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 |
|---|---|---|---|---|
| Monovisc inj per dose HCPCS J7327 | not published | not published | $655.34 – $1,218.93 | 7 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $142.67 – $265.37 | 6 |
| Mopath procedure level 1 CPT 81400 | $1,582.20 | $2,637.00 | $0.02 – $118.97 | 7 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $0.02 – $279.61 | 7 |
| Mopath procedure level 5 CPT 81404 | $3,220.80 | $5,368.00 | $0.02 – $511.18 | 7 |
| Mopath procedure level 6 CPT 81405 | $3,724.20 | $6,207.00 | $0.02 – $560.51 | 7 |
| Mopath procedure level 7 CPT 81406 | $9,319.20 | $15,532.00 | $0.02 – $526.16 | 7 |
| Mopath procedure level 8 CPT 81407 | $6,075.00 | $10,125.00 | $0.02 – $1,574.06 | 7 |
| Mopath procedure level 9 CPT 81408 | $5,218.20 | $8,697.00 | $0.02 – $3,720.00 | 7 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $438.00 | $730.00 | $67.29 – $339.58 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $389.40 | $649.00 | $68.89 – $714.46 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $355.80 | $593.00 | $65.74 – $339.58 | 7 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $640.96 – $1,217.45 | 7 |
| Motion analysis video/3d CPT 96000 | not published | not published | $399.88 – $743.78 | 6 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $920.24 – $1,711.65 | 6 |
| Motor &/ sens nrve cndj test CPT 95905 | $251.40 | $419.00 | not published | 0 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,471.00 – $6,608.41 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $39.29 – $48.34 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $100.12 – $339.58 | 7 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $52.22 – $68.96 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $91.98 – $339.58 | 7 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $135.30 – $279.61 | 7 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $37.29 | 7 |
| M.pneumon dna quant CPT 87582 | not published | not published | $51.19 – $562.87 | 7 |
| MRA abdomen post contrast CPT 74185 | $3,440.40 | $5,734.00 | $176.77 – $176.77 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,324.60 | $5,541.00 | $177.44 – $177.44 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $373.86 – $695.38 | 6 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $255.69 – $475.58 | 6 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $373.86 – $695.38 | 6 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $4,986.00 | $8,310.00 | $177.42 – $177.42 | 1 |
| MRA pelvis CPT 72198 | $3,324.60 | $5,541.00 | $176.77 – $176.77 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $373.86 – $695.38 | 6 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $255.69 – $475.58 | 6 |
| MRA spinal canal CPT 72159 | $4,999.20 | $8,332.00 | $178.83 – $178.83 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | $4,986.00 | $8,310.00 | $172.09 – $172.09 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $373.86 – $695.38 | 6 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $373.86 – $695.38 | 6 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $373.86 – $695.38 | 6 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $373.86 – $695.38 | 6 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $255.69 – $475.58 | 6 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $255.69 – $475.58 | 6 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $255.69 – $475.58 | 6 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $255.69 – $475.58 | 6 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $373.86 – $695.38 | 6 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $373.86 – $695.38 | 6 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $373.86 – $695.38 | 6 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $373.86 – $695.38 | 6 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $373.86 – $695.38 | 6 |
| Mr elastography CPT 76391 | $3,703.20 | $6,172.00 | $98.02 – $475.58 | 6 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,678.00 – $22,209.74 | 7 |
| MRI brain w/dye CPT 70558 | $3,564.60 | $5,941.00 | $187.96 – $349.61 | 6 |
| MRI brain without dye CPT 70557 | $2,982.00 | $4,970.00 | $359.37 – $1,089.12 | 6 |
