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 |
|---|---|---|---|---|
| Ligate esophagus veins CPT 43400 | not published | not published | $6,885.00 – $6,885.00 | 1 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,678.00 – $6,293.52 | 7 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,678.00 – $6,293.52 | 8 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $785.00 – $1,094.00 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $785.00 – $785.00 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,678.00 – $6,293.52 | 8 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,678.00 – $6,293.52 | 8 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,471.00 – $6,452.27 | 7 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,471.00 – $3,533.00 | 8 |
| Ligation common iliac vein CPT 37660 | $975.00 | $1,625.00 | $785.00 – $785.00 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,471.00 – $6,293.52 | 8 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,383.62 – $6,293.52 | 7 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,383.62 – $6,293.52 | 7 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,825.00 – $6,293.52 | 7 |
| Ligation major artery chest CPT 37616 | not published | not published | $785.00 – $785.00 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $785.00 – $785.00 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,825.00 – $6,293.52 | 7 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,471.00 – $6,293.52 | 8 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,247.00 – $11,091.19 | 7 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,471.00 – $6,293.52 | 8 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,678.00 – $11,091.19 | 7 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,383.62 – $6,293.52 | 7 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,274.00 – $6,608.41 | 8 |
| Ligation of shunt CPT 49428 | $2,491.20 | $4,152.00 | $3,533.00 – $3,533.00 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,678.00 – $6,293.52 | 8 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,678.00 – $6,293.52 | 8 |
| Lig/band angioaccess av fistula CPT 37607 | $3,485.40 | $5,809.00 | $1,678.00 – $6,293.52 | 8 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,678.00 – $6,293.52 | 8 |
| Limb exercise test CPT 95875 | not published | not published | $137.89 – $256.47 | 6 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $308.00 – $1,600.00 | 3 |
| Limited autopsy CPT 88036 | not published | not published | $104.72 – $170.51 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $93.12 – $151.86 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $63.22 – $117.58 | 6 |
| Lipase CPT 83690 | $240.60 | $401.00 | $6.89 – $12.82 | 7 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,471.00 – $6,608.41 | 8 |
| Lipoprotein blood high res frac & quant CPT 83701 | $133.20 | $222.00 | $30.44 – $62.98 | 7 |
| Lipoprotein blood quant CPT 83704 | $198.00 | $330.00 | $34.19 – $63.59 | 7 |
| Lipoprotein direct measurement hdl CPT 83718 | $165.00 | $275.00 | $8.19 – $15.23 | 7 |
| Lipoprotein direct measurement ldl CPT 83721 | $79.20 | $132.00 | $10.50 – $19.53 | 7 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $31.55 – $63.59 | 7 |
| Lip surgery procedure CPT 40799 | not published | not published | $253.81 – $472.09 | 7 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $516,442.29 – $1,045,805.15 | 7 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $24.53 | 7 |
| Lithium therapeutic drug level CPT 80178 | $133.20 | $222.00 | $6.61 – $12.29 | 7 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,879.00 | $6,465.00 | $1,094.00 – $1,094.00 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $785.00 – $785.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $785.00 – $785.00 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $1,011.60 | $1,686.00 | $785.00 – $785.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $612.00 | $1,020.00 | $158.57 – $327.71 | 7 |
| Liver elastography 91200 CPT 91200 | not published | not published | $137.89 – $256.47 | 6 |
| Liver Function Test CPT 80076 | $204.60 | $341.00 | $8.17 – $15.20 | 7 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $785.00 – $785.00 | 1 |
| Liver imaging CPT 78201 | not published | not published | $37.51 – $1,082.25 | 6 |
| Liver imag w/vasclr flow CPT 78202 | $1,888.80 | $3,148.00 | $42.96 – $1,082.25 | 6 |
| Liver/spleen imag static only CPT 78215 | $975.60 | $1,626.00 | $42.38 – $796.83 | 6 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $50.14 – $796.83 | 6 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,547.76 – $4,738.83 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $6.00 | $10.00 | not published | 0 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $212.00 – $411.98 | 7 |
| Loudness balance test CPT 92562 | not published | not published | $231.39 – $430.38 | 6 |
| Low back disk surgery CPT 63030 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $308.00 – $1,471.00 | 2 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,471.00 – $3,533.00 | 2 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $308.00 – $1,471.00 | 2 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $308.00 – $1,471.00 | 2 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $308.00 – $1,094.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $308.00 – $1,094.00 | 2 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $308.00 – $1,094.00 | 2 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $308.00 – $1,094.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,717.40 | $4,529.00 | $125.71 – $349.61 | 6 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,515.20 | $4,192.00 | $119.70 – $695.38 | 6 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,157.60 | $3,596.00 | $96.88 – $208.38 | 6 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,879.00 | $6,465.00 | $225.91 – $695.38 | 6 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,496.80 | $5,828.00 | $176.81 – $695.38 | 6 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,871.00 | $4,785.00 | $146.57 – $475.58 | 6 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $415.80 | $693.00 | $19.99 – $208.38 | 6 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Low frequency non-thermal Ultrasound CPT 97610 | $278.40 | $464.00 | $215.00 – $399.91 | 6 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $2,360.00 – $21,187.50 | 7 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $2,360.00 – $21,187.50 | 7 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $2,360.00 – $21,187.50 | 7 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $2,360.00 – $21,187.50 | 7 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $40.90 | 7 |
| Lumbar diskogram s&i CPT 72295 | $2,133.00 | $3,555.00 | $73.85 – $3,892.19 | 6 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $2,733.00 – $34,948.59 | 7 |
| Lumizyme injection HCPCS J0221 | not published | not published | $201.57 – $385.97 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $164.40 | $274.00 | $63.22 – $117.58 | 6 |
| Lung Function Test (Spirometry) CPT 94010 | $160.20 | $267.00 | $231.39 – $430.38 | 6 |
| Lung perfusion imaging CPT 78580 | $1,610.40 | $2,684.00 | $64.72 – $796.83 | 6 |
| Lung transplant double CPT 32853 | not published | not published | $785.00 – $785.00 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $785.00 – $785.00 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $785.00 – $785.00 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $785.00 – $785.00 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $785.00 – $785.00 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $205.04 – $394.50 | 7 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.24 – $79.52 | 7 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $296.25 – $595.10 | 7 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $240.20 – $482.85 | 7 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $30.99 – $308.00 | 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.