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 |
|---|---|---|---|---|
| Lap radical hyst CPT 58548 | not published | not published | $5,951.00 – $5,951.00 | 1 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $785.00 – $1,678.00 | 2 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $785.00 – $1,678.00 | 2 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $1,678.00 – $12,050.01 | 7 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $5,951.00 – $5,951.00 | 1 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $1,678.00 – $5,247.00 | 2 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $1,678.00 – $21,187.50 | 7 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $2,074.00 – $12,050.01 | 7 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $1,678.00 – $7,831.00 | 7 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $1,678.00 – $7,684.77 | 7 |
| Laps abltj uterine fibroids CPT 58674 | $2,297.40 | $3,829.00 | $2,360.00 – $21,187.50 | 7 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $2,360.00 – $21,187.50 | 7 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $6,885.00 – $6,885.00 | 1 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $2,733.00 – $21,187.50 | 7 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $2,360.00 – $21,187.50 | 7 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $2,360.00 – $21,187.50 | 7 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $5,247.00 – $5,247.00 | 1 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $785.00 – $785.00 | 1 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $3,274.00 – $6,885.00 | 2 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $308.00 – $1,094.00 | 2 |
| Largsc w/laser dstrj les CPT 31572 | $5,511.00 | $9,185.00 | $1,471.00 – $7,431.38 | 7 |
| Largsc w/njx augmentation CPT 31574 | $2,877.60 | $4,796.00 | $1,471.00 – $3,547.71 | 7 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $1,471.00 – $7,431.38 | 8 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $276.00 | $460.00 | $308.00 – $1,600.00 | 8 |
| Largsc w/ther injection CPT 31573 | $2,877.60 | $4,796.00 | $1,471.00 – $3,547.71 | 7 |
| Laronidase injection HCPCS J1931 | not published | not published | $38.61 – $74.31 | 7 |
| Laryngeal function studies CPT 92520 | not published | not published | $142.58 – $265.19 | 6 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $1,471.00 – $7,431.38 | 8 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $57.05 – $106.11 | 6 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $2,360.00 – $14,067.00 | 8 |
| Laryngoscop w/vc inj + scope CPT 31571 | $7,411.20 | $12,352.00 | $1,471.00 – $7,431.38 | 8 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $1,471.00 – $7,431.38 | 8 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $1,471.00 – $7,431.38 | 8 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $6,243.60 | $10,406.00 | $1,400.00 – $3,547.71 | 8 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $1,400.00 – $7,431.38 | 8 |
| Laryngoscopy telescopic CPT 31579 | $1,115.40 | $1,859.00 | $308.00 – $779.58 | 7 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $1,471.00 – $7,431.38 | 8 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $1,678.00 – $7,431.38 | 8 |
| Laryngoscopy w/exc of tumor CPT 31540 | $5,484.00 | $9,140.00 | $1,678.00 – $7,431.38 | 8 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $1,678.00 – $7,431.38 | 8 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $1,471.00 – $3,547.71 | 8 |
| Laryngoscopy with biopsy CPT 31576 | $5,103.60 | $8,506.00 | $1,471.00 – $3,547.71 | 8 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $1,471.00 – $7,431.38 | 8 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $5,380.80 | $8,968.00 | $308.00 – $1,400.00 | 8 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $2,360.00 – $14,067.00 | 8 |
| Larynscop w/tumr exc + scope CPT 31541 | $5,104.80 | $8,508.00 | $2,074.00 – $7,431.38 | 8 |
| Laser surgery eye strands CPT 67031 | not published | not published | $589.39 – $2,825.00 | 8 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $1,471.00 – $6,452.27 | 8 |
| Laser surgery of prostate CPT 52647 | not published | not published | $2,360.00 – $8,800.00 | 3 |
| Laser surgery of prostate CPT 52648 | not published | not published | $2,360.00 – $10,687.19 | 8 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,094.00 – $4,112.55 | 8 |
| Laser treatment of retina CPT 67039 | not published | not published | $3,274.00 – $8,238.78 | 8 |
| Laser treatment of retina CPT 67040 | not published | not published | $3,274.00 – $8,238.78 | 8 |
| Lateral canthopexy CPT 21282 | not published | not published | $2,360.00 – $6,608.41 | 8 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,274.00 – $6,521.79 | 8 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $253.81 – $472.09 | 7 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $3,274.00 – $21,187.50 | 7 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $1,678.00 – $5,789.71 | 8 |
| Lead capillary CPT 83655 | $151.80 | $253.00 | $12.11 – $22.52 | 7 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $37.29 | 7 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $77.67 | 7 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,383.62 – $6,293.52 | 7 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,278.60 | $2,131.00 | $255.69 – $475.58 | 6 |
| Leishmania antibody CPT 86717 | not published | not published | $12.25 – $22.78 | 7 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,094.00 – $6,521.79 | 8 |
| Lengthening of palate CPT 42227 | not published | not published | $5,951.00 – $11,799.47 | 7 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $1,471.00 – $14,463.16 | 8 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $2,074.00 – $25,590.20 | 7 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $2,074.00 – $25,590.20 | 8 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Leukacyte transfusion CPT 86950 | not published | not published | $92.72 – $339.58 | 7 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.79 – $19.33 | 7 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $172.29 – $327.73 | 7 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,670.30 – $3,283.97 | 7 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,591.00 – $5,591.00 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $70.38 – $70.38 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $1,290.02 | 7 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $39.95 – $74.30 | 7 |
| Levetiracetam therapeutic drug level CPT 80177 | $235.80 | $393.00 | $13.25 – $24.64 | 7 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $7,195.80 | $11,993.00 | $3,274.00 – $6,461.85 | 7 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.01 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $163.20 | $272.00 | $14.69 – $27.32 | 7 |
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.