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 |
|---|---|---|---|---|
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.71 – $34.80 | 7 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $20.71 – $41.47 | 7 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $397.79 – $739.89 | 7 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $785.00 – $785.00 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $785.00 – $785.00 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $785.00 – $785.00 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $2,074.00 – $7,136.49 | 7 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $2,074.00 – $7,136.49 | 8 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $20.17 – $43.90 | 7 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $42.77 – $81.32 | 7 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.53 – $53.13 | 7 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,094.00 – $3,092.63 | 7 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $226.20 | $377.00 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $583.20 | $972.00 | not published | 0 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $396.60 | $661.00 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $424.20 | $707.00 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $176.40 | $294.00 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $148.20 | $247.00 | not published | 0 |
| Orthopantogram CPT 70355 | $213.60 | $356.00 | $18.17 – $173.46 | 6 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $63.22 – $117.58 | 6 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $109.09 – $202.91 | 7 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $277.20 | $462.00 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $538.80 | $898.00 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $271.20 | $452.00 | $234.66 – $436.47 | 6 |
| Osmolality blood CPT 83930 | $141.00 | $235.00 | $6.61 – $12.29 | 7 |
| Osmolality urine CPT 83935 | $67.20 | $112.00 | $6.82 – $12.69 | 7 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $308.00 – $1,094.00 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,678.00 – $25,590.20 | 7 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $308.00 – $1,094.00 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $2,360.00 – $25,590.20 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Ot evaluation high complexity patient/family CPT 97167 | $278.40 | $464.00 | $102.47 – $190.59 | 6 |
| Ot evaluation low complexity patient/family CPT 97165 | $231.60 | $386.00 | $101.57 – $188.92 | 6 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $247.20 | $412.00 | $96.48 – $179.45 | 6 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $43.02 | 7 |
| Oth resp proc, group HCPCS G0239 | $80.40 | $134.00 | $40.03 – $74.45 | 6 |
| Oth resp proc, indiv HCPCS G0238 | $79.80 | $133.00 | $30.99 – $57.65 | 6 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $108.00 | $180.00 | $50.81 – $94.51 | 6 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $105.00 | $175.00 | $47.25 – $87.88 | 6 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $105.00 | $175.00 | $28.43 – $52.88 | 6 |
| Otoplasty 69300 CPT 69300 | not published | not published | $1,678.00 – $6,608.41 | 8 |
| Ot re-evaluation patient/family CPT 97168 | $160.80 | $268.00 | $69.31 – $128.92 | 6 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $133.20 | $222.00 | $33.81 – $62.89 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $108.00 | $180.00 | $18.55 – $34.50 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $108.00 | $180.00 | $19.66 – $36.57 | 6 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $105.00 | $175.00 | $29.67 – $55.19 | 6 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $108.00 | $180.00 | $31.82 – $59.19 | 6 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $105.00 | $175.00 | $31.10 – $57.85 | 6 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $785.00 – $785.00 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $2,360.00 – $9,970.94 | 7 |
| Ovulation tests CPT 84830 | $83.40 | $139.00 | $12.29 – $23.62 | 7 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.13 – $0.13 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $179.12 – $517.53 | 7 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $123.30 – $254.82 | 7 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.16 – $0.16 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $6.02 – $13.06 | 7 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $254.59 – $1,258.29 | 7 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $271.22 – $560.51 | 7 |
| Palifermin injection HCPCS J2425 | not published | not published | $33.99 – $68.30 | 7 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $14.74 – $28.04 | 7 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $436.75 – $812.36 | 7 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $16.18 – $16.18 | 1 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $785.00 – $785.00 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $785.00 – $785.00 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $785.00 – $785.00 | 1 |
| Pancreatectomy CPT 48154 | not published | not published | $785.00 – $785.00 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $785.00 – $785.00 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $785.00 – $785.00 | 1 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $785.00 – $785.00 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $164.92 – $324.36 | 7 |
| Parathormone (pth) intact CPT 83970 | $295.80 | $493.00 | $41.28 – $76.78 | 7 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $785.00 – $785.00 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,203.80 | $3,673.00 | $149.96 – $1,082.25 | 6 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $308.00 – $1,678.00 | 2 |
| Parathyroid planar imaging CPT 78070 | $1,092.00 | $1,820.00 | $69.58 – $796.83 | 6 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,258.80 | $2,098.00 | $104.06 – $796.83 | 6 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $2,360.00 – $9,970.94 | 7 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $3,274.00 – $13,235.25 | 8 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $276.00 | $460.00 | $215.00 – $399.91 | 7 |
| Parotid duct diversion CPT 42507 | not published | not published | $1,678.00 – $11,799.47 | 8 |
| Parotid duct diversion CPT 42509 | not published | not published | $2,074.00 – $11,799.47 | 8 |
| Parotid duct diversion CPT 42510 | not published | not published | $2,074.00 – $6,608.41 | 8 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $1,678.00 – $14,463.16 | 7 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $1,094.00 – $6,452.27 | 8 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $785.00 – $785.00 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Partial excision of lip CPT 40500 | not published | not published | $1,471.00 – $6,608.41 | 8 |
| Partial hip replacement CPT 27125 | not published | not published | $2,733.00 – $25,590.20 | 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.