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 |
|---|---|---|---|---|
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $27.48 – $55.65 | 7 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $459.60 | $766.00 | $267.74 – $498.00 | 7 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $164.40 | $274.00 | $213.90 – $1,600.00 | 8 |
| Ghs inf midline insertion CPT 36140 | $581.40 | $969.00 | $308.00 – $1,094.00 | 2 |
| Ghs inhibitor screen CPT 85335 | $937.80 | $1,563.00 | $12.87 – $23.94 | 7 |
| Ghs init tx 1st degree burn CPT 16000 | $234.00 | $390.00 | $215.00 – $399.91 | 7 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $5,280.60 | $8,801.00 | $947.82 – $2,825.00 | 8 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,083.20 | $3,472.00 | $947.82 – $2,825.00 | 7 |
| Ghs inj tendon origin/insertion CPT 20551 | $391.80 | $653.00 | $308.00 – $611.82 | 7 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $910.80 | $1,518.00 | $308.00 – $1,400.00 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,808.40 | $3,014.00 | $947.82 – $2,825.00 | 8 |
| Ghs insertion of needle - bone CPT 36680 | $413.40 | $689.00 | $308.00 – $890.42 | 7 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $658.80 | $1,098.00 | $308.00 – $1,600.00 | 8 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $658.80 | $1,098.00 | $308.00 – $1,600.00 | 8 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,151.40 | $1,919.00 | $1,471.00 – $4,112.55 | 8 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $495.60 | $826.00 | $308.00 – $308.00 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $615.60 | $1,026.00 | $267.74 – $1,400.00 | 8 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $75.60 | $126.00 | $50.18 – $93.33 | 6 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $552.60 | $921.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $552.60 | $921.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $552.60 | $921.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $751.80 | $1,253.00 | $308.00 – $658.37 | 7 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $528.00 | $880.00 | $308.00 – $1,600.00 | 8 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $411.00 | $685.00 | $308.00 – $810.27 | 7 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $541.20 | $902.00 | $308.00 – $810.27 | 7 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $495.60 | $826.00 | $308.00 – $810.27 | 7 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $532.80 | $888.00 | $308.00 – $810.27 | 7 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $586.20 | $977.00 | $308.00 – $810.27 | 7 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $601.80 | $1,003.00 | $308.00 – $810.27 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $993.60 | $1,656.00 | $308.00 – $1,600.00 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $609.60 | $1,016.00 | $308.00 – $1,600.00 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $632.40 | $1,054.00 | $308.00 – $1,600.00 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $718.20 | $1,197.00 | $308.00 – $1,600.00 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $839.40 | $1,399.00 | $308.00 – $1,600.00 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $730.80 | $1,218.00 | $792.00 – $2,825.00 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $839.40 | $1,399.00 | $308.00 – $1,600.00 | 8 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,151.40 | $1,919.00 | $1,471.00 – $4,112.55 | 8 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $839.40 | $1,399.00 | $308.00 – $1,600.00 | 8 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $16.00 | 7 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $13.42 – $13.42 | 1 |
| Ghs mbp CPT 83873 | $232.80 | $388.00 | $17.20 – $31.99 | 7 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $570.00 | $950.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $355.80 | $593.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $523.20 | $872.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $527.40 | $879.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $524.40 | $874.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $274.80 | $458.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $265.80 | $443.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $217.20 | $362.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $0.60 | $1.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $420.00 | $700.00 | $308.00 – $1,473.13 | 7 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,338.80 | $3,898.00 | $947.82 – $2,825.00 | 8 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,033.40 | $3,389.00 | $756.44 – $2,825.00 | 8 |
