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 |
|---|---|---|---|---|
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $4,100.00 – $7,684.77 | 7 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $785.00 – $785.00 | 1 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $1,559.40 | $2,599.00 | $1,471.00 – $3,824.79 | 7 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.42 – $24.96 | 7 |
| Enzyme cell activity ra CPT 82658 | $49.20 | $82.00 | $22.14 – $81.90 | 7 |
| Enzyme histochemistry CPT 88319 | $552.60 | $921.00 | $42.57 – $1,605.89 | 7 |
| Ep & ablate supravent arrhyt CPT 93653 | $23,759.40 | $39,599.00 | $3,274.00 – $52,098.26 | 7 |
| Ep & ablate ventric tachy CPT 93654 | $43,344.60 | $72,241.00 | $3,274.00 – $52,098.26 | 7 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $54.86 – $105.86 | 7 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,471.00 – $4,112.55 | 8 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $308.00 – $1,400.00 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,471.00 – $4,112.55 | 8 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $308.00 – $1,400.00 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,366.80 | $2,278.00 | $308.00 – $1,400.00 | 3 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $947.82 – $2,825.00 | 8 |
| Epidural lysis on single day 62264 CPT 62264 | $4,395.00 | $7,325.00 | $947.82 – $2,825.00 | 8 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,471.00 – $11,799.47 | 8 |
| Epikeratoplasty CPT 65767 | not published | not published | $3,274.00 – $4,100.00 | 2 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,203.70 – $4,554.32 | 7 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,370.00 | $3,950.00 | $1,304.74 – $2,875.00 | 7 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $2.31 – $2.31 | 1 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $1,471.00 – $6,452.27 | 7 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $7.07 – $14.66 | 7 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $7.08 – $13.59 | 7 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.26 – $1.26 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $77.40 | $129.00 | $13.12 – $24.40 | 7 |
| Epstein barr nuclear antigen antibody CPT 86664 | $121.80 | $203.00 | $15.29 – $28.44 | 7 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $141.60 | $236.00 | $18.14 – $33.74 | 7 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.32 – $38.22 | 7 |
| Ercp biliary & pancreas CPT 74330 | $1,650.00 | $2,750.00 | $52.02 – $52.02 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $1,678.00 – $12,100.58 | 7 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $1,678.00 – $7,684.77 | 7 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $1,678.00 – $7,684.77 | 7 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,471.00 – $12,100.58 | 8 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,471.00 – $7,684.77 | 8 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,678.00 – $3,824.79 | 7 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,471.00 – $4,100.00 | 8 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $1,678.00 – $12,100.58 | 7 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,471.00 – $7,684.77 | 8 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $76.76 – $142.77 | 7 |
| ER Visit (level 1, minor) CPT 99281 | $201.00 | $335.00 | $90.36 – $168.07 | 6 |
| ER Visit (level 2) CPT 99282 | $418.20 | $697.00 | $164.54 – $306.05 | 6 |
| ER Visit (level 3) CPT 99283 | $713.40 | $1,189.00 | $292.53 – $544.10 | 6 |
| ER Visit (level 4) CPT 99284 | $1,129.80 | $1,883.00 | $447.15 – $831.69 | 6 |
| ER Visit (level 5, high severity) CPT 99285 | $1,878.00 | $3,130.00 | $638.18 – $1,187.02 | 6 |
| Erwinaze injection HCPCS J9019 | not published | not published | $561.09 – $561.09 | 1 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $3,533.00 – $3,533.00 | 1 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $1,678.00 – $7,684.77 | 7 |
| Esophageal dilat s&i CPT 74360 | $465.60 | $776.00 | $50.20 – $50.20 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $785.00 – $785.00 | 1 |
| Esophageal motility CPT 78258 | $1,297.80 | $2,163.00 | $62.88 – $796.83 | 6 |
| Esophageal recording CPT 93615 | $2,187.60 | $3,646.00 | $1,304.74 – $2,875.00 | 7 |
| Esophageal recording CPT 93616 | $2,187.60 | $3,646.00 | $1,304.74 – $2,875.00 | 7 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $1,094.00 – $7,684.77 | 7 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $785.00 – $785.00 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $785.00 – $785.00 | 1 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $785.00 – $785.00 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,471.00 – $3,824.79 | 7 |
| Esophagosc flex trnsn biopsy CPT 43198 | $2,546.40 | $4,244.00 | $971.94 – $3,533.00 | 7 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,471.00 – $3,824.79 | 7 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $1,471.00 – $12,100.58 | 7 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,471.00 – $3,824.79 | 8 |
| Esophagoscopy balloon <30mm CPT 43220 | $1,417.80 | $2,363.00 | $1,400.00 – $3,824.79 | 8 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,471.00 – $3,824.79 | 8 |
| Esophagoscopy flex biopsy CPT 43202 | $2,546.40 | $4,244.00 | $1,094.00 – $3,824.79 | 8 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $2,546.40 | $4,244.00 | $971.94 – $3,533.00 | 8 |
| Esophagoscopy flex dx brush CPT 43197 | $2,546.40 | $4,244.00 | $971.94 – $3,533.00 | 7 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,094.00 – $3,824.79 | 8 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $1,471.00 – $7,684.77 | 7 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,094.00 – $4,100.00 | 8 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,471.00 – $3,824.79 | 7 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $1,471.00 – $7,684.77 | 7 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,094.00 – $3,824.79 | 7 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $1,471.00 – $11,799.47 | 7 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,094.00 – $3,824.79 | 8 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,471.00 – $3,824.79 | 8 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,471.00 – $3,824.79 | 7 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,094.00 – $3,824.79 | 7 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,094.00 – $3,824.79 | 7 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,094.00 – $3,824.79 | 7 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $785.00 – $785.00 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,094.00 – $3,824.79 | 8 |
| Esophagus motility study CPT 91010 | $1,531.80 | $2,553.00 | $308.00 – $743.78 | 7 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $308.00 – $743.78 | 7 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,471.00 – $3,824.79 | 8 |
| Esoph endoscopy dilation CPT 43226 | $2,743.20 | $4,572.00 | $1,094.00 – $3,824.79 | 8 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $785.00 – $785.00 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $785.00 – $785.00 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $308.00 – $308.00 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $231.39 – $430.38 | 7 |
| Esoph imped funct test > 1hr CPT 91038 | $1,296.00 | $2,160.00 | $308.00 – $743.78 | 7 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,094.00 – $3,824.79 | 7 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,094.00 – $3,824.79 | 8 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,094.00 – $3,824.79 | 8 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $785.00 – $785.00 | 1 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $785.00 – $785.00 | 1 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $785.00 – $785.00 | 1 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $785.00 – $785.00 | 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.