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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52301 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $1,471.00 – $10,687.19 | 8 |
| Cystoscopy and treatment CPT 52310 | $3,684.00 | $6,140.00 | $1,471.00 – $4,166.57 | 8 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,471.00 – $4,166.57 | 8 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,360.00 – $7,026.03 | 8 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,684.00 | $6,140.00 | $747.24 – $2,825.00 | 8 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,471.00 – $4,166.57 | 7 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $747.24 – $2,825.00 | 8 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $1,678.00 – $8,800.00 | 8 |
| Cystoscopy inject material CPT 52327 | not published | not published | $1,471.00 – $10,687.19 | 8 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $2,074.00 – $10,687.19 | 7 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,471.00 – $4,166.57 | 8 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,471.00 – $4,166.57 | 8 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $2,074.00 – $10,687.19 | 8 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,471.00 – $4,166.57 | 8 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $2,074.00 – $4,166.57 | 8 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $2,074.00 – $7,026.03 | 8 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,777.44 – $7,026.03 | 7 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,074.00 – $10,687.19 | 8 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,074.00 – $10,687.19 | 8 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $2,074.00 – $10,687.19 | 7 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,074.00 – $10,687.19 | 8 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $1,678.00 – $10,687.19 | 8 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,074.00 – $7,026.03 | 8 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $4,483.80 | $7,473.00 | $1,471.00 – $4,166.57 | 8 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,471.00 – $4,166.57 | 8 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $308.00 – $1,094.00 | 2 |
| Cystourethro w/implant CPT 52441 | not published | not published | $308.00 – $1,678.00 | 2 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $785.00 – $1,471.00 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $1.17 – $1.17 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,044.00 – $2,228.17 | 7 |
| Cytogenetics 25-99 CPT 88274 | $575.40 | $959.00 | $42.38 – $78.83 | 7 |
| Cytogenetics 3-5 CPT 88272 | $294.00 | $490.00 | $32.82 – $75.70 | 7 |
| Cytogenomic neo microra alys CPT 81277 | $5,601.00 | $9,335.00 | $1,044.00 – $2,157.60 | 7 |
| Cytogenom microarray copy nmbr var CPT 81228 | $5,681.40 | $9,469.00 | $0.02 – $1,674.00 | 7 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,137.18 – $3,465.59 | 7 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.98 – $22.28 | 7 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $186.60 | $311.00 | $14.39 – $26.77 | 7 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $119.40 | $199.00 | $16.85 – $31.34 | 7 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $24.96 | 7 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,808.61 – $3,364.01 | 7 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $24.59 – $55.86 | 7 |
| Cyto/molecular report CPT 88291 | $220.80 | $368.00 | $29.00 – $52.95 | 2 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $47.19 | 7 |
| Cytopath c/v automated CPT 88147 | not published | not published | $13.95 – $94.04 | 7 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $12.95 – $51.41 | 7 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $18.54 – $34.48 | 7 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $7.34 – $27.25 | 7 |
| Cytopath c/v manual CPT 88150 | not published | not published | $12.95 – $34.48 | 7 |
| Cytopath c/v redo CPT 88153 | not published | not published | $12.95 – $44.70 | 7 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $23.04 – $42.85 | 7 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $27.46 – $57.65 | 7 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $271.80 | $453.00 | $42.98 – $103.87 | 7 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $145.80 | $243.00 | $26.61 – $49.49 | 7 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $164.40 | $274.00 | $20.26 – $37.68 | 7 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $34.80 | $58.00 | $27.46 – $74.45 | 7 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $138.00 | $230.00 | $27.46 – $74.45 | 7 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $112.20 | $187.00 | $6.77 – $34.49 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $262.20 | $437.00 | $56.08 – $339.58 | 7 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $610.20 | $1,017.00 | $42.98 – $103.87 | 7 |
| Cytopath smear other source CPT 88160 | $82.80 | $138.00 | $11.43 – $57.65 | 7 |
| Cytopath smear other source CPT 88162 | $133.80 | $223.00 | $42.98 – $103.87 | 7 |
| Cytopath smear oth prep screen & interp CPT 88161 | $135.00 | $225.00 | $27.46 – $57.65 | 7 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $12.95 – $34.48 | 7 |
| Cytopath tbs c/v manual CPT 88164 | $92.40 | $154.00 | $12.95 – $34.48 | 7 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $12.95 – $78.53 | 7 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $12.95 – $34.48 | 7 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $48.52 – $146.29 | 7 |
| Cytotoxic antibody screening CPT 86808 | $798.00 | $1,330.00 | $29.68 – $55.20 | 7 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $76.46 – $339.58 | 7 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $5.54 – $5.54 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $288.80 – $628.06 | 7 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.00 – $27.91 | 7 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.05 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $52.99 – $102.36 | 7 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.92 – $5.71 | 7 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.92 – $5.71 | 7 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.74 – $19.98 | 7 |
| Dark field exam without collj CPT 87166 | not published | not published | $11.30 – $21.02 | 7 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $249.02 – $485.82 | 7 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $26.40 – $28.65 | 2 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $81.21 – $81.21 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $215.00 – $399.91 | 7 |
| D&c after delivery 59160 CPT 59160 | $691.20 | $1,152.00 | $1,678.00 – $6,452.27 | 8 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,471.00 – $6,452.27 | 8 |
| Dch glucoscan CPT 82948 | $35.40 | $59.00 | $3.89 – $9.37 | 7 |
| Dch pulmonary stress test CPT 94621 | $1,362.00 | $2,270.00 | $399.88 – $743.78 | 6 |
| Dch validity tests CPT 81002 | $42.00 | $70.00 | $3.13 – $6.47 | 7 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $7,236.60 | $12,061.00 | $2,092.58 – $8,800.00 | 8 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,552.91 – $6,608.41 | 7 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,094.00 – $4,100.00 | 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.