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 |
|---|---|---|---|---|
| Extensive prostate surgery CPT 55862 | not published | not published | $785.00 – $785.00 | 1 |
| Extensive prostate surgery CPT 55865 | not published | not published | $785.00 – $785.00 | 1 |
| Extensive removal of liver CPT 47122 | not published | not published | $785.00 – $785.00 | 1 |
| Extensive surgery of throat CPT 42842 | not published | not published | $4,100.00 – $11,799.47 | 7 |
| Extensive surgery of throat CPT 42844 | not published | not published | $5,951.00 – $11,799.47 | 7 |
| Extensive surgery of throat CPT 42845 | not published | not published | $785.00 – $785.00 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,777.44 – $7,026.03 | 7 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $3,274.00 – $4,100.00 | 2 |
| Extensive vulva surgery CPT 56632 | not published | not published | $7,831.00 – $7,831.00 | 1 |
| External cannula declotting CPT 36860 | not published | not published | $1,471.00 – $3,137.62 | 8 |
| External chromosome analysis 20-25 cells CPT 88264 | $1,450.80 | $2,418.00 | $144.61 – $268.97 | 7 |
| External ocular photography CPT 92285 | not published | not published | $40.03 – $74.45 | 6 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $38.40 | $64.00 | $27.46 – $57.65 | 7 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $2,833.20 | $4,722.00 | $0.02 – $7,203.78 | 7 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $1,453.20 | $2,422.00 | $143.75 – $267.38 | 7 |
| Extnd color vision xm CPT 92283 | not published | not published | $63.22 – $117.58 | 6 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $453.60 | $756.00 | $17.93 – $33.35 | 7 |
| Extraction of lens CPT 66930 | not published | not published | $2,360.00 – $8,238.78 | 8 |
| Extraction of lens CPT 66940 | not published | not published | $2,360.00 – $4,599.98 | 8 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,074.00 – $4,599.98 | 8 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $142.58 – $265.19 | 6 |
| Eye allergy tests CPT 95060 | not published | not published | $142.58 – $265.19 | 6 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $308.00 – $1,094.00 | 2 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $308.00 – $3,000.00 | 3 |
| Eye suture during surgery CPT 67335 | not published | not published | $308.00 – $3,000.00 | 3 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $157.86 – $326.24 | 7 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $254.59 – $526.16 | 7 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,825.64 – $3,395.69 | 7 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $268.42 – $599.42 | 7 |
| F9 full gene sequence CPT 81238 | not published | not published | $540.00 – $1,116.00 | 7 |
| Face bone graft CPT 21210 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Facial bones <3 CPT 70140 | $391.80 | $653.00 | $18.19 – $173.46 | 6 |
| Facial nerve function test CPT 92516 | not published | not published | $231.39 – $430.38 | 6 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $785.00 – $6,608.41 | 7 |
| Factor ix CPT 85250 | $183.00 | $305.00 | $19.04 – $35.41 | 7 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.55 – $6.66 | 7 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.66 – $3.17 | 7 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.18 – $9.89 | 7 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.37 – $2.55 | 7 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.32 – $8.36 | 7 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.84 – $3.41 | 7 |
| Factor viii CPT 85240 | $367.80 | $613.00 | $17.90 – $33.29 | 7 |
| Factor viii HCPCS J7190 | not published | not published | $1.12 – $2.59 | 7 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.32 – $4.58 | 7 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $2.20 | 7 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.10 – $3.98 | 7 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.56 – $2.92 | 7 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.40 – $2.62 | 7 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.23 – $6.02 | 7 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.48 – $20.05 | 7 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.34 – $34.10 | 7 |
| Fallopian tube recnl CPT 58345 | $2,295.00 | $3,825.00 | $1,094.00 – $6,452.27 | 7 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $28.31 – $74.68 | 6 |
| Family therapy without pt 50min 90846 CPT 90846 | $325.80 | $543.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $325.80 | $543.00 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $28.90 – $58.15 | 7 |
| Fancc gene CPT 81242 | $886.20 | $1,477.00 | $0.02 – $68.11 | 7 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,471.00 – $6,885.00 | 7 |
| Fat/lipids feces qualitative CPT 82705 | $87.60 | $146.00 | $5.10 – $9.49 | 7 |
| Fatty acids nonesterified CPT 82725 | $203.40 | $339.00 | $16.32 – $34.91 | 7 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $8.48 | 7 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.93 – $119.64 | 7 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $996.56 – $1,853.60 | 6 |
| #fecal-sodium CPT 84302 | $141.00 | $235.00 | $4.86 – $9.04 | 7 |
| Feeding tube reposition CPT 74355 | $2,091.60 | $3,486.00 | $67.78 – $67.78 | 1 |
| Fees w/laryngeal sense test CPT 92616 | $617.40 | $1,029.00 | $79.72 – $148.28 | 6 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $97.20 | $162.00 | $16.78 – $34.67 | 7 |
| Femoral endovas graft add-on 34813 CPT 34813 | $1,694.40 | $2,824.00 | $785.00 – $785.00 | 1 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $2,074.00 – $7,831.00 | 2 |
| Feno poc CPT 95012 | not published | not published | $40.03 – $74.45 | 6 |
| Fern test HCPCS Q0114 | $27.60 | $46.00 | $8.78 – $18.12 | 7 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.10 – $2.05 | 7 |
| Ferritin CPT 82728 | $157.80 | $263.00 | $13.63 – $25.35 | 7 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.23 – $0.43 | 7 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.23 – $0.43 | 7 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $0.02 – $1,478.70 | 7 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $729.00 | $1,215.00 | $93.30 – $208.38 | 6 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $722.10 – $1,411.83 | 7 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,064.20 | $5,107.00 | $0.02 – $1,411.83 | 7 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $686.40 | $1,144.00 | $216.65 – $402.97 | 7 |
| Fetal cord puncture prenatal CPT 59012 | $376.80 | $628.00 | $308.00 – $607.39 | 7 |
| Fetal fibronectin CPT 82731 | $460.80 | $768.00 | $64.41 – $119.80 | 7 |
| Fetal fluid drainage w/us CPT 59074 | $822.60 | $1,371.00 | $308.00 – $607.39 | 7 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $135.00 | $225.00 | $7.73 – $14.38 | 7 |
| Fetal hemoglobin rosette CPT 85461 | $147.60 | $246.00 | $8.14 – $17.41 | 7 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $25.80 | $43.00 | $19.32 – $35.94 | 7 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $785.00 – $785.00 | 1 |
| Fetal monitor w/report CPT 59050 | not published | not published | $308.00 – $308.00 | 1 |
| Fetal non stress test CPT 59025 | $772.20 | $1,287.00 | $216.65 – $402.97 | 7 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $308.00 – $607.39 | 7 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $308.00 – $607.39 | 7 |
| #_fet/norfentcnfrmur CPT 80354 | $205.80 | $343.00 | $0.02 – $0.02 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $6.67 – $6.67 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $117.60 | $196.00 | $10.18 – $18.93 | 7 |
| Fibrin degradation products CPT 85362 | not published | not published | $6.89 – $12.82 | 7 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $8.75 – $18.08 | 7 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $18.93 | 7 |
| Fibrinogen activity CPT 85384 | $165.00 | $275.00 | $9.72 – $18.08 | 7 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $23.12 | 7 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $446.40 | $744.00 | $6.34 – $28.79 | 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.