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 |
|---|---|---|---|---|
| Frenulotomy of penis CPT 54164 | not published | not published | $1,471.00 – $4,166.57 | 8 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $165.00 | $275.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $217.20 | $362.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $147.60 | $246.00 | $31.25 – $339.58 | 7 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $27.46 – $74.45 | 7 |
| Frozen blood prep CPT 86930 | not published | not published | $92.72 – $339.58 | 7 |
| Frozen blood thaw CPT 86931 | not published | not published | $138.70 – $339.58 | 7 |
| Frozen cell preparation CPT 88241 | $124.80 | $208.00 | $12.09 – $22.49 | 7 |
| Fructosamine glycated protein CPT 82985 | $82.80 | $138.00 | $16.76 – $31.17 | 7 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $308.00 – $1,600.00 | 3 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $308.00 – $1,600.00 | 3 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $0.02 – $2,766.51 | 7 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $0.02 – $129.31 | 7 |
| Ftl cgen abnor four anal CPT 81511 | $664.80 | $1,108.00 | $0.02 – $285.51 | 7 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $0.02 – $103.30 | 7 |
| Ftl cgen abnor two proteins CPT 81508 | $521.40 | $869.00 | $0.02 – $101.00 | 7 |
| Full field erg w/i&r CPT 92273 | not published | not published | $231.39 – $430.38 | 6 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $19.99 – $475.58 | 6 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,471.00 – $4,112.55 | 8 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,471.00 – $4,112.55 | 8 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $308.00 – $1,600.00 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,678.00 – $4,112.55 | 8 |
| Fundus photography with i&r 92250 CPT 92250 | $188.40 | $314.00 | $142.58 – $265.19 | 6 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $785.00 – $785.00 | 1 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $785.00 – $785.00 | 1 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $785.00 – $785.00 | 1 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $785.00 – $785.00 | 1 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $785.00 – $785.00 | 1 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $785.00 – $785.00 | 1 |
| Fuse/graft added joint CPT 26863 | not published | not published | $308.00 – $2,200.00 | 3 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $785.00 – $785.00 | 1 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $785.00 – $785.00 | 1 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $785.00 – $785.00 | 1 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $785.00 – $785.00 | 1 |
| Fuse upper gi structures CPT 47721 | not published | not published | $785.00 – $785.00 | 1 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $2,074.00 – $25,590.20 | 8 |
| Fusion of big toe joint CPT 28750 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Fusion of big toe joint CPT 28755 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $785.00 – $785.00 | 1 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $308.00 – $1,600.00 | 3 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,471.00 – $3,533.00 | 8 |
| Fusion of foot bones CPT 28730 | not published | not published | $2,074.00 – $25,590.20 | 8 |
| Fusion of foot bones CPT 28735 | not published | not published | $2,074.00 – $25,590.20 | 8 |
| Fusion of foot bones CPT 28740 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Fusion of hand joint CPT 26843 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Fusion of knee CPT 27580 | not published | not published | $2,360.00 – $25,590.20 | 7 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,094.00 – $6,521.79 | 8 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Fusion of skull arteries CPT 61711 | not published | not published | $785.00 – $785.00 | 1 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,074.00 – $4,166.57 | 8 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $2,074.00 – $7,026.03 | 8 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Fusion of thumb CPT 26841 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $2,074.00 – $25,590.20 | 8 |
| Fusion of toes CPT 28280 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $785.00 – $785.00 | 1 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $785.00 – $785.00 | 1 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $785.00 – $785.00 | 1 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $247.35 – $511.18 | 7 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $123.30 – $254.82 | 7 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $247.35 – $511.18 | 7 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $166.68 – $344.47 | 7 |
| G6pc gene CPT 81250 | $114.00 | $190.00 | $0.02 – $108.79 | 7 |
| G6pd full gene sequence CPT 81249 | $1,470.60 | $2,451.00 | $540.00 – $1,116.00 | 7 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $157.33 – $325.15 | 7 |
| G6pd known familial variant CPT 81248 | not published | not published | $337.73 – $697.96 | 7 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $49.63 – $92.31 | 7 |
| Gabapentin non-blood CPT 80355 | not published | not published | $0.02 – $0.02 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $5.40 | $9.00 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $6.60 | $11.00 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $485.40 | $809.00 | $21.07 – $39.19 | 7 |
| Galactokinase - sendout CPT 82759 | $923.40 | $1,539.00 | $21.48 – $39.95 | 7 |
| Galactose transferase test CPT 82776 | $33.00 | $55.00 | $10.29 – $21.84 | 7 |
| Galectin-3 CPT 82777 | not published | not published | $26.96 – $82.30 | 7 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $2,360.00 – $12,050.01 | 7 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $6.71 | 7 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $676.11 | 7 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $534.91 – $1,023.24 | 7 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $478.52 – $1,031.00 | 7 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $871.26 | 7 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $160.29 – $488.85 | 7 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.89 – $91.05 | 7 |
| Gammaglobulin iga CPT 82784 | $204.60 | $341.00 | $9.30 – $17.30 | 7 |
| Gammaglobulin ige CPT 82785 | $159.00 | $265.00 | $16.46 – $30.62 | 7 |
| Gamma glutamyltransferase CPT 82977 | $99.00 | $165.00 | $7.20 – $13.39 | 7 |
| Gammaplex injection HCPCS J1557 | not published | not published | $57.48 – $120.25 | 7 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $48.35 – $92.49 | 7 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $65.27 | 7 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $77.67 | 7 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.68 – $12.48 | 7 |
| Gastric emptying imag study CPT 78265 | $1,143.60 | $1,906.00 | $84.14 – $796.83 | 6 |
| Gastric emptying imag study CPT 78266 | $1,143.60 | $1,906.00 | $89.55 – $1,082.25 | 6 |
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.