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 |
|---|---|---|---|---|
| Fibrinolytic antiplasmin CPT 85410 | $192.60 | $321.00 | $7.71 – $14.34 | 7 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $14.34 | 7 |
| Fibrinolytic plasminogen CPT 85415 | $555.00 | $925.00 | $17.19 – $31.97 | 7 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $18.93 | 7 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $206.40 | $344.00 | $6.53 – $12.15 | 7 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.28 – $0.53 | 7 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $0.98 – $1.89 | 7 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.33 – $0.66 | 7 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,678.00 – $4,112.55 | 8 |
| Filtered speech hearing test CPT 92571 | not published | not published | $40.03 – $74.45 | 6 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $2,360.00 – $5,247.00 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $2,311.20 | $3,852.00 | $758.85 – $2,825.00 | 7 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $1,246.80 | $2,078.00 | $308.00 – $1,094.00 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $409.80 | $683.00 | $308.00 – $1,094.00 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,095.60 | $1,826.00 | $308.00 – $1,094.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $409.80 | $683.00 | $308.00 – $810.27 | 7 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $785.00 – $785.00 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $4,100.00 – $4,100.00 | 1 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $63.22 – $117.58 | 6 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $63.22 – $117.58 | 6 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $40.03 – $74.45 | 6 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $40.03 – $74.45 | 6 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $216.65 – $402.97 | 7 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,094.00 – $6,521.79 | 8 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $3,274.00 – $14,463.16 | 8 |
| Fix g/colon tube w/device CPT 49460 | $1,451.40 | $2,419.00 | $971.94 – $3,533.00 | 7 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Flebogamma injection HCPCS J1572 | not published | not published | $55.76 – $168.78 | 7 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $16.78 – $34.67 | 7 |
| Fl exam g/colon tube w contrast CPT 49465 | $875.40 | $1,459.00 | $255.69 – $475.58 | 7 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $996.56 – $2,825.00 | 7 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,094.00 – $3,291.98 | 7 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,273.76 – $2,947.49 | 7 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $371.00 – $3,710.00 | 7 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $651.67 – $1,248.47 | 7 |
| Flow cytometry interp 16 or more CPT 88189 | $243.60 | $406.00 | $102.80 – $136.58 | 2 |
| Flow cytometry marker each additional CPT 88185 | $132.00 | $220.00 | $38.93 – $41.90 | 2 |
| Flow cytometry one marker technical component CPT 88184 | $2,227.20 | $3,712.00 | $122.68 – $714.46 | 7 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $83.78 – $101.15 | 2 |
| Floxuridine injection HCPCS J9200 | not published | not published | $3,988.33 – $7,906.80 | 7 |
| Flt3 gene CPT 81245 | $1,136.40 | $1,894.00 | $0.02 – $307.85 | 7 |
| Flt3 gene analysis CPT 81246 | $705.60 | $1,176.00 | $0.02 – $154.38 | 7 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $59.53 – $103.89 | 2 |
| Fluidotherapy charges pt CPT 97022 | $62.40 | $104.00 | $16.22 – $30.17 | 6 |
| Fluid pressure muscle 20950 CPT 20950 | $1,398.00 | $2,330.00 | $758.85 – $2,825.00 | 7 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $490.77 – $948.25 | 7 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $338.79 – $630.15 | 7 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $399.88 – $743.78 | 6 |
| Fluorescein angrph mltiframe CPT 92235 | $770.40 | $1,284.00 | $231.39 – $430.38 | 6 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $231.39 – $430.38 | 6 |
| Fluorescent antibody titer dna CPT 86256 | $928.20 | $1,547.00 | $12.05 – $22.41 | 7 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $498.62 – $1,591.32 | 7 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $460.42 – $856.38 | 7 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $742.20 | $1,237.00 | $53.80 – $53.80 | 1 |
| Fluoroguide needle placement CPT 77002 | $779.40 | $1,299.00 | $50.80 – $50.80 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $35.17 | 7 |
| Fluoroscopy up to 1 hour CPT 76000 | $886.80 | $1,478.00 | $30.16 – $475.58 | 6 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $2.49 – $2.49 | 1 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $515.00 – $985.80 | 7 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,866.58 – $3,615.86 | 7 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $11.97 – $11.97 | 1 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $49.62 – $49.62 | 1 |
| Fmri brain by phys/psych CPT 70555 | $3,192.60 | $5,321.00 | $246.10 – $475.58 | 6 |
| Fmri brain by tech CPT 70554 | $3,397.20 | $5,662.00 | $209.05 – $475.58 | 6 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,227.20 | $3,712.00 | $758.85 – $2,825.00 | 7 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,717.20 | $2,862.00 | $308.00 – $1,094.00 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | $3,011.40 | $5,019.00 | $758.85 – $2,825.00 | 7 |
| Fna bx w/mr gdn ea addl CPT 10012 | $2,413.20 | $4,022.00 | $308.00 – $1,094.00 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $35.17 | 7 |
| Folic acid CPT 82746 | $175.80 | $293.00 | $14.70 – $27.34 | 7 |
| Follow-up angiography CPT 75898 | $1,983.00 | $3,305.00 | $181.59 – $6,293.52 | 6 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $142.67 – $265.37 | 6 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,471.00 – $4,738.83 | 8 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.16 – $12.16 | 7 |
| Fo nontorsion joint cf HCPCS L3935 | $120.00 | $200.00 | not published | 0 |
| Foot X-ray CPT 73630 | $492.00 | $820.00 | $15.11 – $173.46 | 6 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,678.00 – $7,063.39 | 8 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $581.64 – $948.49 | 2 |
| Forensic cytopathology CPT 88125 | not published | not published | $22.08 – $103.87 | 7 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $383.40 | $639.00 | $267.74 – $1,400.00 | 8 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $21.63 – $21.63 | 1 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $53.01 | 7 |
| Fracture assessment via dxa CPT 77086 | $367.80 | $613.00 | $15.11 – $173.46 | 6 |
| _fragile x methylation-sendout CPT 81244 | $535.80 | $893.00 | $0.02 – $83.50 | 7 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,822.00 – $7,026.03 | 7 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $1,678.00 – $4,100.00 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $785.00 – $3,274.00 | 2 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $785.00 – $785.00 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $1,678.00 – $4,100.00 | 2 |
| Free omental flap microvasc CPT 49906 | not published | not published | $785.00 – $785.00 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $785.00 – $785.00 | 1 |
| Free skin flap microvasc CPT 15757 | not published | not published | $1,678.00 – $4,100.00 | 2 |
| Frenectomy 41115 CPT 41115 | $1,197.00 | $1,995.00 | $1,094.00 – $3,533.00 | 7 |
| Frenotomy 40806 CPT 40806 | not published | not published | $308.00 – $1,075.00 | 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.