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 |
|---|---|---|---|---|
| Injection intraop add-on CPT 48400 | not published | not published | $785.00 – $785.00 | 1 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.99 – $1.87 | 7 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $308.00 – $1,094.00 | 2 |
| Injection jugular CPT 36299 | $585.00 | $975.00 | $308.00 – $308.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.62 – $1.62 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $10.66 | 7 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $77.16 – $143.51 | 6 |
| Injection of sinus tract CPT 20500 | $1,809.60 | $3,016.00 | $1,094.00 – $3,533.00 | 7 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.48 – $12.11 | 7 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $3.12 | 7 |
| Injection px peyronie ds CPT 54200 | not published | not published | $267.74 – $498.00 | 7 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $408.60 | $681.00 | $308.00 – $796.83 | 7 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.80 – $49.85 | 7 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.75 – $68.22 | 7 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $756.44 – $2,825.00 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,451.00 | $4,085.00 | $756.44 – $2,825.00 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,361.40 | $2,269.00 | $756.44 – $2,825.00 | 7 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,710.80 | $4,518.00 | $947.82 – $2,825.00 | 8 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $2,033.40 | $3,389.00 | $308.00 – $1,094.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,033.40 | $3,389.00 | $947.82 – $2,825.00 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,033.40 | $3,389.00 | $308.00 – $1,094.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,033.40 | $3,389.00 | $947.82 – $2,825.00 | 7 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $4,233.00 | $7,055.00 | $756.44 – $2,825.00 | 7 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $4,233.00 | $7,055.00 | $756.44 – $2,825.00 | 7 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $163.37 – $323.78 | 7 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $596.40 | $994.00 | $308.00 – $611.82 | 7 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $703.20 | $1,172.00 | $308.00 – $611.82 | 7 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $875.40 | $1,459.00 | $308.00 – $611.82 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $183.00 | $305.00 | $50.18 – $93.33 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $177.60 | $296.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $192.60 | $321.00 | $227.94 – $423.96 | 6 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $148.20 | $247.00 | $77.16 – $143.51 | 6 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,094.00 – $4,599.98 | 8 |
| Injection treatment of eye CPT 66030 | not published | not published | $1,094.00 – $4,599.98 | 8 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,094.00 – $4,100.00 | 8 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,094.00 – $4,100.00 | 8 |
| Injection treatment of nerve CPT 64681 | $1,870.20 | $3,117.00 | $947.82 – $2,825.00 | 8 |
| Injection treatment of nose CPT 30200 | not published | not published | $308.00 – $1,075.00 | 7 |
| Inject sacroiliac joint CPT 27096 | $2,244.60 | $3,741.00 | $308.00 – $1,094.00 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $308.00 – $632.66 | 7 |
| Inject/treat eye socket CPT 67505 | not published | not published | $308.00 – $632.66 | 7 |
| Inject/treat eye socket CPT 67515 | not published | not published | $308.00 – $632.66 | 7 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.37 – $63.84 | 7 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $22.61 – $72.46 | 7 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $381.50 – $714.49 | 7 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.98 – $103.49 | 7 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,803.20 | $4,672.00 | $756.44 – $2,825.00 | 7 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $2,803.20 | $4,672.00 | $947.82 – $2,825.00 | 7 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $14.49 – $26.95 | 7 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $186.31 – $367.60 | 7 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.50 – $36.14 | 7 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,332,000.00 – $4,337,520.00 | 7 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.53 – $18.51 | 7 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.87 – $61.13 | 7 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $20.83 – $40.79 | 7 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $134.26 – $261.72 | 7 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.10 – $2.30 | 7 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.15 – $7.15 | 1 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.55 – $4.74 | 7 |
| Inj for ext venography CPT 36005 | $733.80 | $1,223.00 | $308.00 – $1,094.00 | 2 |
| Inj for mammo ductogram CPT 19030 | $388.80 | $648.00 | $308.00 – $1,094.00 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $1.21 | 7 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $524.18 – $974.97 | 7 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.32 – $50.43 | 7 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $27.84 – $77.51 | 7 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $7.67 – $7.67 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $116.47 – $225.03 | 7 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,772.80 – $5,283.66 | 7 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.66 – $1.66 | 1 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.88 – $7.21 | 7 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $67.81 – $126.13 | 7 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,685,266.67 – $6,866,097.00 | 7 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $59.91 – $111.43 | 7 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $56.02 – $104.20 | 7 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,047.20 | $3,412.00 | $308.00 – $308.00 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $308.00 – $308.00 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $308.00 – $308.00 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $2,047.20 | $3,412.00 | $308.00 – $308.00 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $2,047.20 | $3,412.00 | $308.00 – $308.00 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.48 – $2.83 | 7 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.18 – $10.12 | 7 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $76.95 – $144.48 | 7 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $9.67 – $9.67 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.50 – $2.50 | 1 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.14 – $0.14 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $484.40 – $921.71 | 7 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $947.82 – $2,825.00 | 8 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $52.90 – $52.90 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $294.00 | $490.00 | $215.00 – $399.91 | 7 |
| Inj intralesional > 7 lsns CPT 11901 | $314.40 | $524.00 | $215.00 – $399.91 | 7 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.67 – $24.09 | 7 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $49.18 – $92.13 | 7 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.92 – $3.67 | 7 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.45 – $4.94 | 7 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.49 – $2.91 | 7 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $25.42 – $59.87 | 7 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.33 – $2.48 | 7 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.03 – $41.47 | 7 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $6.40 – $12.94 | 7 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.14 – $5.14 | 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.