| MRI brain without & w/dye CPT 70559 | $4,440.60 | $7,401.00 | $187.96 – $349.61 | 6 |
| MRI breast c- unilateral CPT 77046 | $2,871.00 | $4,785.00 | $127.71 – $475.58 | 6 |
| MRI breast c-+ w/cad uni CPT 77048 | $3,324.60 | $5,541.00 | $186.38 – $186.38 | 1 |
| MRI breast without cont bi CPT 77047 | $4,307.40 | $7,179.00 | $141.63 – $475.58 | 6 |
| MRI breast w IV cont bi CPT 77049 | $4,986.00 | $8,310.00 | $203.94 – $203.94 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,871.00 | $4,785.00 | $227.36 – $475.58 | 6 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $3,179.40 | $5,299.00 | $251.57 – $695.38 | 6 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $4,106.40 | $6,844.00 | $283.95 – $1,562.52 | 6 |
| MRI chest without contrast CPT 71550 | $2,871.00 | $4,785.00 | $144.55 – $475.58 | 6 |
| MRI chest without & w/contrast CPT 71552 | $3,324.60 | $5,541.00 | $223.22 – $695.38 | 6 |
| MRI chest w IV cont CPT 71551 | $2,955.00 | $4,925.00 | $171.40 – $1,562.52 | 6 |
| MRI fetal ea addl gestation CPT 74713 | $2,460.60 | $4,101.00 | $183.55 – $183.55 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | $2,460.60 | $4,101.00 | $255.69 – $475.58 | 6 |
| MRI guid ndl plc s&i CPT 77021 | $2,663.40 | $4,439.00 | $145.24 – $145.24 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | $2,663.40 | $4,439.00 | $419.36 – $419.36 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $4,509.00 | $7,515.00 | $159.39 – $695.38 | 6 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,307.40 | $7,179.00 | $133.14 – $475.58 | 6 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,159.40 | $8,599.00 | $211.82 – $695.38 | 6 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,871.00 | $4,785.00 | $132.46 – $475.58 | 6 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,369.60 | $5,616.00 | $211.13 – $695.38 | 6 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,955.00 | $4,925.00 | $159.39 – $695.38 | 6 |
| MRI tmj CPT 70336 | $3,139.80 | $5,233.00 | $145.20 – $475.58 | 6 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $4,307.40 | $7,179.00 | $133.83 – $475.58 | 6 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,986.00 | $8,310.00 | $211.82 – $695.38 | 6 |
| MRI upper extremity w/dye CPT 73219 | $4,432.80 | $7,388.00 | $159.39 – $695.38 | 6 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $373.86 – $695.38 | 6 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $187.96 – $349.61 | 6 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $373.86 – $695.38 | 6 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $373.86 – $695.38 | 6 |
| Mr safety determination physician/other qhp CPT 76016 | $134.40 | $224.00 | $50.20 – $173.46 | 6 |
| Mr safety implant elec prepj CPT 76018 | $140.40 | $234.00 | $62.31 – $189.50 | 6 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $75.60 | $126.00 | $95.65 – $95.65 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | $90.60 | $151.00 | $50.74 – $117.58 | 6 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $37.80 | $63.00 | $19.84 – $57.65 | 6 |
| Mr sfty med physics xm cstmz CPT 76017 | $369.60 | $616.00 | $64.03 – $475.58 | 6 |
| Mr spectroscopy CPT 76390 | $4,106.40 | $6,844.00 | $93.26 – $173.46 | 6 |
| Msh2 gene dup/delete variant CPT 81297 | $673.20 | $1,122.00 | $0.02 – $396.74 | 7 |
| Msh2 gene full seq CPT 81295 | $1,122.00 | $1,870.00 | $0.02 – $709.96 | 7 |
| Msh2 gene known variants CPT 81296 | not published | not published | $0.02 – $628.18 | 7 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $0.02 – $442.68 | 7 |
| Msh6 gene full seq CPT 81298 | $1,886.40 | $3,144.00 | $0.02 – $1,193.84 | 7 |
| Msh6 gene known variants CPT 81299 | $4,197.60 | $6,996.00 | $144.90 – $572.88 | 7 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Mthfr gene analy common variants CPT 81291 | $601.20 | $1,002.00 | $0.02 – $121.53 | 7 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $24.59 – $50.00 | 7 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $79.68 | 7 |
| Mucin synovial fluid CPT 83872 | $40.20 | $67.00 | $5.86 – $10.90 | 7 |
| Mucopolysaccharides CPT 83864 | $821.40 | $1,369.00 | $24.42 – $53.01 | 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.