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 |
|---|---|---|---|---|
| Intrinsic factor antibody CPT 86340 | $193.80 | $323.00 | $15.08 – $28.05 | 7 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $142.67 – $265.37 | 6 |
| Intro cath dialysis circuit CPT 36901 | $1,600.80 | $2,668.00 | $1,094.00 – $3,533.00 | 7 |
| Intro cath dialysis circuit w/pta CPT 36902 | $15,149.40 | $25,249.00 | $3,274.00 – $11,344.49 | 7 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $20,163.60 | $33,606.00 | $3,274.00 – $23,010.00 | 7 |
| Intro catheter aorta CPT 36200 | $2,479.20 | $4,132.00 | $308.00 – $1,471.00 | 2 |
| Intro cath svc/ivc CPT 36010 | $453.00 | $755.00 | $308.00 – $1,094.00 | 2 |
| Intro long gi tube CPT 44500 | $1,188.60 | $1,981.00 | $971.94 – $3,533.00 | 7 |
| Intro long gi tube w/mult fluo CPT 74340 | $835.80 | $1,393.00 | $48.96 – $48.96 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,400.00 – $3,547.71 | 8 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $837.00 | $1,395.00 | $308.00 – $1,094.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $648.00 | $1,080.00 | $308.00 – $1,094.00 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $598.80 | $998.00 | $253.81 – $472.09 | 7 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $63.22 – $117.58 | 6 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $208.58 – $737.16 | 7 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $39.99 – $74.39 | 6 |
| Ionm in operatng room 15 min CPT 95940 | $757.20 | $1,262.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $5.40 | $9.00 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $5.40 | $9.00 | not published | 0 |
| Io radiation tx management CPT 77469 | not published | not published | $595.06 – $595.06 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $101.92 – $14,680.58 | 6 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $144.43 – $14,680.58 | 6 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $180.22 – $348.13 | 7 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $411.60 | $686.00 | not published | 0 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $566.40 | $944.00 | not published | 0 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $768.60 | $1,281.00 | not published | 0 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $316.80 | $528.00 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $2.03 – $2.03 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $65.28 – $123.46 | 7 |
| Iron CPT 83540 | $83.40 | $139.00 | $6.47 – $12.03 | 7 |
| Iron binding capacity CPT 83550 | $124.80 | $208.00 | $8.74 – $16.26 | 7 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $17.23 – $33.68 | 7 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $12.80 | 7 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $27.46 – $74.45 | 7 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $82.80 | $138.00 | $40.05 – $117.58 | 6 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,094.00 – $3,533.00 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $63.22 – $308.00 | 7 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $78.86 – $155.45 | 7 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,471.00 – $4,112.55 | 8 |
| Ivc venogram s&i CPT 75825 | $5,023.80 | $8,373.00 | $102.94 – $6,293.52 | 6 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $236.40 | $394.00 | $77.16 – $143.51 | 6 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $248.40 | $414.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $85.80 | $143.00 | $50.18 – $93.33 | 6 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $394.20 | $657.00 | $227.94 – $423.96 | 6 |
| IV inj ra drug dx study CPT 78808 | $552.60 | $921.00 | $73.70 – $796.83 | 6 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $308.00 – $890.42 | 7 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $43.00 – $349.61 | 6 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $713.40 | $1,189.00 | $44.71 – $349.61 | 6 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $136.21 – $259.93 | 7 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $166.68 – $344.47 | 7 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Jejunstmy tube plcmt CPT 44372 | $1,153.20 | $1,922.00 | $1,471.00 – $3,824.79 | 8 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $31.42 | 7 |
| J-tube placement CPT 44015 | not published | not published | $785.00 – $785.00 | 1 |
| Keratomileusis CPT 65760 | not published | not published | $3,274.00 – $4,100.00 | 2 |
| Keratophakia CPT 65765 | not published | not published | $3,274.00 – $4,100.00 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $3,274.00 – $28,913.72 | 8 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $0.02 – $0.02 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $28.77 | 7 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $91.20 | $152.00 | $8.17 – $15.20 | 7 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.34 – $0.63 | 6 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,094.00 – $10,687.19 | 8 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,094.00 – $10,687.19 | 8 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,094.00 – $7,026.03 | 7 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,745.80 – $10,687.19 | 7 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $1,094.00 – $18,868.65 | 8 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,094.00 – $7,026.03 | 7 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,094.00 – $18,868.65 | 8 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,094.00 – $10,687.19 | 8 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,094.00 – $18,868.65 | 7 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,094.00 – $10,687.19 | 7 |
| Kidney function study CPT 78725 | not published | not published | $32.10 – $796.83 | 6 |
| Kidney imaging morphology CPT 78700 | $872.40 | $1,454.00 | $38.73 – $796.83 | 6 |
| Kidney imag w/bld flow multi CPT 78709 | $1,916.40 | $3,194.00 | $121.05 – $1,082.25 | 6 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,881.00 | $3,135.00 | $81.69 – $1,082.25 | 6 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $729.00 | $1,215.00 | $65.35 – $208.38 | 6 |
| Kit gene analys d816 variant CPT 81273 | $1,456.80 | $2,428.00 | $0.02 – $232.26 | 7 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,723.15 – $5,247.00 | 8 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,723.15 – $5,951.00 | 8 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,678.00 – $25,590.20 | 8 |
| Knee MRI (with and without contrast) CPT 73723 | $5,408.40 | $9,014.00 | $211.82 – $695.38 | 6 |
| Knee MRI (with contrast) CPT 73722 | $4,664.40 | $7,774.00 | $160.07 – $1,562.52 | 6 |
| Knee MRI (without contrast) CPT 73721 | $4,307.40 | $7,179.00 | $133.83 – $475.58 | 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.