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 |
|---|---|---|---|---|
| Essure 58565 CPT 58565 | not published | not published | $1,678.00 – $9,970.94 | 8 |
| Establish access to aorta CPT 36160 | $1,086.00 | $1,810.00 | $308.00 – $1,471.00 | 2 |
| Establish access to artery CPT 36100 | $396.60 | $661.00 | $308.00 – $1,094.00 | 2 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $785.00 – $785.00 | 1 |
| Establish brain cavity shunt CPT 62180 | $2,678.40 | $4,464.00 | $785.00 – $785.00 | 1 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $785.00 – $785.00 | 1 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $785.00 – $785.00 | 1 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $785.00 – $785.00 | 1 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $785.00 – $785.00 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $90.60 | $151.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $114.60 | $191.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $177.00 | $295.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $267.00 | $445.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $377.40 | $629.00 | not published | 0 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $308.00 – $1,600.00 | 3 |
| Estradiol total CPT 82670 | $200.40 | $334.00 | $27.94 – $51.97 | 7 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $40.36 | 7 |
| Etanercept injection HCPCS J1438 | not published | not published | $790.78 – $790.78 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $497.70 – $964.65 | 7 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,678.00 – $6,608.41 | 8 |
| Ethylene glycol -sendout CPT 82693 | $262.20 | $437.00 | $14.90 – $27.71 | 7 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.89 – $1.89 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $86.84 – $161.52 | 6 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $105.58 – $196.38 | 7 |
| Euglobulin lysis CPT 85360 | $265.20 | $442.00 | $8.41 – $15.64 | 7 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,360.00 – $6,452.27 | 8 |
| Eval aud funcj ea addl 15 CPT 92627 | $128.40 | $214.00 | not published | 0 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $507.00 | $845.00 | $137.89 – $256.47 | 6 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $393.60 | $656.00 | $117.78 – $219.07 | 6 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.38 – $19.31 | 7 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $166.80 | $278.00 | $78.97 – $182.48 | 7 |
| Evaluation heart device CPT 93640 | $1,392.00 | $2,320.00 | $2,875.00 – $3,274.00 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $362.40 | $604.00 | $134.52 – $250.21 | 6 |
| Evaluation psychiatric diagnostic CPT 90791 | $303.00 | $505.00 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $1,161.00 | $1,935.00 | $785.00 – $785.00 | 1 |
| Evasc prlng admn rx agnt add CPT 61651 | $1,161.00 | $1,935.00 | $785.00 – $785.00 | 1 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $785.00 – $785.00 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $13,137.00 | $21,895.00 | $785.00 – $2,733.00 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $13,137.00 | $21,895.00 | $785.00 – $2,733.00 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $18,881.40 | $31,469.00 | $785.00 – $2,733.00 | 2 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $785.00 – $785.00 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $9,010.20 | $15,017.00 | $785.00 – $2,733.00 | 2 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $12,691.20 | $21,152.00 | $785.00 – $2,733.00 | 2 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $10,616.40 | $17,694.00 | $785.00 – $3,217.00 | 2 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $10,616.40 | $17,694.00 | $785.00 – $3,217.00 | 2 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $785.00 – $785.00 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $785.00 – $785.00 | 1 |
| Event monitor CPT 93270 | $190.80 | $318.00 | $39.99 – $74.39 | 6 |
| Evoked auditory tst complete CPT 92588 | $528.60 | $881.00 | $399.88 – $743.78 | 6 |
| Evoked oa emissions ltd CPT 92587 | $433.20 | $722.00 | $231.39 – $430.38 | 6 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $377.40 | $629.00 | not published | 0 |
| Evoked potentials upper limbs CPT 95925 | $2,362.20 | $3,937.00 | $231.39 – $430.38 | 6 |
| Evoked potential visual not glaucoma CPT 95930 | $1,586.40 | $2,644.00 | $231.39 – $430.38 | 6 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $308.00 – $607.39 | 7 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $1,471.00 – $6,452.27 | 8 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,471.00 – $5,789.71 | 8 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $1,678.00 – $5,789.71 | 7 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $1,678.00 – $5,789.71 | 7 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,074.00 – $5,789.71 | 8 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $1,678.00 – $5,789.71 | 7 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $1,678.00 – $5,789.71 | 7 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,471.00 – $3,533.00 | 8 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $785.00 – $785.00 | 1 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $1,020.60 | $1,701.00 | $1,471.00 – $3,533.00 | 8 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $1,678.00 – $5,789.71 | 7 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $1,678.00 – $6,452.27 | 8 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $1,114.20 | $1,857.00 | $1,094.00 – $3,291.98 | 8 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $1,803.00 | $3,005.00 | $1,471.00 – $5,789.71 | 8 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $1,114.20 | $1,857.00 | $1,471.00 – $3,533.00 | 8 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $484.20 | $807.00 | $758.85 – $2,825.00 | 7 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $484.20 | $807.00 | $758.85 – $2,825.00 | 7 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $484.20 | $807.00 | $758.85 – $2,825.00 | 7 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $1,020.60 | $1,701.00 | $1,094.00 – $3,291.98 | 7 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,051.20 | $1,752.00 | $758.85 – $2,825.00 | 7 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,114.20 | $1,857.00 | $1,094.00 – $3,533.00 | 7 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $1,803.00 | $3,005.00 | $1,471.00 – $5,789.71 | 8 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $484.20 | $807.00 | $308.00 – $810.27 | 7 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $484.20 | $807.00 | $758.85 – $2,825.00 | 7 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $1,678.00 – $7,804.28 | 8 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $785.00 – $785.00 | 1 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $2,360.00 – $9,970.94 | 8 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $785.00 – $785.00 | 1 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $5,247.00 – $9,970.94 | 7 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,360.00 – $5,789.71 | 7 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $785.00 – $785.00 | 1 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $785.00 – $785.00 | 1 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $2,074.00 – $7,063.39 | 8 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $1,678.00 – $5,789.71 | 8 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $1,678.00 – $14,463.16 | 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.