healthcosts.net

OSF Little Company of Mary Medical Center

2800 W 95Th St, Evergreen Park, IL · Osfhealthcare · · NPI 1215572045

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Sep 16, 2026

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 reticulocyte count CPT 85044 not published not published $4.31 – $8.02 7
Ghs rsv eia (respir synctial vrs) CPT 87420 not published not published $13.91 – $25.87 7
Ghs sedimentation rate CPT 85651 $117.00 $195.00 $4.27 – $7.94 7
Ghs semen analysis fert CPT 89320 not published not published $12.31 – $22.90 7
Ghs semen analysis, post-vas CPT 89300 not published not published $9.84 – $18.30 7
Ghs sensitivity (per antimicro) CPT 87184 $153.00 $255.00 $7.48 – $13.91 7
Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 $528.60 $881.00 $308.00 – $1,600.00 8
Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 $557.40 $929.00 $308.00 – $1,600.00 8
Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 $528.60 $881.00 $308.00 – $1,600.00 8
Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 $572.40 $954.00 $308.00 – $1,600.00 8
Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 $454.80 $758.00 $215.00 – $399.91 7
Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 $426.00 $710.00 $215.00 – $399.91 7
Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 $454.80 $758.00 $215.00 – $399.91 7
Ghs simple repair over 30 cm - 12007 CPT 12007 $572.40 $954.00 $215.00 – $1,600.00 8
Ghs simple repair over 30 cm - 12018 CPT 12018 $650.40 $1,084.00 $215.00 – $1,600.00 8
Ghs sleep study unattended CPT 95800 $1,153.80 $1,923.00 $62.88 – $430.38 6
Ghs somatosensory testing lower extremit CPT 95926 $2,362.20 $3,937.00 $231.39 – $430.38 6
Ghs somatosensory testing upper & lower limbs CPT 95938 $3,544.20 $5,907.00 $920.24 – $1,711.65 6
Ghs speech-gen aug dev eval iii, st CPT 92608 $183.00 $305.00 $48.59 – $90.38 6
Ghs sphenopalatine ganglion block CPT 64505 not published not published $308.00 – $611.82 7
Ghs spont nystagmus CPT 92541 $498.00 $830.00 $142.58 – $265.19 6
Ghs sp train/fitting sp device - kx CPT 92609 $286.80 $478.00 $104.56 – $194.48 6
Ghs st - eval for alt comm CPT 92567 $138.60 $231.00 $40.03 – $74.45 6
Ghs strapping shoulder - 29240 CPT 29240 $144.60 $241.00 $142.58 – $308.00 7
Ghs st - re-eval for alt comm CPT 92597 $402.00 $670.00 $72.74 – $135.30 6
Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 $127.80 $213.00 $50.18 – $93.33 6
Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 $324.60 $541.00 $227.94 – $423.96 6
Ghs superficial wnd dehiscence simp12020 CPT 12020 $491.40 $819.00 $308.00 – $1,473.13 8
Ghs superficial wnd dehis w packing12021 CPT 12021 $823.80 $1,373.00 $308.00 – $1,400.00 8
Ghs tracheostomy emergency - transtracheal CPT 31603 $933.00 $1,555.00 $1,094.00 – $3,533.00 8
Ghs trypsin (fecal) CPT 84488 not published not published $7.30 – $13.58 7
Ghs tx distal phalangeal fx with manipulation CPT 26755 $442.80 $738.00 $264.33 – $491.66 7
Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 $293.40 $489.00 $264.33 – $491.66 7
Ghs urine, hydroxproline total CPT 83505 not published not published $24.30 – $45.20 7
Ghs urine, porphyrins quant CPT 84120 $141.60 $236.00 $14.71 – $27.36 7
Ghs vaginal delivery only CPT 59409 $9,039.60 $15,066.00 $1,094.00 – $6,452.27 7
Ghs veeg 12-26 hr intmt mont CPT 95715 $4,824.60 $8,041.00 $399.88 – $743.78 6
Ghs windowing of cast CPT 29730 not published not published $174.14 – $323.90 7
Giardia ag if CPT 87269 not published not published $13.61 – $25.31 7
Giardia lamblia antibody CPT 86674 not published not published $14.72 – $27.38 7
Gi endoscopic ultrasound CPT 76975 $534.00 $890.00 $75.73 – $475.58 6
Gi inhouse confirmation CPT 87045 $69.00 $115.00 $9.44 – $17.56 7
Gingivoplasty each quadrant CPT 41872 not published not published $3,552.91 – $6,608.41 7
Gi protein loss CPT 78282 not published not published $27.79 – $796.83 6
Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 not published not published $971.94 – $3,533.00 7
Gi trc img intral colon i&r CPT 91113 not published not published $996.56 – $1,853.60 6
Gi trc img intral esophagus CPT 91111 not published not published $971.94 – $3,533.00 7
Gi wireless capsule measure CPT 91112 not published not published $971.94 – $3,533.00 7
Gjb2 gene full sequence CPT 81252 $1,014.60 $1,691.00 $0.02 – $188.08 7