| Ghs nerve block axillary nerve CPT 64417 | $1,361.40 | $2,269.00 | $947.82 – $2,825.00 | 8 |
| Ghs nerve block brachial plexus CPT 64415 | $1,887.60 | $3,146.00 | $947.82 – $2,825.00 | 8 |
| Ghs nerve block celiac plexus CPT 64530 | $2,140.20 | $3,567.00 | $947.82 – $2,825.00 | 8 |
| Ghs nerve block interscaline CPT 64510 | $1,584.00 | $2,640.00 | $947.82 – $2,825.00 | 8 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,808.40 | $3,014.00 | $947.82 – $2,825.00 | 8 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,297.40 | $3,829.00 | $756.44 – $2,825.00 | 7 |
| Ghs nerve block suprascapular CPT 64418 | $1,361.40 | $2,269.00 | $756.44 – $2,825.00 | 7 |
| Ghs ng placement w fluoro guidance CPT 43752 | $459.60 | $766.00 | $308.00 – $890.42 | 7 |
| Ghs o2 saturation CPT 82810 | $113.40 | $189.00 | $9.77 – $18.17 | 7 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $137.89 – $256.47 | 6 |
| Ghs o2 uptake rest & indirect CPT 94690 | $738.00 | $1,230.00 | $63.22 – $117.58 | 6 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $50.18 – $93.33 | 6 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,623.60 | $2,706.00 | $672.23 – $2,825.00 | 8 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,734.80 | $4,558.00 | $1,471.00 – $3,137.62 | 8 |
| Ghs optokenetic CPT 92544 | $498.00 | $830.00 | $137.89 – $256.47 | 6 |
| Ghs oscillating trac CPT 92545 | $498.00 | $830.00 | $231.39 – $430.38 | 6 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $116.40 | $194.00 | not published | 0 |
| Ghs ot dds rom CPT 95851 | not published | not published | $7.16 – $13.32 | 6 |
| Ghs ot group caregiver training CPT 97552 | $34.80 | $58.00 | $9.58 – $17.82 | 6 |
| Ghs ot prosthetic training/15 min CPT 97761 | $123.00 | $205.00 | $41.42 – $77.04 | 6 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $133.20 | $222.00 | $62.36 – $115.99 | 6 |
| Ghs ot work hardening-additional hours CPT 97546 | $127.80 | $213.00 | $83.29 – $83.29 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $828.00 | $1,380.00 | $708.28 – $2,825.00 | 7 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,061.60 | $3,436.00 | $308.00 – $1,094.00 | 2 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,033.40 | $3,389.00 | $308.00 – $1,094.00 | 2 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $29.65 – $37.44 | 2 |
| Ghs peritonsillar abscess i andd CPT 42700 | $502.80 | $838.00 | $253.81 – $1,400.00 | 8 |
| Ghs phenylketonurid CPT 84030 | $263.40 | $439.00 | $5.50 – $10.23 | 7 |
| Ghs picc line insert < 5 CPT 36568 | $1,453.20 | $2,422.00 | $1,094.00 – $3,137.62 | 8 |
| Ghs plngl fx pm cl CPT 26725 | $621.00 | $1,035.00 | $264.33 – $491.66 | 7 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $8.02 | 7 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,433.80 | $5,723.00 | $920.24 – $1,711.65 | 6 |
| Ghs pos nystagmus CPT 92542 | $498.00 | $830.00 | $142.58 – $265.19 | 6 |
| Ghs ppd (tb intradermal) CPT 86580 | $27.00 | $45.00 | $11.43 – $57.65 | 7 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $100.20 | $167.00 | $9.66 – $17.97 | 7 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $10.43 | 7 |
| Ghs protoporphyrins fract CPT 84202 | $294.60 | $491.00 | $14.35 – $26.69 | 7 |
| Ghs pr without cont pulse ox CPT 94625 | $187.80 | $313.00 | $63.22 – $117.58 | 6 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $22.78 | 7 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $361.20 | $602.00 | $209.23 – $209.23 | 1 |
| Ghs quinidine CPT 80194 | $93.60 | $156.00 | $14.60 – $27.16 | 7 |
| Ghs refill of implantable pump CPT 95990 | $234.00 | $390.00 | $308.00 – $658.37 | 7 |
| Ghs removal intranasal foreign body CPT 30300 | $247.80 | $413.00 | $142.58 – $308.00 | 7 |
| Ghs removal pharyngeal foreign body CPT 42809 | $251.40 | $419.00 | $308.00 – $890.42 | 7 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,678.00 – $3,533.00 | 8 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.80 – $29.56 | 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.