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 |
|---|---|---|---|---|
| Incision of urethra CPT 53025 | not published | not published | $1,094.00 – $4,166.57 | 7 |
| Incision of vagus nerve CPT 64760 | not published | not published | $785.00 – $785.00 | 1 |
| Incision of windpipe CPT 31601 | not published | not published | $4,100.00 – $11,799.47 | 7 |
| Incision of windpipe CPT 31610 | not published | not published | $4,100.00 – $11,799.47 | 7 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Incision secondary cataract CPT 66820 | not published | not published | $308.00 – $4,599.98 | 7 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,471.00 – $3,533.00 | 8 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,471.00 – $4,100.00 | 7 |
| Incisn windpipe CPT 31600 | $3,606.00 | $6,010.00 | $1,471.00 – $6,608.41 | 7 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $308.00 – $1,094.00 | 2 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.29 – $9.84 | 7 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $785.00 – $1,094.00 | 2 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $1,471.00 – $3,533.00 | 2 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $785.00 – $1,471.00 | 2 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $785.00 – $785.00 | 1 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $785.00 – $1,471.00 | 2 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $785.00 – $1,471.00 | 2 |
| Induced abortion d&c CPT 59840 | not published | not published | $2,360.00 – $6,452.27 | 8 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $2,360.00 – $6,452.27 | 8 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $63.18 – $130.57 | 7 |
| Infect ag drug suscept pheno predict CPT 87900 | $694.20 | $1,157.00 | $130.35 – $242.45 | 7 |
| Infect ag eia chlamydia trachomatis CPT 87320 | $132.00 | $220.00 | $14.70 – $27.90 | 7 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $14.13 – $26.28 | 7 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $478.86 | 7 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $478.86 | 7 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $1,149.60 | $1,916.00 | $128.73 – $239.44 | 7 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,039.20 | $1,732.00 | $257.45 – $478.86 | 7 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $29.52 – $60.95 | 7 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $14.70 – $65.64 | 7 |
| Infect ag ia optc obs influenza CPT 87804 | $108.00 | $180.00 | $14.70 – $30.78 | 7 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $22.28 | 7 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $34.15 | 7 |
| Infect ag if influenza a CPT 87276 | not published | not published | $14.70 – $29.89 | 7 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $22.78 | 7 |
| Infect ag if legionella pneumophila CPT 87278 | $188.40 | $314.00 | $14.70 – $29.02 | 7 |
| Infect ag if nos ea CPT 87299 | not published | not published | $14.70 – $29.95 | 7 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $22.28 | 7 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $24.96 | 7 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $42.86 – $99.45 | 7 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $65.27 | 7 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $79.68 | 7 |
| Infect ag na hpv high-risk types CPT 87624 | $142.80 | $238.00 | $35.09 – $65.27 | 7 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $265.80 | $443.00 | $95.80 – $178.19 | 7 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $95.44 | 7 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $220.20 | $367.00 | $46.05 – $95.44 | 7 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $745.80 | $1,243.00 | $416.78 – $775.21 | 7 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,817.40 | $3,029.00 | $488.66 – $908.91 | 7 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $139.80 | $233.00 | $26.07 – $48.49 | 7 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $37.33 – $76.97 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $190.20 | $317.00 | $11.98 – $22.28 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $24.96 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $98.40 | $164.00 | $13.82 – $25.71 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $98.40 | $164.00 | $11.98 – $22.28 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $163.80 | $273.00 | $14.38 – $26.75 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $138.60 | $231.00 | $10.33 – $19.21 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $244.20 | $407.00 | $10.33 – $19.21 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $313.20 | $522.00 | $24.08 – $44.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $381.60 | $636.00 | $11.98 – $22.28 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $108.00 | $180.00 | $11.98 – $22.28 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $22.28 | 7 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $835.20 | $1,392.00 | $35.09 – $65.27 | 7 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $939.00 | $1,565.00 | $35.09 – $65.27 | 7 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $237.60 | $396.00 | $37.27 – $69.32 | 7 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,203.60 | $2,006.00 | $416.78 – $775.21 | 7 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $276.00 | $460.00 | $35.09 – $65.27 | 7 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $187.20 | $312.00 | $35.09 – $65.27 | 7 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $628.80 | $1,048.00 | $41.68 – $77.52 | 7 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $223.80 | $373.00 | $35.09 – $65.27 | 7 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $51.00 | $85.00 | $46.18 – $95.44 | 7 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $128.34 – $265.29 | 7 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $262.80 | $438.00 | $128.34 – $265.29 | 7 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $61.20 | $102.00 | $35.09 – $65.27 | 7 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $155.40 | $259.00 | $35.09 – $65.27 | 7 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $72.60 | $121.00 | $70.18 – $130.53 | 6 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $69.09 – $142.79 | 7 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,717.20 | $2,862.00 | $679.77 – $1,264.37 | 6 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,223.40 | $2,039.00 | $416.78 – $775.21 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $238.62 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $261.67 – $489.16 | 7 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $928.20 | $1,547.00 | $42.84 – $79.68 | 7 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $348.00 | $580.00 | $42.84 – $79.68 | 7 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $408.00 | $680.00 | $42.84 – $79.68 | 7 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $377.40 | $629.00 | $85.10 – $158.29 | 7 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $290.40 | $484.00 | $142.63 – $265.29 | 7 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $30.52 – $57.74 | 7 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $19.75 – $52.15 | 7 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $15.91 – $48.43 | 7 |
| Influenza dna amp prob addl CPT 87503 | $74.40 | $124.00 | $25.46 – $54.35 | 7 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $83.49 – $83.49 | 1 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $28.87 – $28.87 | 1 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $308.00 – $1,094.00 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $785.00 – $785.00 | 1 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $785.00 – $785.00 | 1 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $308.00 – $1,094.00 | 2 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $308.00 – $1,094.00 | 2 |
| Infuse radioactive materials CPT 77750 | $1,593.00 | $2,655.00 | $413.32 – $768.77 | 6 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $399.88 – $743.78 | 6 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $90.00 | $150.00 | $234.66 – $436.47 | 6 |
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.