Gjb2 gene known fam variants CPT 81253 not published not published $0.02 – $114.43 7
Gjb6 gene com variants CPT 81254 not published not published $0.02 – $65.10 7
Glassia injection HCPCS J0257 not published not published $5.45 – $10.53 7
Glaucoma scrn hgh risk direc HCPCS G0117 not published not published $30.99 – $57.65 6
Glaucoma scrn hgh risk direc HCPCS G0118 not published not published $40.03 – $74.45 6
Glaucoma surgery CPT 66150 not published not published $2,074.00 – $8,238.78 8
Glaucoma surgery CPT 66155 not published not published $2,074.00 – $8,238.78 8
Glaucoma surgery CPT 66160 not published not published $1,471.00 – $4,599.98 8
Glaucoma surgery CPT 66170 not published not published $2,074.00 – $4,599.98 8
Glucagon 1 mg solution for injection HCPCS J1610 not published not published $146.33 – $272.18 7
Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 not published not published $135.00 – $251.10 7
Glucagon plasma - sendout CPT 82943 not published not published $14.29 – $26.58 7
Glucagon tolerance panel CPT 80422 not published not published $46.07 – $85.69 7
Glucagon tolerance panel CPT 80424 not published not published $50.50 – $93.93 7
Glucagon tolerance test CPT 82946 not published not published $17.77 – $33.05 7
Glucose 1 hr post dose CPT 82950 $98.40 $164.00 $4.75 – $8.84 7
Glucose-6-phosphate dhydrogenase screen CPT 82960 not published not published $6.05 – $11.25 7
Glucose blood by monitoring device cleared by fda for home use CPT 82962 $28.80 $48.00 $2.87 – $6.10 7
Glucose blood quantitative CPT 82947 $86.40 $144.00 $3.93 – $7.31 7
Glucose body fluid CPT 82945 $113.40 $189.00 $3.93 – $7.31 7
Glucose monitoring continual min 72hr pt CPT 95249 not published not published $63.22 – $117.58 6
Glucose tolerance test (gtt) 3 specimens CPT 82951 $184.20 $307.00 $12.87 – $23.94 7
Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 $57.60 $96.00 $3.92 – $7.29 7
Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 not published not published $0.51 – $0.51 1
Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 not published not published $10.77 – $20.99 7
Gonadotropin follicle stimulating hormone (fsh) CPT 83001 $135.00 $225.00 $18.58 – $34.56 7
Gonadotropin hormone panel CPT 80426 not published not published $148.41 – $276.04 7
Gonadotropin luteinizing hormone (lh) CPT 83002 $330.60 $551.00 $18.52 – $34.45 7
Gonioscopy CPT 92020 not published not published $142.58 – $265.19 6
Goniotomy CPT 65820 not published not published $1,094.00 – $8,238.78 8
Goserelin 10.8 mg subcutaneous implant HCPCS J9202 not published not published $705.14 – $1,064.52 2
Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 $110.40 $184.00 not published 0
Graft hand or finger tendon CPT 26416 not published not published $1,678.00 – $6,521.79 8
Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 $76.80 $128.00 not published 0
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 $140.40 $234.00 not published 0
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 $256.20 $427.00 not published 0
Graft repair of spine defect 63710 CPT 63710 not published not published $785.00 – $785.00 1
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 $498.60 $831.00 not published 0
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 $60.00 $100.00 not published 0
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 $61.20 $102.00 not published 0
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 $241.80 $403.00 not published 0
Great toe-hand transfer CPT 26551 not published not published $2,074.00 – $14,463.16 7
Great toe with reduction 28495 CPT 28495 $330.00 $550.00 $264.33 – $491.66 7
Grfg autol fat lipo 25 cc/< CPT 15773 not published not published $1,471.00 – $4,112.55 7
Grfg autol fat lipo 50 cc/< CPT 15771 not published not published $2,074.00 – $7,063.39 7
Grfg autol fat lipo ea addl CPT 15772 not published not published $308.00 – $1,094.00 2
Grfg autol soft tiss dir exc CPT 15769 not published not published $2,074.00 – $7,063.39 7
Group behave couns 2-10 HCPCS G0473 $167.40 $279.00 not published 0
Group mnt 2 or more 30 mins HCPCS G0271 not published not published $12.23 – $22.75 6
Group train without patient HCPCS G0543 not published not published $30.99 – $57.65 6
Growth hormone antibody CPT 86277 not published not published $15.74 – $29.28 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.