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 |
|---|---|---|---|---|
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $308.00 – $1,600.00 | 8 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,678.00 – $6,452.27 | 8 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,094.00 – $6,521.79 | 8 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $1,678.00 – $6,608.41 | 8 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,113.20 | $3,522.00 | $1,094.00 – $3,533.00 | 8 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $1,559.40 | $2,599.00 | $785.00 – $785.00 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $785.00 – $785.00 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | $945.00 | $1,575.00 | $1,678.00 – $5,247.00 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | $2,072.40 | $3,454.00 | $785.00 – $785.00 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $308.00 – $1,400.00 | 8 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $49.20 | $82.00 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $130.20 | $217.00 | $308.00 – $308.00 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $17.34 – $71.74 | 7 |
| Drug assay posaconazole CPT 80187 | $141.60 | $236.00 | $24.40 – $50.42 | 7 |
| Drug assay rufinamide CPT 80210 | $111.60 | $186.00 | $24.40 – $50.42 | 7 |
| Drug assay vedolizumab CPT 80280 | $322.80 | $538.00 | $34.71 – $71.74 | 7 |
| Drug assay voriconazole CPT 80285 | $118.80 | $198.00 | $24.40 – $50.42 | 7 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $16.78 – $34.67 | 7 |
| Drug of abuse screen urine CPT 80305 | $351.60 | $586.00 | $12.60 – $23.44 | 7 |
| Drug screening tapentadol CPT 80372 | not published | not published | $0.02 – $0.02 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $22.14 – $50.42 | 7 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $0.02 – $0.02 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $149.43 – $369.66 | 7 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $71.95 – $212.84 | 7 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $193.71 – $459.27 | 7 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $110.69 – $291.26 | 7 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $115.58 | 7 |
| Drug test prsmv instrmnt CPT 80306 | $297.60 | $496.00 | $17.14 – $31.88 | 7 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,192.20 | $1,987.00 | $62.14 – $115.58 | 7 |
| Drvvt confirm - quest CPT 85597 | $188.40 | $314.00 | $17.98 – $33.44 | 7 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $1,094.00 – $7,836.10 | 8 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $5,881.20 | $9,802.00 | $1,094.00 – $4,100.00 | 7 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $308.00 – $810.27 | 7 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $308.00 – $810.27 | 7 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $308.00 – $1,473.13 | 7 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $308.00 – $1,473.13 | 7 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $589.39 – $2,825.00 | 7 |
| Ductogram sgl duct CPT 77053 | $885.00 | $1,475.00 | $32.07 – $475.58 | 6 |
| Duodenal exclusion CPT 48547 | not published | not published | $785.00 – $785.00 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $308.00 – $743.78 | 7 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,593.60 | $2,656.00 | $255.69 – $475.58 | 6 |
| Duplex scan unilateral study 93986 CPT 93986 | $729.00 | $1,215.00 | $112.03 – $208.38 | 6 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $729.00 | $1,215.00 | $112.03 – $208.38 | 6 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,276.20 | $2,127.00 | $231.39 – $430.38 | 6 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,204.20 | $2,007.00 | $255.69 – $475.58 | 6 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $83.87 – $160.23 | 7 |
| Dxa bone density axl vrt fx CPT 77085 | $391.80 | $653.00 | $26.68 – $208.38 | 6 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $137.89 – $256.47 | 6 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,442.00 | $4,070.00 | $1,471.00 – $3,547.71 | 8 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,690.20 | $2,817.00 | $1,471.00 – $3,547.71 | 8 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,776.00 | $2,960.00 | $1,400.00 – $3,547.71 | 8 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $971.94 – $3,533.00 | 7 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $971.94 – $3,533.00 | 7 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $231.39 – $430.38 | 7 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $137.89 – $308.00 | 7 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $68.84 – $68.84 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $182.20 – $182.20 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $61.13 – $61.13 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $308.00 – $779.58 | 7 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,471.00 – $3,547.71 | 8 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $116.91 – $116.91 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $267.74 – $3,533.00 | 7 |
| Dynamic surface emg CPT 96002 | not published | not published | $231.39 – $430.38 | 6 |
| Ear and throat examination CPT 92502 | not published | not published | $308.00 – $1,075.00 | 7 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,662.71 – $3,533.00 | 7 |
| Ear cartilage graft CPT 21235 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Ear irrigation 69209 CPT 69209 | $306.00 | $510.00 | $63.22 – $308.00 | 7 |
| Ear protector evaluation CPT 92596 | not published | not published | $40.03 – $74.45 | 6 |
| Ecallantide injection HCPCS J1290 | not published | not published | $564.64 – $1,076.47 | 7 |
| Ecg 12 lead tracing only CPT 93005 | $256.80 | $428.00 | $63.22 – $117.58 | 6 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $305.40 | $509.00 | $63.22 – $117.58 | 6 |
| Ecg < 30 days transmission & analysis CPT 93271 | $541.20 | $902.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $541.20 | $902.00 | $142.58 – $265.19 | 6 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $541.20 | $902.00 | $63.22 – $117.58 | 6 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $190.80 | $318.00 | $40.03 – $74.45 | 6 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $318.00 | $530.00 | $40.03 – $74.45 | 6 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,316.00 | $3,860.00 | $585.55 – $1,089.12 | 6 |
| Echocardiography doppler color flow mapping CPT 93325 | $564.00 | $940.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $840.06 – $1,562.52 | 6 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,218.60 | $2,031.00 | $255.69 – $475.58 | 6 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $373.86 – $695.38 | 6 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $460.80 | $768.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $40.73 – $208.38 | 6 |
| Echo exam of eye CPT 76519 | not published | not published | $54.72 – $208.38 | 6 |
| Echo exam of eye CPT 76529 | not published | not published | $57.78 – $173.46 | 6 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $14.54 – $57.65 | 6 |
| Echo exam of fetal heart CPT 76825 | $1,876.20 | $3,127.00 | $144.28 – $1,089.12 | 6 |
| Echo exam of fetal heart CPT 76826 | $1,314.60 | $2,191.00 | $71.52 – $475.58 | 6 |
| Echo exam of fetal heart CPT 76827 | $729.00 | $1,215.00 | $50.90 – $208.38 | 6 |
| Echo exam of fetal heart CPT 76828 | $788.40 | $1,314.00 | $47.90 – $208.38 | 6 |
| Echo exam uterus 76831- CPT 76831 | $1,150.80 | $1,918.00 | $63.03 – $475.58 | 6 |
| Echograp trans r pros study CPT 76873 | $2,316.60 | $3,861.00 | $112.03 – $208.38 | 6 |
| Echo guidance radiotherapy CPT 76965 | $877.20 | $1,462.00 | $122.52 – $122.52 | 1 |
| Echo guide for amniocentesis CPT 76946 | $643.20 | $1,072.00 | $33.34 – $33.34 | 1 |
| Echo guide for artery repair CPT 76936 | $1,970.40 | $3,284.00 | $179.58 – $430.38 | 6 |
| Echo guide for heart biopsy CPT 76932 | $1,875.60 | $3,126.00 | $69.95 – $69.95 | 1 |
| Echo guide for transfusion CPT 76941 | $691.20 | $1,152.00 | $117.58 – $117.58 | 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.