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 |
|---|---|---|---|---|
| CT colonography screening CPT 74263 | $2,487.00 | $4,145.00 | $218.34 – $475.58 | 6 |
| CT guidance for needle placement CPT 77012 | $2,120.40 | $3,534.00 | $146.37 – $146.37 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,872.60 | $3,121.00 | $115.46 – $115.46 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | $3,610.80 | $6,018.00 | $264.33 – $491.66 | 7 |
| CT guid parench tis ablat CPT 77013 | $1,717.80 | $2,863.00 | $379.28 – $379.28 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $117.00 | $195.00 | $58.45 – $173.46 | 6 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,858.80 | $3,098.00 | $248.14 – $695.38 | 6 |
| CT hrt w/3d image CPT 75572 | $1,969.80 | $3,283.00 | $170.15 – $695.38 | 6 |
| CT limited or localized follow-up study CPT 76380 | $1,697.40 | $2,829.00 | $93.26 – $173.46 | 6 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $3,199.80 | $5,333.00 | $114.31 – $349.61 | 6 |
| CT lower extremity without contrast (both sides) CPT 73700 | $3,127.80 | $5,213.00 | $96.88 – $208.38 | 6 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,758.40 | $6,264.00 | $119.01 – $349.61 | 6 |
| CT neck soft tissue w/contrast CPT 70491 | $2,254.20 | $3,757.00 | $136.51 – $349.61 | 6 |
| CT neck soft tissue without contrast CPT 70490 | $2,196.00 | $3,660.00 | $112.03 – $208.38 | 6 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,505.60 | $4,176.00 | $158.70 – $349.61 | 6 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,532.00 | $4,220.00 | $125.03 – $349.61 | 6 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,153.40 | $3,589.00 | $111.60 – $349.61 | 6 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,133.60 | $3,556.00 | $112.03 – $208.38 | 6 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $477.60 | $796.00 | $253.81 – $1,400.00 | 8 |
| CT scan for localization CPT 77011 | $1,797.60 | $2,996.00 | $128.48 – $128.48 | 1 |
| CT scan for therapy guide CPT 77014 | not published | not published | $92.32 – $92.32 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,380.00 | $7,300.00 | $197.02 – $695.38 | 6 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,900.60 | $6,501.00 | $180.16 – $695.38 | 6 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,079.20 | $5,132.00 | $172.75 – $475.58 | 6 |
| CT thoracic spine w/contrast CPT 72129 | $2,503.80 | $4,173.00 | $120.99 – $349.61 | 6 |
| CT thoracic spine without contrast CPT 72128 | $2,109.60 | $3,516.00 | $96.88 – $208.38 | 6 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $176.40 | $294.00 | $106.88 – $208.38 | 6 |
| CT t-spine w /wo contrast CPT 72130 | $2,717.40 | $4,529.00 | $125.71 – $349.61 | 6 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $3,286.20 | $5,477.00 | $114.31 – $695.38 | 6 |
| CT upper extremity without contrast (both sides) CPT 73200 | $3,199.20 | $5,332.00 | $96.88 – $208.38 | 6 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,798.00 | $6,330.00 | $119.70 – $349.61 | 6 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $91.98 – $339.58 | 7 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $182.57 – $339.58 | 7 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,471.00 – $7,063.39 | 8 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,471.00 – $4,112.55 | 8 |
| Culture aerobic additional method definitive id each CPT 87077 | $63.00 | $105.00 | $8.08 – $15.03 | 7 |
| Culture afb any source CPT 87116 | $240.00 | $400.00 | $10.80 – $20.09 | 7 |
| Culture anaerobic additional method definitive id each CPT 87076 | $204.60 | $341.00 | $8.08 – $15.03 | 7 |
| Culture anaerobic except blood CPT 87075 | $180.60 | $301.00 | $9.47 – $17.61 | 7 |
| Culture bacteria anaerobic CPT 87073 | $372.00 | $620.00 | $9.66 – $17.97 | 7 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $17.40 – $17.40 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $69.00 | $115.00 | $9.44 – $17.56 | 7 |
| Culture body fluid CPT 87070 | $142.20 | $237.00 | $8.62 – $16.03 | 7 |
| Culture fungi definitive id mold CPT 87107 | $123.00 | $205.00 | $10.32 – $19.20 | 7 |
