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 |
|---|---|---|---|---|
| Homovanillic acid (hva) CPT 83150 | $195.60 | $326.00 | $22.41 – $41.68 | 7 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $108.87 – $202.49 | 6 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $227.33 | 7 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $227.33 | 7 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $227.33 | 7 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $227.33 | 7 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $227.33 | 7 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $227.33 | 7 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $227.33 | 7 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $227.33 | 7 |
| Hpv combo assay ca screen HCPCS G0476 | $147.60 | $246.00 | $35.09 – $65.27 | 7 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $65.27 | 7 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $75.42 | 7 |
| H pylori ag ia CPT 87339 | not published | not published | $14.70 – $29.76 | 7 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $125.29 | 7 |
| H pylori (c-13) breath CPT 83013 | $259.80 | $433.00 | $67.36 – $125.29 | 7 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $14.62 | 7 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $0.02 – $2,425.35 | 7 |
| Hrdtry cardmypy gene panel CPT 81439 | $8,003.40 | $13,339.00 | $584.90 – $1,087.91 | 7 |
| Hrdtry perph neurphy panel CPT 81448 | $7,324.80 | $12,208.00 | $584.90 – $1,087.91 | 7 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,471.00 – $4,112.55 | 7 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $37.29 | 7 |
| Htt gene charac alleles CPT 81274 | not published | not published | $247.35 – $511.18 | 7 |
| Htt gene detc abnor alleles CPT 81271 | $813.60 | $1,356.00 | $123.30 – $254.82 | 7 |
| Human epididymis protein 4 (he4) CPT 86305 | $314.40 | $524.00 | $20.81 – $38.71 | 7 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.55 – $3.19 | 7 |
| Hydration IV infusion each additional hour CPT 96361 | $84.60 | $141.00 | $50.18 – $93.33 | 6 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $278.40 | $464.00 | $227.94 – $423.96 | 6 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.01 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $157.80 | $263.00 | $17.90 – $33.29 | 7 |
| Hymenotomy CPT 56442 | not published | not published | $1,094.00 – $6,452.27 | 8 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.50 – $33.73 | 7 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,471.00 – $11,799.47 | 7 |
| Hyperbaric oxygen therapy CPT 99183 | $555.00 | $925.00 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $18.93 | 7 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $197.69 – $1,388.22 | 6 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $130.22 – $768.77 | 6 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $167.56 – $1,101.33 | 6 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $124.87 – $1,101.33 | 6 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $176.95 – $1,101.33 | 6 |
| Hypnotherapy CPT 90880 | not published | not published | $108.87 – $202.49 | 6 |
| Hypothermia ill neonate CPT 99184 | $1,170.60 | $1,951.00 | not published | 0 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.57 – $34.98 | 7 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $785.00 – $785.00 | 1 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $5,247.00 – $5,247.00 | 1 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $5,247.00 – $5,247.00 | 1 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $785.00 – $3,274.00 | 2 |
| Hysterosalpingography s&i CPT 74740 | $872.40 | $1,454.00 | $33.89 – $475.58 | 6 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $2,360.00 – $9,970.94 | 8 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,678.00 – $6,452.27 | 8 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,094.00 – $6,452.27 | 8 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,471.00 – $9,970.94 | 8 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,678.00 – $6,452.27 | 8 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,678.00 – $9,970.94 | 8 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,678.00 – $9,970.94 | 8 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $4,100.00 – $9,970.94 | 7 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,074.81 – $4,310.55 | 7 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,387.74 – $2,581.20 | 7 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $23.13 – $44.77 | 7 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.77 – $38.63 | 7 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $24.96 | 7 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $65.27 | 7 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $15.87 – $33.65 | 7 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $40.75 – $84.22 | 7 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,203.70 – $4,554.32 | 7 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $186.77 – $407.74 | 7 |
| Icatibant injection HCPCS J1744 | not published | not published | $125.32 – $125.32 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $231.39 – $430.38 | 6 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $40.03 – $74.45 | 6 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $63.22 – $117.58 | 6 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $30.99 – $57.65 | 6 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $1,094.00 – $6,608.41 | 8 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $53.72 – $53.72 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,471.00 – $3,533.00 | 7 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $527,622.46 – $1,041,192.81 | 7 |
| Identify sperm tissue CPT 89264 | not published | not published | $55.84 – $103.87 | 7 |
| Idet 1 or more levels CPT 22527 | not published | not published | $1,678.00 – $5,247.00 | 2 |
| Idet single level CPT 22526 | not published | not published | $1,678.00 – $5,247.00 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $1,094.00 – $6,521.79 | 8 |
| Idh1 common variants CPT 81120 | $632.40 | $1,054.00 | $173.93 – $359.44 | 7 |
| Idh2 common variants CPT 81121 | $967.80 | $1,613.00 | $266.21 – $550.17 | 7 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $1,471.00 – $5,532.48 | 8 |
| I&d lacrimal gland CPT 68400 | not published | not published | $1,068.27 – $3,533.00 | 7 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,094.00 – $4,738.83 | 7 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $1,094.00 – $5,789.71 | 8 |
| Idursulfase injection HCPCS J1743 | not published | not published | $542.57 – $1,038.29 | 7 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $1,094.00 – $5,789.71 | 8 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $1,471.00 – $5,789.71 | 7 |
| Ifnl3 gene CPT 81283 | $950.40 | $1,584.00 | $67.90 – $136.47 | 7 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $34.08 – $34.08 | 1 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $186.58 – $385.60 | 7 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $0.02 – $127.50 | 7 |
| Igh gene rearrange amp meth CPT 81261 | $657.60 | $1,096.00 | $0.02 – $368.26 | 7 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,666.80 | $2,778.00 | $0.02 – $547.81 | 7 |
| Igk rearrangeabn clonal pop CPT 81264 | $496.20 | $827.00 | $0.02 – $321.28 | 7 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $243.00 | $405.00 | $44.73 – $56.07 | 2 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $260.40 | $434.00 | $60.36 – $714.46 | 7 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $318.60 | $531.00 | $54.97 – $339.58 | 7 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $12.88 – $12.88 | 1 |
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.