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 |
|---|---|---|---|---|
| Gastric motility studies CPT 91020 | not published | not published | $308.00 – $743.78 | 7 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $49.57 – $796.83 | 6 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $32.90 | 7 |
| Gastroduodenostomy CPT 43810 | not published | not published | $785.00 – $785.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | $854.40 | $1,424.00 | $61.09 – $796.83 | 6 |
| Gastroesophageal reflux test CPT 91034 | $472.20 | $787.00 | $308.00 – $743.78 | 7 |
| Gastrointestinal repair CPT 43360 | not published | not published | $785.00 – $785.00 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $785.00 – $785.00 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $785.00 – $785.00 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $785.00 – $785.00 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $785.00 – $785.00 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $971.94 – $3,533.00 | 7 |
| Gated heart multiple CPT 78473 | $1,501.20 | $2,502.00 | $124.19 – $796.83 | 6 |
| Gba gene CPT 81251 | $1,074.00 | $1,790.00 | $0.02 – $87.88 | 7 |
| Gefitinib oral HCPCS J8565 | not published | not published | $195.17 – $195.17 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $526.79 – $979.82 | 7 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $4.29 – $4.29 | 1 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $233.12 – $446.71 | 7 |
| General health panel CPT 80050 | $727.80 | $1,213.00 | $40.92 – $65.80 | 2 |
| Genetic tstg severe inh cond CPT 81443 | $7,627.80 | $12,713.00 | $2,203.70 – $4,554.32 | 7 |
| Genioplasty augmentation CPT 21120 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,274.00 – $6,608.41 | 8 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,274.00 – $6,608.41 | 8 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Genome re-evaluation CPT 81427 | not published | not published | $0.02 – $4,348.03 | 7 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.02 – $9,358.03 | 7 |
| Genome sequence analysis CPT 81426 | not published | not published | $0.02 – $5,040.51 | 7 |
| Gentamicin peak therapeutic drug level CPT 80170 | $229.80 | $383.00 | $16.38 – $30.47 | 7 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.68 – $6.84 | 7 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $308.00 – $1,711.65 | 7 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $308.00 – $1,094.00 | 2 |
| Ghs abscess perianal iandd CPT 46050 | $1,860.00 | $3,100.00 | $996.56 – $2,825.00 | 8 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,803.00 | $3,005.00 | $1,471.00 – $5,789.71 | 8 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $113.40 | $189.00 | $9.41 – $18.25 | 7 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $144.60 | $241.00 | $17.11 – $31.82 | 7 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $949.20 | $1,582.00 | $0.02 – $190.20 | 7 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $142.58 – $265.19 | 6 |
| Ghs antibodies (torch) igm CPT 86694 | $164.40 | $274.00 | $14.39 – $26.77 | 7 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $267.74 – $498.00 | 7 |
| Ghs bladder cath - complex-foley CPT 51703 | $326.40 | $544.00 | $137.89 – $308.00 | 7 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $8.97 | 7 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,361.40 | $2,269.00 | $756.44 – $2,825.00 | 7 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,380.80 | $3,968.00 | $1,094.00 – $6,293.52 | 8 |
| Ghs change cysto/gastrost CPT 43762 | $1,006.20 | $1,677.00 | $267.74 – $498.00 | 7 |
| Ghs chemo >8 hrs CPT 96416 | $513.00 | $855.00 | $202.73 – $658.37 | 6 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $268.78 – $658.37 | 6 |
| Ghs chemo IV push, ea addtl CPT 96411 | $347.40 | $579.00 | $77.16 – $143.51 | 6 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $66.60 | $111.00 | $35.09 – $65.27 | 7 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $1,215.60 | $2,026.00 | $264.33 – $491.66 | 7 |
