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 |
|---|---|---|---|---|
| Annual Physical, New Patient (age 40-64) CPT 99386 | $157.80 | $263.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $6.49 – $12.07 | 6 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $216.65 – $402.97 | 6 |
| Anora (draw only) CPT 99001 | $71.40 | $119.00 | $6.12 – $6.12 | 1 |
| Anorectal myomectomy CPT 45108 | not published | not published | $1,471.00 – $5,532.48 | 8 |
| Anoscopy CPT 46611 | not published | not published | $996.56 – $3,533.00 | 8 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $1,471.00 – $5,532.48 | 8 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $1,094.00 – $3,533.00 | 7 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,094.00 – $3,533.00 | 7 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $1,094.00 – $3,533.00 | 7 |
| Anoscopy remove fb 46608 CPT 46608 | $574.20 | $957.00 | $996.56 – $3,533.00 | 8 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $1,094.00 – $5,532.48 | 8 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $1,094.00 – $5,532.48 | 8 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $231.39 – $430.38 | 6 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $2,360.00 – $9,970.94 | 8 |
| Antibody CPT 86744 | not published | not published | $15.99 – $29.74 | 7 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $283.20 | $472.00 | $12.88 – $23.96 | 7 |
| Antibody elution rbc reference CPT 86860 | $123.00 | $205.00 | $49.89 – $339.58 | 7 |
| Antibody htlv/hiv confirm test CPT 86689 | $442.20 | $737.00 | $19.35 – $35.99 | 7 |
| Antibody htlv-i CPT 86687 | $177.60 | $296.00 | $9.09 – $16.91 | 7 |
| Antibody htlv-ii CPT 86688 | not published | not published | $14.00 – $26.04 | 7 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $1,075.20 | $1,792.00 | $18.37 – $34.17 | 7 |
| Antibody id rbc panel CPT 86870 | $226.80 | $378.00 | $68.53 – $714.46 | 7 |
| Antibody influenza virus CPT 86710 | $222.60 | $371.00 | $13.55 – $25.20 | 7 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $159.00 | $265.00 | $12.87 – $23.94 | 7 |
| Antibody screen rbc CPT 86850 | $154.80 | $258.00 | $4.69 – $103.87 | 7 |
| Antibody tetanus CPT 86774 | $156.00 | $260.00 | $14.80 – $27.53 | 7 |
| Antidepressant not specified CPT 80338 | not published | not published | $0.02 – $0.02 | 1 |
| Antidepressants class 3-5 CPT 80333 | not published | not published | $0.02 – $0.02 | 1 |
| Antidepressants class 6/more CPT 80334 | not published | not published | $0.02 – $0.02 | 1 |
| Antidepressant tricyclic 3-5 CPT 80336 | not published | not published | $0.02 – $0.02 | 1 |
| Antiepileptics nos 4-6 CPT 80340 | not published | not published | $0.02 – $0.02 | 1 |
| Antiepileptics nos 7/more CPT 80341 | not published | not published | $0.02 – $0.02 | 1 |
| Antigen therapy services CPT 95145 | not published | not published | $50.18 – $93.33 | 6 |
| Antigen therapy services CPT 95146 | not published | not published | $50.18 – $93.33 | 6 |
| Antigen therapy services CPT 95147 | not published | not published | $77.16 – $143.51 | 6 |
| Antigen therapy services CPT 95148 | not published | not published | $77.16 – $143.51 | 6 |
| Antigen therapy services CPT 95149 | not published | not published | $77.16 – $143.51 | 6 |
| Antigen therapy services CPT 95165 | not published | not published | $50.18 – $93.33 | 6 |
| Antigen therapy services CPT 95170 | not published | not published | $50.18 – $93.33 | 6 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.45 – $2.78 | 7 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.20 – $2.33 | 7 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.40 – $4.50 | 7 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $10.85 – $22.41 | 7 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $30.00 | $50.00 | $10.85 – $22.41 | 7 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $10.85 – $22.41 | 7 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $1,094.00 – $6,885.00 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $1,094.00 – $6,885.00 | 2 |
| Antinuclear antibodies CPT 86038 | $201.00 | $335.00 | $12.09 – $22.49 | 7 |
| Antinuclear antibodies titer CPT 86039 | $129.00 | $215.00 | $11.16 – $20.76 | 7 |
