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 |
|---|---|---|---|---|
| Initial care training 30 m HCPCS G0539 | not published | not published | $39.41 – $73.30 | 6 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $142.67 – $265.37 | 6 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $358.80 | $598.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $598.80 | $998.00 | $234.66 – $436.47 | 6 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $155.40 | $259.00 | not published | 0 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $108.87 – $202.49 | 6 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.87 – $11.20 | 7 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.03 – $13.52 | 7 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.22 | 7 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $91.73 – $91.73 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.51 – $10.51 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,235.61 – $119,565.08 | 7 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $5.98 | 1 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.52 – $66.17 | 7 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $795.86 – $1,527.80 | 7 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $301.18 – $560.19 | 7 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.51 – $2.92 | 7 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.81 – $7.08 | 7 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.12 – $229.01 | 7 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $46.05 – $95.96 | 7 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.11 – $17.78 | 7 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.16 – $243.97 | 7 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.78 – $34.05 | 7 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.86 – $1.86 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.14 – $6.05 | 7 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $51.83 – $96.40 | 7 |
| Inj. asceniv HCPCS J1554 | not published | not published | $496.68 – $931.72 | 7 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $54.38 – $104.69 | 7 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $30.88 – $59.42 | 7 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $103.40 – $192.33 | 7 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $77.82 – $151.04 | 7 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $163.30 – $303.84 | 7 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,938,320.00 – $5,465,275.20 | 7 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.83 – $74.07 | 7 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $209.91 – $398.08 | 7 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $25.41 – $47.26 | 7 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.46 – $6.44 | 7 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.97 – $16.50 | 7 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $2.25 – $2.25 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $417.21 – $776.01 | 7 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,668.84 – $3,104.04 | 7 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $339.99 – $656.71 | 7 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.50 – $0.50 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $70.90 – $131.88 | 7 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $259.70 – $341.04 | 2 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $0.98 – $0.98 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $0.97 – $0.97 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.28 – $4.50 | 7 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $8.04 – $16.43 | 7 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $15.62 – $31.47 | 7 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $83.48 – $155.27 | 7 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.85 – $171.86 | 7 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.75 – $2.75 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $540.60 | $901.00 | $308.00 – $1,094.00 | 2 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $89.16 – $121.89 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,043.55 – $1,043.55 | 1 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $1,025.81 | 7 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $16.68 – $32.70 | 7 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $3.72 – $6.93 | 6 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $9.05 – $16.93 | 7 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.52 – $0.97 | 7 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.50 – $1.76 | 7 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.65 – $6.79 | 7 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.03 – $0.03 | 1 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $2.99 – $5.75 | 7 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $1.13 – $1.13 | 1 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,321,376.38 – $6,177,760.06 | 7 |
| Inj disk cerv-thor ea lev CPT 62291 | $591.00 | $985.00 | $308.00 – $1,094.00 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.14 – $7.70 | 7 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $308.00 – $611.82 | 7 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.73 – $12.52 | 7 |
| Inj dx for sinogram CPT 20501 | $286.80 | $478.00 | $308.00 – $1,094.00 | 2 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $308.00 – $1,094.00 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,167.60 | $1,946.00 | $756.44 – $2,825.00 | 7 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $606.60 | $1,011.00 | $308.00 – $1,094.00 | 2 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $50.92 – $98.79 | 7 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $469.74 – $927.61 | 7 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $18.71 – $37.24 | 7 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $937.20 | $1,562.00 | $308.00 – $611.82 | 7 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $67.63 – $131.64 | 7 |
| Injection during cath supravalvular aortography CPT 93567 | $267.00 | $445.00 | $308.00 – $308.00 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $15.18 – $28.23 | 7 |
| Injection epidural blood patch or clot CPT 62273 | $1,482.60 | $2,471.00 | $756.44 – $2,825.00 | 8 |
| Injection eye drug CPT 67028 | $1,278.60 | $2,131.00 | $308.00 – $658.37 | 7 |
| Injection for arthrography wrist (both sides) CPT 25246 | $513.60 | $856.00 | $308.00 – $1,094.00 | 2 |
| Injection for bladder x-ray CPT 51600 | $499.20 | $832.00 | $308.00 – $308.00 | 1 |
| Injection for hip x-ray CPT 27095 | $1,139.40 | $1,899.00 | $308.00 – $1,094.00 | 2 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $477.00 | $795.00 | $308.00 – $1,094.00 | 2 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $308.00 – $1,094.00 | 2 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $308.00 – $1,094.00 | 2 |
| Injection for ureter x-ray CPT 50684 | $841.80 | $1,403.00 | $308.00 – $1,094.00 | 2 |
| Injection for ureter x-ray CPT 50690 | $272.40 | $454.00 | $308.00 – $1,094.00 | 2 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $6.90 – $10.12 | 2 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $162.18 – $162.18 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.27 – $23.45 | 7 |
| Injection into brain canal CPT 61026 | not published | not published | $756.44 – $2,825.00 | 8 |
| Injection into brain canal CPT 61055 | $1,038.00 | $1,730.00 | $308.00 – $1,400.00 | 8 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $996.56 – $2,825.00 | 7 |
| Injection into spinal artery CPT 62294 | not published | not published | $947.82 – $2,825.00 | 8 |
| Injection into vocal cord CPT 31513 | not published | not published | $308.00 – $1,600.00 | 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.