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 |
|---|---|---|---|---|
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $156.00 | $260.00 | $19.35 – $35.99 | 7 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $155.40 | $259.00 | $13.73 – $25.54 | 7 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $108.60 | $181.00 | $92.03 – $171.18 | 6 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $100.80 | $168.00 | $4.27 – $7.94 | 7 |
| Mayo tau phosphorylated 217 each CPT 84393 | $1,050.60 | $1,751.00 | $128.92 – $239.79 | 6 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $799.80 | $1,333.00 | $0.02 – $388.59 | 7 |
| Mayo tgrp testosterone free CPT 84402 | $36.00 | $60.00 | $25.47 – $47.37 | 7 |
| Mayo tgrp testosterone total CPT 84403 | $171.00 | $285.00 | $25.81 – $48.01 | 7 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $313.20 | $522.00 | $19.95 – $41.24 | 7 |
| Mayo thyroglobulin CPT 84432 | $119.40 | $199.00 | $16.06 – $29.87 | 7 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $221.40 | $369.00 | $10.18 – $18.93 | 7 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $526.20 | $877.00 | $12.39 – $23.05 | 7 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $97.20 | $162.00 | $0.02 – $0.02 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $181.80 | $303.00 | $51.28 – $95.38 | 7 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $100.20 | $167.00 | $12.75 – $26.34 | 7 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $176.40 | $294.00 | $13.54 – $25.18 | 7 |
| Mayo vasoactive intestinal peptide CPT 84586 | $118.80 | $198.00 | $35.33 – $65.71 | 7 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $95.40 | $159.00 | $20.24 – $37.65 | 7 |
| Mayo vitamin b3 (niacin) CPT 84591 | $400.20 | $667.00 | $14.23 – $31.73 | 7 |
| Mayo vitamin k CPT 84597 | $223.80 | $373.00 | $13.72 – $25.52 | 7 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $160.20 | $267.00 | $13.25 – $24.64 | 7 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $785.00 – $785.00 | 1 |
| Mcoln1 gene CPT 81290 | $707.40 | $1,179.00 | $0.02 – $73.12 | 7 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,678.00 – $6,885.00 | 8 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,678.00 – $5,247.00 | 8 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,678.00 – $7,063.39 | 7 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $399.88 – $743.78 | 6 |
| Measure kidney pressure CPT 50396 | $4,615.20 | $7,692.00 | $747.24 – $2,825.00 | 8 |
| Measurement post void urine by ultrasound CPT 51798 | $229.80 | $383.00 | $63.22 – $308.00 | 7 |
| Measure ureter pressure CPT 50686 | not published | not published | $137.89 – $308.00 | 7 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $431.11 – $431.11 | 1 |
| #mec-opiates CPT 80356 | $114.00 | $190.00 | $0.02 – $0.02 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | $1,171.80 | $1,953.00 | $0.02 – $279.00 | 7 |
| Mecp2 gene full seq CPT 81302 | $1,690.20 | $2,817.00 | $0.02 – $981.84 | 7 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $0.02 – $223.20 | 7 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $166.80 | $278.00 | not published | 0 |
| Medial canthopexy CPT 21280 | not published | not published | $2,360.00 – $6,608.41 | 8 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $1,678.00 – $12,050.01 | 7 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $1,678.00 – $12,050.01 | 7 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $399.88 – $743.78 | 6 |
| Meg evoked single CPT 95966 | not published | not published | $920.24 – $1,711.65 | 6 |
| Meg spontaneous CPT 95965 | not published | not published | $920.24 – $1,711.65 | 6 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $12.75 – $12.75 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,107.00 | $1,845.00 | not published | 0 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,678.00 – $14,463.16 | 7 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $30.54 – $59.19 | 7 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $308.00 – $5,500.00 | 3 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.93 – $1.93 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $171.00 | $285.00 | $8.46 – $15.74 | 7 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $298.20 | $497.00 | $10.56 – $19.64 | 7 |
| Metabolic panel ionized ca CPT 80047 | $190.20 | $317.00 | $10.37 – $25.54 | 7 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.29 – $0.29 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $3.28 – $3.28 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $177.60 | $296.00 | $34.71 – $71.74 | 7 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $37.20 | $62.00 | $7.58 – $19.13 | 7 |
| Methylphenidate CPT 80360 | $343.20 | $572.00 | $0.02 – $0.02 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.11 – $0.11 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.25 – $0.25 | 1 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $169.56 | 7 |
| Mgmt promoter methylation analysis CPT 81287 | $1,087.80 | $1,813.00 | $0.02 – $231.83 | 7 |
| Microalbumin urine screen CPT 82044 | not published | not published | $5.61 – $11.59 | 7 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $12.71 – $74.72 | 7 |
| Microdissection laser CPT 88380 | not published | not published | $78.30 – $83.47 | 2 |
| Microdissection manual CPT 88381 | $980.40 | $1,634.00 | $37.65 – $83.14 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $20.25 – $41.81 | 7 |
| Microsatellite instability CPT 81301 | $1,201.20 | $2,002.00 | $0.02 – $648.32 | 7 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $308.00 – $1,094.00 | 2 |
| Microvolt t-wave assess CPT 93025 | $284.40 | $474.00 | $137.89 – $256.47 | 6 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,274.00 – $5,247.00 | 2 |
| Middle cerebral artery echo CPT 76821 | $483.60 | $806.00 | $61.21 – $208.38 | 6 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.59 – $4.96 | 7 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $68.07 – $132.30 | 7 |
| Mitochondrial gene CPT 81440 | not published | not published | $0.02 – $6,182.64 | 7 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $25.60 – $52.93 | 7 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $313.00 – $601.10 | 7 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.69 – $71.82 | 7 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $785.00 – $785.00 | 1 |
| Mlh1 gene CPT 81288 | not published | not published | $0.02 – $357.72 | 7 |
| Mlh1 gene dup/delete variant CPT 81294 | $846.60 | $1,411.00 | $0.02 – $376.46 | 7 |
| Mlh1 gene full seq CPT 81292 | $2,868.00 | $4,780.00 | $0.02 – $1,256.24 | 7 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $0.02 – $615.66 | 7 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.80 – $33.11 | 6 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.31 – $9.88 | 6 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $2,074.00 – $25,590.20 | 8 |
| Mnl appl strs jt radiography CPT 77071 | $431.40 | $719.00 | $93.26 – $173.46 | 6 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $308.00 – $1,094.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $308.00 – $1,094.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $308.00 – $1,094.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,094.00 – $3,533.00 | 7 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,094.00 – $3,533.00 | 7 |
| Mnt subs tx for change dx HCPCS G0270 | $54.00 | $90.00 | $21.65 – $40.27 | 6 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $785.00 – $785.00 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $142.58 – $265.19 | 6 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $785.00 – $785.00 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $785.00 – $785.00 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $667.20 | $1,112.00 | $10.85 – $70.18 | 7 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $2.63 – $2.63 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $21.10 | 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.