| Culture fungi definitive id yeast CPT 87106 | $117.60 | $196.00 | $10.32 – $19.20 | 7 |
| Culture fungi other (except blood) CPT 87102 | $123.00 | $205.00 | $8.41 – $15.64 | 7 |
| Culture fungi skin/hair/nail CPT 87101 | $108.60 | $181.00 | $7.71 – $14.34 | 7 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $434.40 | $724.00 | $13.42 – $27.17 | 7 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.39 – $28.63 | 7 |
| Culture of specimen by kit CPT 87084 | not published | not published | $10.57 – $50.35 | 7 |
| Culture quantitative aerobic other source CPT 87071 | $685.20 | $1,142.00 | $9.89 – $18.40 | 7 |
| Culture screening strep group a CPT 87081 | $115.80 | $193.00 | $6.63 – $12.33 | 7 |
| Culture type pulse field gel CPT 87152 | $358.20 | $597.00 | $6.42 – $14.40 | 7 |
| Culture typing added method CPT 87158 | not published | not published | $6.42 – $14.40 | 7 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $23.29 | 7 |
| Culture typing immunologic CPT 87147 | $76.80 | $128.00 | $5.18 – $9.63 | 7 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $645.00 | $1,075.00 | $196.25 – $405.59 | 7 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $139.80 | $233.00 | $35.09 – $65.27 | 7 |
| Culture urine each isolate CPT 87088 | $99.00 | $165.00 | $8.09 – $15.05 | 7 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $36.38 | 7 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,068.27 – $3,533.00 | 7 |
| Curette/treat cornea CPT 65436 | not published | not published | $1,094.00 – $4,738.83 | 7 |
| Cv line/pic reposition CPT 36597 | $1,530.00 | $2,550.00 | $1,094.00 – $3,137.62 | 7 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $26.64 | 7 |
| Cyclic citrullinated peptide antibody CPT 86200 | $213.60 | $356.00 | $12.95 – $24.09 | 7 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.77 – $1.44 | 7 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $2.87 – $2.87 | 1 |
| Cyclosporine 2 hour CPT 80158 | $190.20 | $317.00 | $18.05 – $33.57 | 7 |
| Cyp2c19 gene com variants CPT 81225 | $1,627.80 | $2,713.00 | $0.02 – $541.93 | 7 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $0.02 – $325.15 | 7 |
| Cyp2d6 gene com variants CPT 81226 | $2,539.80 | $4,233.00 | $0.02 – $838.69 | 7 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $157.33 – $325.15 | 7 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $157.33 – $325.15 | 7 |
| Cystatin c CPT 82610 | $296.40 | $494.00 | $16.67 – $34.45 | 7 |
| Cystic fibrosis cftr CPT 81223 | $3,174.60 | $5,291.00 | $0.02 – $928.14 | 7 |
| Cystine urine quantitative CPT 82131 | $725.40 | $1,209.00 | $20.68 – $42.74 | 7 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $600.00 | $1,000.00 | $28.42 – $695.38 | 6 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $2,360.00 – $18,868.65 | 7 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $1,678.00 – $18,868.65 | 7 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $2,074.00 – $18,868.65 | 7 |
| Cystometrogram w/up 51727 CPT 51727 | $1,104.60 | $1,841.00 | $747.24 – $2,825.00 | 7 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $2,074.00 – $5,247.00 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,471.00 – $18,868.65 | 7 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $1,678.00 – $10,687.19 | 7 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $2,074.00 – $7,026.03 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,678.00 – $10,687.19 | 8 |
| Cystoscopy and treatment CPT 52260 | $3,684.00 | $6,140.00 | $1,471.00 – $4,166.57 | 8 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,471.00 – $4,166.57 | 7 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,678.00 – $4,166.57 | 8 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,471.00 – $4,166.57 | 8 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $747.24 – $3,533.00 | 8 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,471.00 – $4,166.57 | 8 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $1,471.00 – $7,026.03 | 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.