| Antiphosphatidylserine antibody CPT 86148 | $324.60 | $541.00 | $16.07 – $29.89 | 7 |
| Antipsychotics nos 1-3 CPT 80342 | not published | not published | $0.02 – $0.02 | 1 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $0.02 – $0.02 | 1 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $0.02 – $0.02 | 1 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.77 – $10.73 | 7 |
| Antistreptolysin o titer CPT 86060 | $155.40 | $259.00 | $7.30 – $13.58 | 7 |
| Antithrombin iii activity CPT 85300 | $168.60 | $281.00 | $11.85 – $22.04 | 7 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $3.94 – $7.63 | 7 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $4,376.29 – $9,843.92 | 7 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $939.35 – $1,903.01 | 7 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $3,274.00 – $9,970.94 | 8 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $142.58 – $265.19 | 6 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $142.58 – $265.19 | 6 |
| Ant thrc vrt body tethrg <7 CPT 22836 | not published | not published | $785.00 – $34,948.59 | 7 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | not published | not published | $785.00 – $34,948.59 | 7 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $785.00 – $785.00 | 1 |
| Aortic dysfunction/dilation CPT 81410 | $6,714.60 | $11,191.00 | $0.02 – $937.44 | 7 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $0.02 – $2,511.35 | 7 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $308.00 – $308.00 | 1 |
| Aortic suspension CPT 33800 | not published | not published | $785.00 – $785.00 | 1 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $0.02 – $372.00 | 7 |
| Apc gene full sequence CPT 81201 | not published | not published | $0.02 – $1,450.80 | 7 |
| Apc gene known fam variants CPT 81202 | not published | not published | $0.02 – $520.80 | 7 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $63.22 – $117.58 | 6 |
| Apheresis immunoads slctv CPT 36516 | $8,076.60 | $13,461.00 | $3,274.00 – $8,681.43 | 7 |
| Apheresis plasma CPT 36514 | $3,472.20 | $5,787.00 | $1,471.00 – $3,533.00 | 7 |
| Apheresis platelets CPT 36513 | $1,941.00 | $3,235.00 | $308.00 – $879.35 | 7 |
| Apheresis rbc CPT 36512 | $4,222.20 | $7,037.00 | $1,471.00 – $3,533.00 | 7 |
| Apheresis wbc CPT 36511 | $4,222.20 | $7,037.00 | $1,471.00 – $3,533.00 | 7 |
| Apl(pml-rara) quant - sendout CPT 81315 | $774.00 | $1,290.00 | $0.02 – $385.60 | 7 |
| Appendectomy CPT 44950 | not published | not published | $2,074.00 – $12,903.69 | 7 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $308.00 – $308.00 | 1 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $785.00 – $785.00 | 1 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $785.00 – $785.00 | 1 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,678.00 – $12,050.01 | 7 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $3,036.00 | $5,060.00 | $1,471.00 – $4,112.55 | 7 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,013.40 | $1,689.00 | $308.00 – $1,094.00 | 2 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $568.80 | $948.00 | $308.00 – $1,094.00 | 2 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $4,965.00 | $8,275.00 | $1,471.00 – $5,247.00 | 7 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,655.40 | $2,759.00 | $308.00 – $1,094.00 | 2 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $568.80 | $948.00 | $308.00 – $1,094.00 | 2 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $174.14 – $323.90 | 7 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $299.72 – $557.49 | 7 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $299.72 – $557.49 | 7 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $299.72 – $557.49 | 7 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $299.72 – $557.49 | 7 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $299.72 – $557.49 | 7 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $299.72 – $557.49 | 7 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $1,678.00 – $3,533.00 | 7 |
| Appl halo type body cast CPT 29000 | not published | not published | $299.72 – $557.49 | 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.