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 |
|---|---|---|---|---|
| Ikbkap gene CPT 81260 | $1,904.40 | $3,174.00 | $0.02 – $73.12 | 7 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $785.00 – $785.00 | 1 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,202.60 | $3,671.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $1,094.00 – $6,885.00 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $785.00 – $785.00 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $55.51 – $108.19 | 7 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $63.22 – $117.58 | 6 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $40.03 – $74.45 | 6 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $63.22 – $117.58 | 6 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,471.00 – $16,291.29 | 8 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $45.33 | 7 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $45.13 – $91.29 | 7 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.40 – $149.53 | 7 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.04 – $87.49 | 7 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $230.40 | $384.00 | $20.81 – $38.71 | 7 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $367.80 | $613.00 | $20.81 – $38.71 | 7 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $24.06 – $47.56 | 7 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $823.20 | $1,372.00 | $11.98 – $22.28 | 7 |
| Immunodiffusion nes CPT 86329 | $5,746.20 | $9,577.00 | $14.05 – $26.13 | 7 |
| Immunofixation electrophoresis serum CPT 86334 | $359.40 | $599.00 | $22.34 – $41.55 | 7 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $439.20 | $732.00 | $39.31 – $45.78 | 2 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $605.40 | $1,009.00 | $56.56 – $339.58 | 7 |
| Immunoglobulin assay CPT 86023 | $305.40 | $509.00 | $12.46 – $23.18 | 7 |
| Impedence cardiogram CPT 93701 | $230.40 | $384.00 | $142.58 – $265.19 | 6 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $2,074.00 – $34,948.59 | 7 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $785.00 – $1,678.00 | 2 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $2,360.00 – $32,809.90 | 7 |
| Implant biventricular device 33976 CPT 33976 | $10,685.40 | $17,809.00 | $785.00 – $785.00 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $3,533.00 – $3,533.00 | 1 |
| Implant brain electrodes CPT 61533 | not published | not published | $785.00 – $785.00 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $3,533.00 – $3,533.00 | 1 |
| Implant cochlear device CPT 69930 | not published | not published | $3,274.00 – $65,720.38 | 8 |
| Implant eye drug system CPT 67027 | not published | not published | $2,074.00 – $27,811.18 | 8 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $308.00 – $890.42 | 7 |
| Implant nerve end CPT 64787 | not published | not published | $308.00 – $1,600.00 | 3 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $785.00 – $785.00 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $785.00 – $785.00 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $785.00 – $785.00 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $785.00 – $785.00 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $2,733.00 – $38,668.51 | 7 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,094.00 – $22,209.74 | 8 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $1,094.00 – $12,702.72 | 7 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $1,678.00 – $12,702.72 | 8 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $785.00 – $785.00 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $785.00 – $785.00 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $1,678.00 – $61,505.89 | 8 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $5,500.00 – $5,500.00 | 1 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $1,678.00 – $5,951.00 | 2 |
| Implant single ventricular device 33975 CPT 33975 | $8,670.00 | $14,450.00 | $785.00 – $785.00 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $1,471.00 – $14,463.16 | 7 |
| Implant spine infusion pump CPT 62361 | not published | not published | $1,471.00 – $35,925.34 | 8 |
| Implant spine infusion pump CPT 62362 | not published | not published | $1,471.00 – $35,925.34 | 8 |
| Implant tcat pulm vlv perq CPT 33477 | $35,534.40 | $59,224.00 | $785.00 – $785.00 | 1 |
| Implant ureter in bowel CPT 50800 | not published | not published | $785.00 – $785.00 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,867.13 – $3,472.86 | 6 |
| Impl neurostim electr perc CPT 63650 | $10,584.60 | $17,641.00 | $1,471.00 – $12,702.72 | 8 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $308.00 – $1,094.00 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $1,471.00 – $17,492.12 | 8 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $2,822.00 – $25,590.20 | 7 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $2,822.00 – $25,590.20 | 7 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $2,822.00 – $25,590.20 | 8 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $785.00 – $785.00 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $785.00 – $785.00 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $2,074.00 – $8,238.78 | 7 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $785.00 – $785.00 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $298.74 – $555.66 | 7 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,552.91 – $6,608.41 | 7 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,552.91 – $6,608.41 | 7 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,552.91 – $6,608.41 | 7 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,552.91 – $6,608.41 | 7 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $5,951.00 – $11,799.47 | 7 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $5,951.00 – $11,799.47 | 7 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $253.81 – $472.09 | 7 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $5,951.00 – $11,799.47 | 7 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,552.91 – $6,608.41 | 7 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,552.91 – $6,608.41 | 7 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,552.91 – $6,608.41 | 7 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,662.71 – $3,533.00 | 7 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $42.82 – $79.65 | 7 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,031.39 – $2,051.93 | 7 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $798.02 – $798.02 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $772.64 – $1,546.52 | 7 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $715.29 – $1,386.85 | 7 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $1,914.61 – $3,721.75 | 7 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $2,360.00 – $6,521.79 | 7 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $1,471.00 – $14,463.16 | 8 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Incis addl spine segment CPT 22216 | not published | not published | $308.00 – $1,094.00 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $785.00 – $785.00 | 1 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,471.00 – $3,892.19 | 8 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $1,068.27 – $3,533.00 | 7 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $1,094.00 – $6,521.79 | 7 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,678.00 – $3,533.00 | 8 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $2,092.58 – $3,892.19 | 7 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $2,092.58 – $5,247.00 | 7 |
| Incise inner ear CPT 69801 | not published | not published | $1,662.71 – $3,533.00 | 8 |
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.