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 |
|---|---|---|---|---|
| Partial hysterectomy CPT 58180 | not published | not published | $3,274.00 – $5,247.00 | 2 |
| Partial proctectomy CPT 45113 | not published | not published | $785.00 – $785.00 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $6,885.00 – $6,885.00 | 1 |
| Partial removal donor liver CPT 47140 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal donor liver CPT 47141 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal donor liver CPT 47142 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,678.00 – $3,533.00 | 8 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,678.00 – $3,533.00 | 8 |
| Partial removal foot fascia CPT 28060 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $2,360.00 – $6,521.79 | 8 |
| Partial removal of bladder CPT 51550 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of esophagus CPT 43116 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of esophagus CPT 43118 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of esophagus CPT 43121 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of esophagus CPT 43123 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,074.00 – $4,599.98 | 8 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,074.00 – $4,599.98 | 8 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Partial removal of foot bone CPT 28288 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,274.00 – $6,521.79 | 8 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of larynx CPT 31367 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of larynx CPT 31368 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of larynx CPT 31370 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of larynx CPT 31375 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of larynx CPT 31380 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of larynx CPT 31382 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $1,471.00 – $6,608.41 | 8 |
| Partial removal of liver CPT 47125 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of liver CPT 47130 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $1,678.00 – $11,799.47 | 8 |
| Partial removal of pancreas CPT 48145 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of pancreas CPT 48150 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Partial removal of radius CPT 25151 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Partial removal of radius CPT 25230 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Partial removal of rectum CPT 45111 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of rectum CPT 45114 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of rectum CPT 45116 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $1,471.00 – $14,463.16 | 8 |
| Partial removal of sternum CPT 21620 | not published | not published | $2,074.00 – $6,521.79 | 7 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,471.00 – $12,050.01 | 7 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,678.00 – $12,050.01 | 7 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Partial removal of toe CPT 28160 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Partial removal of tongue CPT 41120 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Partial removal of tongue CPT 41130 | not published | not published | $785.00 – $785.00 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Partial removal of ulna CPT 25240 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $1,678.00 – $6,452.27 | 7 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,678.00 – $7,836.10 | 8 |
| Partial thyroid excision CPT 60210 | not published | not published | $2,074.00 – $12,050.01 | 7 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $2,074.00 – $12,050.01 | 7 |
| Part removal hip bone deep CPT 27071 | not published | not published | $2,360.00 – $6,885.00 | 7 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Part remove hip bone super CPT 27070 | not published | not published | $2,360.00 – $6,885.00 | 7 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $137.09 – $339.58 | 7 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $77.53 – $339.58 | 7 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $38.93 – $70.54 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $36.06 – $103.87 | 7 |
| Patient recorded spirometry CPT 94015 | not published | not published | $231.39 – $430.38 | 6 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $0.02 – $474.39 | 7 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $327.89 – $327.89 | 1 |
| Pdgfra gene CPT 81314 | not published | not published | $0.02 – $612.89 | 7 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $215.00 – $399.91 | 7 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,678.00 – $4,112.55 | 8 |
| Ped critical care initial CPT 99471 | $1,029.60 | $1,716.00 | not published | 0 |
| Ped critical care subsq CPT 99472 | $504.60 | $841.00 | not published | 0 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $137.89 – $256.47 | 6 |
| Ped home apnea mntr dl&alys CPT 94776 | $280.20 | $467.00 | $137.89 – $256.47 | 6 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,678.00 – $4,112.55 | 8 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $27,070.53 – $52,868.75 | 7 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $19.98 – $236.92 | 7 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $133.31 – $247.96 | 7 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $135.89 – $252.75 | 7 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $158.26 – $294.36 | 7 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $79.50 – $147.87 | 7 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $112.13 – $208.57 | 7 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,565.32 – $7,113.61 | 7 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.40 – $415.52 | 7 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,439.00 | $4,065.00 | $119.70 – $349.61 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,209.20 | $3,682.00 | $114.31 – $349.61 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,067.60 | $3,446.00 | $107.56 – $208.38 | 6 |
| Pelvic exenteration CPT 45126 | not published | not published | $785.00 – $785.00 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,324.60 | $5,541.00 | $215.85 – $695.38 | 6 |
| Pelvic MRI (with contrast) CPT 72196 | $2,955.00 | $4,925.00 | $172.09 – $695.38 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | $2,871.00 | $4,785.00 | $144.55 – $475.58 | 6 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $2,733.00 – $14,463.16 | 7 |
| Pelvic Ultrasound (complete) CPT 76856 | $729.00 | $1,215.00 | $61.70 – $208.38 | 6 |
| Pelvic Ultrasound (limited) CPT 76857 | $729.00 | $1,215.00 | $43.59 – $208.38 | 6 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $59.35 – $113.93 | 7 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.77 – $7.51 | 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.