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 |
|---|---|---|---|---|
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $2,074.00 – $11,799.47 | 8 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,074.00 – $7,804.28 | 8 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $785.00 – $785.00 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,471.00 – $4,100.00 | 7 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $8,857.80 | $14,763.00 | $3,274.00 – $11,091.19 | 8 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,274.00 – $6,608.41 | 8 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $2,733.00 – $6,885.00 | 7 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $1,678.00 – $14,463.16 | 7 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $1,678.00 – $14,463.16 | 7 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,678.00 – $4,100.00 | 7 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $785.00 – $785.00 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $785.00 – $785.00 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $142.58 – $265.19 | 6 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $308.00 – $1,094.00 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $40.03 – $74.45 | 6 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $70.56 – $265.19 | 6 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $58.35 – $208.38 | 6 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $64.46 – $208.38 | 6 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $0.02 – $0.02 | 1 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $785.00 – $3,274.00 | 2 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $308.00 – $1,094.00 | 2 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $5,247.00 – $5,247.00 | 1 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $4,100.00 – $4,100.00 | 1 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $5,247.00 – $5,247.00 | 1 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $4,100.00 – $4,100.00 | 1 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $4,100.00 – $4,100.00 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $308.00 – $1,094.00 | 2 |
| Opn ilac art expos cndt crtj CPT 34833 | $1,888.20 | $3,147.00 | $785.00 – $3,217.00 | 2 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $1,471.00 – $87,793.91 | 7 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $1,094.00 – $38,668.51 | 8 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $1,094.00 – $22,209.74 | 8 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $1,678.00 – $12,702.72 | 8 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $1,471.00 – $61,505.89 | 7 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $1,678.00 – $11,799.47 | 8 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $5,951.00 – $11,799.47 | 7 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $3,274.00 – $11,799.47 | 7 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $3,274.00 – $11,799.47 | 7 |
| Opps service,sched team conf HCPCS G0175 | $1,225.20 | $2,042.00 | $447.15 – $831.69 | 6 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $63.22 – $117.58 | 6 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $63.22 – $117.58 | 6 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $45.12 – $77.53 | 2 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $1,678.00 – $6,885.00 | 8 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,360.00 – $14,463.16 | 8 |
| Optx lunate dislocation CPT 25695 | not published | not published | $1,471.00 – $14,463.16 | 8 |
| Optx medial ankle fx CPT 27766 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $2,074.00 – $11,799.47 | 8 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,074.00 – $11,799.47 | 8 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $2,074.00 – $11,799.47 | 8 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,360.00 – $25,590.20 | 8 |
| Optx post ankle fx CPT 27769 | not published | not published | $1,678.00 – $14,463.16 | 7 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $2,074.00 – $25,590.20 | 8 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,074.00 – $34,948.59 | 8 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $1,471.00 – $14,463.16 | 8 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $2,360.00 – $14,463.16 | 8 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,678.00 – $25,590.20 | 8 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx thigh fx CPT 27269 | not published | not published | $1,471.00 – $14,463.16 | 7 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,678.00 – $6,608.41 | 8 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $1,678.00 – $14,463.16 | 7 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $84.21 | 7 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $22.28 | 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.