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 |
|---|---|---|---|---|
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,471.00 – $3,533.00 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.02 – $0.02 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $8,490.60 | $14,151.00 | $785.00 – $1,094.00 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $126.13 – $518.94 | 7 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $247.35 – $511.18 | 7 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $123.30 – $254.82 | 7 |
| Dna antibody native/double stranded CPT 86225 | $301.20 | $502.00 | $13.74 – $25.56 | 7 |
| Dna gardnerella CPT 87510 | $57.60 | $96.00 | $20.05 – $37.29 | 7 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $42.32 | 7 |
| Dna probe gc CPT 87590 | not published | not published | $24.59 – $50.00 | 7 |
| Dna trichomonas CPT 87660 | $57.60 | $96.00 | $20.05 – $37.29 | 7 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.61 – $94.13 | 7 |
| Doppler echo complete CPT 93320 | $608.40 | $1,014.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,620.80 | $4,368.00 | $308.00 – $308.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $992.40 | $1,654.00 | $231.39 – $430.38 | 6 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $486.60 | $811.00 | $142.58 – $265.19 | 6 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $240.14 – $459.57 | 7 |
| Double transfer toe-hand CPT 26554 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.94 – $3.94 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $71.86 – $150.41 | 7 |
| Dpyd gene common variants CPT 81232 | $1,666.80 | $2,778.00 | $157.33 – $325.15 | 7 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $443.40 | $739.00 | $758.85 – $2,825.00 | 7 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,495.80 | $2,493.00 | $758.85 – $2,825.00 | 7 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,094.00 – $3,533.00 | 7 |
| Drainage external ear simple 69000 CPT 69000 | $443.40 | $739.00 | $758.85 – $2,825.00 | 7 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $1,094.00 – $5,789.71 | 8 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,471.00 – $5,789.71 | 8 |
| Drainage mouth roof lesion CPT 42000 | $492.60 | $821.00 | $253.81 – $1,600.00 | 8 |
| Drainage of abdomen CPT 48000 | not published | not published | $785.00 – $785.00 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | $1,891.20 | $3,152.00 | $1,471.00 – $3,533.00 | 8 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,094.00 – $5,789.71 | 8 |
| Drainage of bone lesion CPT 26992 | not published | not published | $1,471.00 – $6,521.79 | 7 |
| Drainage of bone lesion CPT 27303 | not published | not published | $1,471.00 – $6,521.79 | 7 |
| Drainage of eye CPT 65800 | not published | not published | $308.00 – $4,599.98 | 8 |
| Drainage of eye CPT 65810 | not published | not published | $1,678.00 – $4,599.98 | 8 |
| Drainage of eye CPT 65815 | not published | not published | $1,471.00 – $4,599.98 | 8 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,471.00 – $4,100.00 | 8 |
| Drainage of kidney lesion CPT 50390 | $2,506.20 | $4,177.00 | $758.85 – $2,825.00 | 8 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $253.81 – $1,400.00 | 8 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Drainage of mouth lesion CPT 41008 | $4,187.40 | $6,979.00 | $1,094.00 – $6,608.41 | 8 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $308.00 – $1,400.00 | 8 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $308.00 – $1,400.00 | 8 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,094.00 – $11,799.47 | 8 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,094.00 – $6,608.41 | 8 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $253.81 – $472.09 | 7 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $308.00 – $1,075.00 | 7 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,094.00 – $4,100.00 | 8 |
| Drainage of pelvis lesion 26990 CPT 26990 | $9,736.20 | $16,227.00 | $1,094.00 – $6,521.79 | 8 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,094.00 – $7,026.03 | 8 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,282.34 – $3,533.00 | 8 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $1,471.00 – $5,532.48 | 8 |
| Drainage of salivary gland CPT 42305 | not published | not published | $1,471.00 – $6,608.41 | 8 |
| Drainage of salivary gland CPT 42320 | not published | not published | $308.00 – $1,400.00 | 8 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $785.00 – $785.00 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $785.00 – $785.00 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,471.00 – $11,799.47 | 8 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $1,094.00 – $4,166.57 | 7 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $747.24 – $4,100.00 | 8 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,240.09 – $4,166.57 | 7 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $920.24 – $3,533.00 | 7 |
| Drain blood from under nail 11740 CPT 11740 | $148.80 | $248.00 | $142.58 – $308.00 | 7 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,147.60 | $5,246.00 | $1,678.00 – $3,533.00 | 7 |
| Drain cath image guided visceral pq CPT 49405 | $3,520.80 | $5,868.00 | $1,471.00 – $3,533.00 | 7 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,038.00 | $1,730.00 | $756.44 – $2,825.00 | 8 |
| Drain chest lesion CPT 21502 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Drain finger abscess;simple 26010 CPT 26010 | $365.40 | $609.00 | $215.00 – $399.91 | 7 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Drain lower leg lesion 27603 CPT 27603 | $1,896.60 | $3,161.00 | $1,471.00 – $5,789.71 | 8 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $1,471.00 – $5,789.71 | 8 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $785.00 – $785.00 | 1 |
| Drain ovarn cyst abd CPT 58805 | $6,742.80 | $11,238.00 | $1,678.00 – $6,452.27 | 7 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,678.00 – $6,452.27 | 8 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $785.00 – $785.00 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $1,769.88 – $3,533.00 | 8 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,678.00 – $4,100.00 | 8 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $1,678.00 – $5,789.71 | 8 |
| Drain shoulder lesion CPT 23030 | not published | not published | $1,094.00 – $5,789.71 | 8 |
| Drain thigh/knee lesion 27301 CPT 27301 | $4,306.80 | $7,178.00 | $1,678.00 – $5,789.71 | 8 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $785.00 – $785.00 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $394.80 | $658.00 | $215.00 – $1,600.00 | 8 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $426.00 | $710.00 | $215.00 – $399.91 | 7 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $451.80 | $753.00 | $308.00 – $1,600.00 | 8 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $308.00 – $1,473.13 | 7 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $265.80 | $443.00 | $785.00 – $785.00 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,603.20 | $2,672.00 | $785.00 – $785.00 | 1 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $308.00 – $1,400.00 | 3 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $308.00 – $1,400.00 | 3 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $785.00 – $785.00 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Drng of eyelid abscess 67700 CPT 67700 | $729.00 | $1,215.00 | $308.00 – $632.66 | 7 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,020.60 | $1,701.00 | $1,094.00 – $3,533.00 | 8 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $758.85 – $2,825.00 | 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.