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 |
|---|---|---|---|---|
| Actigraphy testing CPT 95803 | $519.00 | $865.00 | $63.22 – $117.58 | 6 |
| Actinotherapy uv light CPT 96900 | not published | not published | $40.03 – $74.45 | 6 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $30.99 – $57.65 | 6 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $30.99 – $57.65 | 6 |
| Acute hepatitis panel CPT 80074 | $523.80 | $873.00 | $47.63 – $88.59 | 7 |
| Acute venous thrombus image CPT 78456 | $1,251.60 | $2,086.00 | $85.97 – $2,580.51 | 6 |
| #acylcarnitineprfl CPT 82017 | $434.40 | $724.00 | $16.87 – $31.38 | 7 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $30.67 | 7 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $28.31 – $353.79 | 6 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $22.35 – $202.49 | 6 |
| Adding walker to prev cast CPT 29440 | not published | not published | $174.14 – $323.90 | 7 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $22.28 | 7 |
| Adenovirus antibody,serum - quest CPT 86603 | $47.40 | $79.00 | $12.87 – $23.94 | 7 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $14.70 – $40.47 | 7 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $2,360.00 – $4,100.00 | 2 |
| Adh-sendout CPT 84588 | $280.20 | $467.00 | $33.94 – $63.13 | 7 |
| Adj gastric band via subq port CPT 43999 | $598.80 | $998.00 | $971.94 – $3,533.00 | 7 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,678.00 – $4,112.55 | 8 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $1,094.00 – $1,094.00 | 1 |
| Admin ecg contrast agent CPT 93352 | $162.60 | $271.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $471.00 | $785.00 | $44.51 – $143.51 | 6 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $393.60 | $656.00 | $77.16 – $143.51 | 6 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $471.00 | $785.00 | $206.31 – $658.37 | 6 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $399.00 | $665.00 | $159.47 – $658.37 | 6 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $151.80 | $253.00 | $53.37 – $143.51 | 6 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $254.40 | $424.00 | $77.16 – $143.51 | 6 |
| Administration immunization 1 vaccine CPT 90471 | $73.80 | $123.00 | $77.16 – $143.51 | 6 |
| Administration immunization each additional vaccine CPT 90472 | $78.00 | $130.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $51.60 | $86.00 | $77.16 – $143.51 | 6 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $45.60 | $76.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $54.60 | $91.00 | $50.18 – $93.33 | 6 |
| Administration vaccine influenza virus HCPCS G0008 | $49.20 | $82.00 | $50.18 – $93.33 | 6 |
| Administration vaccine pneumococcal HCPCS G0009 | $56.40 | $94.00 | $50.18 – $93.33 | 6 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $41.11 – $78.49 | 7 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $65.95 – $2,580.51 | 6 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $785.00 – $785.00 | 1 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $108.87 – $202.49 | 6 |
| Aep hearing status deter i&r CPT 92651 | $196.20 | $327.00 | $231.39 – $430.38 | 6 |
| Aep neurodiagnostic i&r CPT 92653 | $663.00 | $1,105.00 | $231.39 – $430.38 | 6 |
| Aep thrshld est mlt freq i&r CPT 92652 | $663.00 | $1,105.00 | $231.39 – $430.38 | 6 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,873.33 – $5,474.76 | 7 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $770,620.00 – $1,433,353.20 | 7 |
| _afb id by dna probe rflx ast CPT 87149 | $183.00 | $305.00 | $20.05 – $37.29 | 7 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $6.93 – $13.60 | 7 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $334.80 | $558.00 | $115.36 – $214.57 | 7 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $123.30 – $254.82 | 7 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $247.35 – $511.18 | 7 |
| Aflibercept injection HCPCS J0178 | not published | not published | $731.88 – $1,361.31 | 7 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $24.78 – $24.78 | 1 |
| After cataract laser surgery CPT 66821 | not published | not published | $589.39 – $2,825.00 | 8 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $222.84 – $423.30 | 7 |
| Air conduction bilat CPT 92552 | $126.60 | $211.00 | $142.58 – $265.19 | 6 |
| Air injection into abdomen 49400 CPT 49400 | $357.60 | $596.00 | $308.00 – $1,094.00 | 2 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $194.40 | $324.00 | $137.89 – $256.47 | 6 |
| Albumin body fluid quantitative each specimen CPT 82042 | $138.60 | $231.00 | $6.35 – $14.47 | 7 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $298.80 | $498.00 | not published | 0 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $39.49 | 7 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $53.08 – $98.72 | 7 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $63.13 | 7 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $61.80 | $103.00 | $5.78 – $10.75 | 7 |
| Albumin serum plasma or whole blood CPT 82040 | $108.60 | $181.00 | $4.95 – $9.21 | 7 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $273.60 | $456.00 | $15.54 – $32.12 | 7 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $0.02 – $0.02 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $30.99 – $57.65 | 6 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,338.87 – $6,210.30 | 7 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $233.43 | 7 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,440.42 – $4,539.17 | 7 |
| Alkaline phosphatase CPT 84075 | $128.40 | $214.00 | $5.18 – $9.63 | 7 |
| Allergen alpha lactalbumin ige CPT 86008 | $441.60 | $736.00 | $17.93 – $33.35 | 7 |
| Allergen egg white ige CPT 86003 | $178.80 | $298.00 | $5.22 – $9.71 | 7 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $14.82 | 7 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $50.18 – $93.33 | 6 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $50.18 – $93.33 | 6 |
| Allergy Skin Testing CPT 95004 | $48.60 | $81.00 | $920.24 – $1,711.65 | 6 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $920.24 – $1,711.65 | 6 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,678.00 – $25,590.20 | 7 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $605.40 | $1,009.00 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $378.00 | $630.00 | not published | 0 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $40.03 – $74.45 | 6 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $30.99 – $57.65 | 6 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.14 – $9.56 | 7 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $119.80 | 7 |
| Alpha-fetoprotein amniotic CPT 82106 | $135.60 | $226.00 | $17.00 – $31.62 | 7 |
| Alpha-fetoprotein tumor marker CPT 82105 | $222.00 | $370.00 | $16.77 – $31.19 | 7 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $91.46 – $176.87 | 7 |
| Alt/sgpt CPT 84460 | $99.00 | $165.00 | $5.30 – $9.86 | 7 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.49 – $8.36 | 7 |
| Aluminum - quest CPT 82108 | $138.60 | $231.00 | $25.48 – $47.39 | 7 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $1,094.00 – $6,608.41 | 7 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $201.00 | $335.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $0.02 – $0.02 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $142.58 – $265.19 | 6 |
| Ambl bp mntr w/sw i&r CPT 93790 | $59.40 | $99.00 | not published | 0 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $4.62 – $11.14 | 7 |
| Amino acid screen, urine CPT 82128 | $537.00 | $895.00 | $13.87 – $25.80 | 7 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $26.37 | 7 |
| Amino acids quant 2-5 CPT 82136 | $351.60 | $586.00 | $19.61 – $36.47 | 7 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.77 – $3.30 | 7 |
| Aminolevulinic acid delta CPT 82135 | $212.40 | $354.00 | $16.45 – $30.60 | 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.