $321.00 | $535.00 | $308.00 – $2,200.00 | 8 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $537.60 | $896.00 | $264.33 – $491.66 | 7 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $537.60 | $896.00 | $264.33 – $491.66 | 7 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $601.20 | $1,002.00 | $264.33 – $1,600.00 | 8 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $264.33 – $491.66 | 7 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $273.60 | $456.00 | $264.33 – $491.66 | 7 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $1,471.00 – $6,608.41 | 8 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $1,600.00 – $1,600.00 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,060.40 | $3,434.00 | $1,471.00 – $3,533.00 | 8 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $442.80 | $738.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $264.33 – $1,400.00 | 8 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $264.33 – $491.66 | 7 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $264.33 – $491.66 | 7 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,008.00 | $1,680.00 | $1,094.00 – $3,205.07 | 8 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $537.60 | $896.00 | $264.33 – $491.66 | 7 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $249.00 | $415.00 | $264.33 – $491.66 | 7 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,008.00 | $1,680.00 | $308.00 – $3,205.07 | 8 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $264.33 – $1,400.00 | 8 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,158.60 | $1,931.00 | $1,471.00 – $3,205.07 | 8 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,043.00 | $3,405.00 | $308.00 – $3,205.07 | 8 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,008.00 | $1,680.00 | $1,094.00 – $3,533.00 | 8 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $1,094.00 – $6,521.79 | 8 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $563.40 | $939.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $532.80 | $888.00 | $264.33 – $491.66 | 7 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $297.60 | $496.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,008.00 | $1,680.00 | $1,094.00 – $3,205.07 | 8 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $203.40 | $339.00 | $264.33 – $491.66 | 7 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $151.20 | $252.00 | $264.33 – $1,400.00 | 8 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $264.33 – $491.66 | 7 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $264.33 – $491.66 | 7 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $264.33 – $1,600.00 | 8 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $264.33 – $491.66 | 7 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $249.00 | $415.00 | $264.33 – $1,400.00 | 8 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $785.00 – $785.00 | 1 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $785.00 – $785.00 | 1 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $264.33 – $1,600.00 | 8 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,471.00 – $3,205.07 | 8 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,471.00 – $3,533.00 | 8 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $249.00 | $415.00 | $264.33 – $1,400.00 | 8 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,794.00 | $2,990.00 | $308.00 – $3,205.07 | 8 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $264.33 – $1,400.00 | 8 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,008.00 | $1,680.00 | $1,094.00 – $3,533.00 | 8 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,678.00 – $11,799.47 | 8 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,894.80 | $3,158.00 | $1,662.71 – $3,533.00 | 8 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,018.20 | $6,697.00 | $1,678.00 – $6,608.41 | 7 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $2,074.00 – $6,608.41 | 8 |
| Cltx post ankle fx CPT 27767 | not published | not published | $264.33 – $491.66 | 7 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,046.00 | $3,410.00 | $308.00 – $3,205.07 | 7 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,794.00 | $2,990.00 | $308.00 – $3,205.07 | 8 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $264.33 – $1,400.00 | 8 |
| Cltx thigh fx CPT 27267 | not published | not published | $1,094.00 – $6,521.79 | 7 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $1,094.00 – $5,247.00 | 7 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,471.00 – $3,533.00 | 8 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,360.00 – $9,970.94 | 8 |
| C motor evoked lwr limbs CPT 95929 | $2,362.20 | $3,937.00 | $399.88 – $743.78 | 6 |
| C motor evoked uppr limbs CPT 95928 | $2,164.20 | $3,607.00 | $920.24 – $1,711.65 | 6 |
| C motor evoked upr&lwr limbs CPT 95939 | $3,544.20 | $5,907.00 | $920.24 – $1,711.65 | 6 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $785.00 – $785.00 | 1 |
| Cmptr ophth dx img ant segmt CPT 92132 | $188.40 | $314.00 | $63.22 – $117.58 | 6 |
| Cmptr ophth img optic nerve CPT 92133 | $210.00 | $350.00 | $63.22 – $117.58 | 6 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $7.34 – $26.17 | 7 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $16.37 | 7 |
| #cmvcul-virus inoculation shell CPT 87254 | $417.60 | $696.00 | $19.56 – $36.38 | 7 |
| Cmv pcr-sendout CPT 87496 | $336.60 | $561.00 | $35.09 – $65.27 | 7 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $123.30 – $254.82 | 7 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $171.49 – $318.97 | 6 |
| Co2 monitor per day CPT 94681 | $1,203.00 | $2,005.00 | $399.88 – $743.78 | 6 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.53 – $4.91 | 7 |
| Coagulation time activated teg CPT 85347 | $112.20 | $187.00 | $4.28 – $7.96 | 7 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.69 – $8.72 | 7 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $8.35 | 7 |
| Cochlear implt f/up exam <7 CPT 92601 | $507.00 | $845.00 | $137.89 – $256.47 | 6 |
| Cochlear implt f/up exam 7/> CPT 92603 | $507.00 | $845.00 | $137.89 – $256.47 | 6 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $15.01 | 7 |
| Cold agglutinin titer CPT 86157 | $43.80 | $73.00 | $8.06 – $14.99 | 7 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $785.00 – $785.00 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $785.00 – $785.00 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $785.00 – $785.00 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $785.00 – $785.00 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $785.00 – $785.00 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $785.00 – $785.00 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $785.00 – $785.00 | 1 |
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.