| Ghs closed reduction ankle dislocation CPT 27840 | $442.80 | $738.00 | $264.33 – $1,400.00 | 8 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,008.00 | $1,680.00 | $1,094.00 – $3,205.07 | 8 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $264.33 – $1,400.00 | 8 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,710.60 | $2,851.00 | $1,094.00 – $3,533.00 | 8 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $1,471.00 – $7,063.39 | 8 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $282.00 | $470.00 | $264.33 – $1,400.00 | 8 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,750.20 | $2,917.00 | $1,094.00 – $3,533.00 | 8 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,917.60 | $3,196.00 | $1,471.00 – $3,533.00 | 8 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $293.40 | $489.00 | $264.33 – $1,400.00 | 8 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $405.60 | $676.00 | $264.33 – $491.66 | 7 |
| Ghs community re-entry 15 minutes CPT 97537 | $136.20 | $227.00 | $32.69 – $60.80 | 6 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $199.20 | $332.00 | $308.00 – $890.42 | 7 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $336.00 | $560.00 | $142.58 – $308.00 | 7 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $504.00 | $840.00 | $308.00 – $890.42 | 7 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $610.80 | $1,018.00 | $142.58 – $308.00 | 7 |
| Ghs cricothyroidotomy CPT 31605 | $437.40 | $729.00 | $253.81 – $472.09 | 7 |
| Ghs cutdown placement age 1 and over CPT 36425 | $366.00 | $610.00 | $308.00 – $890.42 | 7 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $142.58 – $308.00 | 7 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $151.80 | $253.00 | $15.21 – $28.29 | 7 |
| Ghs dislocation elbow closed treatment CPT 24600 | $607.80 | $1,013.00 | $264.33 – $1,400.00 | 8 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,840.80 | $3,068.00 | $971.94 – $3,533.00 | 7 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $338.40 | $564.00 | $299.72 – $557.49 | 7 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,336.80 | $2,228.00 | $756.44 – $2,825.00 | 7 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $1,948.20 | $3,247.00 | $231.39 – $430.38 | 6 |
| Ghs electrostagmgraphy CPT 92537 | $290.40 | $484.00 | $137.89 – $256.47 | 6 |
| Ghs elect torsion swing CPT 92546 | $498.00 | $830.00 | $137.89 – $256.47 | 6 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $232.20 | $387.00 | $308.00 – $810.27 | 7 |
| Ghs excision ingrown nail CPT 11765 | $292.80 | $488.00 | $308.00 – $810.27 | 7 |
| Ghs eye exam CPT 92002 | not published | not published | $142.67 – $265.37 | 6 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $264.00 | $440.00 | $308.00 – $632.66 | 7 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.52 – $9.02 | 7 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,471.00 – $3,533.00 | 8 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,803.00 | $3,005.00 | $1,678.00 – $5,789.71 | 8 |
| Ghs fb removal - incisional CPT 10121 | $4,023.60 | $6,706.00 | $1,471.00 – $3,533.00 | 8 |
| Ghs fb removal - non-incisional CPT 20520 | $1,020.60 | $1,701.00 | $1,471.00 – $3,291.98 | 7 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $294.60 | $491.00 | $6.98 – $12.98 | 7 |
| Ghs fish cytogen CPT 88271 | $1,161.60 | $1,936.00 | $21.42 – $39.84 | 7 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $1,030.20 | $1,717.00 | $49.23 – $95.21 | 7 |
| Ghs flow volume loop CPT 94375 | not published | not published | $231.39 – $430.38 | 6 |
| Ghs gastric intub aspiration lavage CPT 43753 | $754.20 | $1,257.00 | $231.39 – $430.38 | 7 |
| Ghs hcv amplificaiton CPT 87521 | $390.60 | $651.00 | $35.09 – $65.27 | 7 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $21.10 – $42.72 | 7 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $28.81 | 7 |
| Ghs hgb stability-thal CPT 83068 | $476.40 | $794.00 | $9.47 – $17.61 | 7 |
| Ghs histoplasma antigen CPT 87385 | $312.00 | $520.00 | $13.25 – $24.64 | 7 |
| Ghs HIV antibody CPT 86703 | $183.60 | $306.00 | $13.71 – $25.50 | 7 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $78.93 – $197.42 | 7 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,173.60 | $6,956.00 | $1,471.00 – $4,166.57 | 8 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,430.20 | $5,717.00 | $1,282.34 – $3,533.00 | 8 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $895.80 | $1,493.00 | $758.85 – $2,825.00 | 7 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $509.40 | $849.00 | $758.85 – $2,825.00 | 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.