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 |
|---|---|---|---|---|
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $124.06 | 7 |
| Growth hormone panel CPT 80430 | not published | not published | $96.22 – $240.55 | 7 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $26.96 – $140.62 | 7 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $28.31 – $74.68 | 6 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $20.86 – $74.68 | 6 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $785.00 – $785.00 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $5,951.00 – $5,951.00 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $785.00 – $785.00 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $785.00 – $785.00 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $785.00 – $785.00 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,056.34 – $4,100.00 | 7 |
| G-tube reposition CPT 43761 | $1,321.80 | $2,203.00 | $267.74 – $1,400.00 | 8 |
| Gu dilat ureter/urethra s&i CPT 74485 | $3,481.80 | $5,803.00 | $72.62 – $4,166.57 | 6 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,351.40 | $3,919.00 | $758.85 – $2,825.00 | 7 |
| Guid loc target vol rad tx CPT 77387 | $506.40 | $844.00 | $48.02 – $48.02 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,471.00 – $3,533.00 | 7 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,074.00 – $7,804.28 | 8 |
| Hair analysis HCPCS P2031 | not published | not published | $5.50 – $5.50 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $308.00 – $1,473.13 | 7 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $308.00 – $2,200.00 | 8 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $308.00 – $2,200.00 | 8 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.16 – $5.16 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Hand X-ray CPT 73130 | $477.60 | $796.00 | $15.74 – $173.46 | 6 |
| Haptoglobin quantitative CPT 83010 | $183.00 | $305.00 | $12.58 – $23.40 | 7 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $308.00 – $308.00 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,668.97 – $3,533.00 | 7 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,471.00 – $4,112.55 | 8 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,471.00 – $4,738.83 | 8 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $308.00 – $308.00 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $308.00 – $879.35 | 7 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $308.00 – $308.00 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $142.58 – $265.19 | 6 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $142.58 – $265.19 | 6 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,041.60 | $1,736.00 | $540.00 – $1,116.00 | 7 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $881.40 | $1,469.00 | $182.16 – $376.46 | 7 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $337.73 – $697.96 | 7 |
| Hbb full gene sequence CPT 81364 | $1,041.60 | $1,736.00 | $292.12 – $603.72 | 7 |
| Hbb gene com variants CPT 81361 | not published | not published | $157.33 – $325.15 | 7 |
| Hbb gene dup/del variants CPT 81363 | $971.40 | $1,619.00 | $182.16 – $376.46 | 7 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $337.73 – $697.96 | 7 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $18.06 | 7 |
| Hbot, full body chamber, 30m HCPCS G0277 | $966.60 | $1,611.00 | $147.46 – $274.28 | 6 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $972.00 | $1,620.00 | $104.10 – $349.61 | 6 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $28.44 | 7 |
| Hcg qualitative CPT 84703 | $183.00 | $305.00 | $7.52 – $13.99 | 7 |
| Hcg quantitative CPT 84702 | $234.00 | $390.00 | $15.05 – $27.99 | 7 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $308.00 – $1,473.13 | 7 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $308.00 – $1,094.00 | 2 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $308.00 – $1,473.13 | 7 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $308.00 – $1,094.00 | 2 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $308.00 – $1,094.00 | 2 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $1,082.40 | $1,804.00 | $84.75 – $1,082.25 | 6 |
| Hc nm fusion spect CT unlisted CPT 78999 | $993.60 | $1,656.00 | $428.40 – $796.83 | 6 |
| Hc nm kidney imaging with flow CPT 78701 | $1,107.00 | $1,845.00 | $43.00 – $796.83 | 6 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $79.28 – $1,082.25 | 6 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $9,690.60 | $16,151.00 | $196.00 – $2,580.51 | 6 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $308.00 – $1,094.00 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $6,104.40 | $10,174.00 | $187.18 – $1,388.22 | 6 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $6,104.40 | $10,174.00 | $367.11 – $1,388.22 | 6 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $6,104.40 | $10,174.00 | $515.30 – $1,388.22 | 6 |
| Hdr rdncl skn surf brachytx CPT 77767 | $385.20 | $642.00 | $100.80 – $768.77 | 6 |
| Hdr rdncl skn surf brachytx CPT 77768 | $385.20 | $642.00 | $134.99 – $768.77 | 6 |
| Head CT scan (with and without contrast) CPT 70470 | $2,505.60 | $4,176.00 | $125.71 – $349.61 | 6 |
| Head CT scan (with contrast) CPT 70460 | $2,153.40 | $3,589.00 | $111.60 – $349.61 | 6 |
| Head CT scan (without contrast) CPT 70450 | $2,037.00 | $3,395.00 | $83.40 – $208.38 | 6 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $0.02 – $1,264.00 | 7 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $0.02 – $3,022.50 | 7 |
| Heart first pass add-on CPT 78496 | not published | not published | $42.98 – $42.98 | 1 |
| Heart first pass multiple CPT 78483 | $2,131.20 | $3,552.00 | $124.81 – $1,082.25 | 6 |
| Heart image spect CPT 78494 | not published | not published | $101.74 – $796.83 | 6 |
| Heart infarct image CPT 78466 | $1,248.00 | $2,080.00 | $61.70 – $796.83 | 6 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $67.25 – $1,082.25 | 6 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $785.00 – $785.00 | 1 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $785.00 – $785.00 | 1 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $38.95 | 7 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $7.81 | 7 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $12.69 | 7 |
| Helicobacter pylori antibody igm CPT 86677 | $178.20 | $297.00 | $16.85 – $31.34 | 7 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $15.23 | 7 |
| Hematocrit CPT 85014 | $37.20 | $62.00 | $2.37 – $4.41 | 7 |
| Hematopoietic nuclear tx CPT 79403 | $3,032.40 | $5,054.00 | $195.65 – $465.09 | 6 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $308.00 – $1,094.00 | 2 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $33.07 – $65.67 | 7 |
| Hemodialysis one evaluation CPT 90935 | $1,411.20 | $2,352.00 | $735.47 – $1,367.97 | 6 |
| Hemoglobin CPT 85018 | $63.00 | $105.00 | $2.37 – $4.41 | 7 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $2.90 – $7.46 | 7 |
| Hemoglobin fetal qualitative CPT 83033 | $96.00 | $160.00 | $7.31 – $14.88 | 7 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.13 – $19.98 | 7 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $70.80 | $118.00 | $8.20 – $15.25 | 7 |
| Hemoglobin-oxygen affinity CPT 82820 | $274.80 | $458.00 | $12.25 – $24.81 | 7 |
| Hemoglobin plasma CPT 83051 | $142.20 | $237.00 | $7.31 – $13.60 | 7 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $8.44 – $16.74 | 7 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $7.35 | 7 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $16.50 | 7 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.77 – $16.31 | 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.