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 |
|---|---|---|---|---|
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $17.37 – $36.31 | 7 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $26.98 – $58.52 | 7 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $47.19 – $47.19 | 1 |
| Penile injection CPT 54235 | $1,531.20 | $2,552.00 | $267.74 – $498.00 | 7 |
| Penile vascular study CPT 93980 | $729.00 | $1,215.00 | $112.03 – $208.38 | 6 |
| Penile vascular study CPT 93981 | $729.00 | $1,215.00 | $112.03 – $208.38 | 6 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Penis study CPT 54240 | not published | not published | $231.39 – $430.38 | 7 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,626.33 – $4,884.97 | 7 |
| Perc cryo ablate renal tum CPT 50593 | $15,184.80 | $25,308.00 | $2,822.00 – $21,187.50 | 7 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $14,287.00 – $14,287.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $3,217.00 – $36,538.81 | 7 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $14,287.00 – $14,287.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $3,217.00 – $23,010.00 | 7 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $14,287.00 – $14,287.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $3,217.00 – $36,538.81 | 7 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $1,094.00 – $14,287.00 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $3,217.00 – $23,010.00 | 7 |
| Perc rf ablate renal tumor CPT 50592 | $10,954.20 | $18,257.00 | $2,074.00 – $12,050.01 | 7 |
| Percut ablate liver rf CPT 47382 | $8,455.80 | $14,093.00 | $2,074.00 – $12,050.01 | 7 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $785.00 – $785.00 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $785.00 – $785.00 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,185.00 | $1,975.00 | $1,471.00 – $3,137.62 | 7 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $785.00 – $785.00 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,074.00 – $7,804.28 | 8 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,360.00 – $6,452.27 | 8 |
| Peripheral vascular rehab CPT 93668 | $138.60 | $231.00 | $63.22 – $117.58 | 6 |
| Peri-proc device eval icd CPT 93287 | $423.00 | $705.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $400.20 | $667.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | $6,840.00 | $11,400.00 | $1,400.00 – $11,091.19 | 8 |
| Peritoneogram rs&i CPT 74190 | $1,021.80 | $1,703.00 | $42.24 – $1,089.12 | 6 |
| Perit-vens shunt pat tst CPT 78291 | $787.20 | $1,312.00 | $77.48 – $796.83 | 6 |
| Perq art m-thrombect &/nfs CPT 61645 | $1,066.80 | $1,778.00 | $785.00 – $2,733.00 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | $27,596.40 | $45,994.00 | $5,951.00 – $5,951.00 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | $5,169.00 | $8,615.00 | $758.85 – $2,825.00 | 7 |
| Perq dev breast 1st strtctc CPT 19283 | $1,724.40 | $2,874.00 | $758.85 – $2,825.00 | 7 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $2,360.00 – $18,868.65 | 7 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $2,131.80 | $3,553.00 | $2,074.00 – $18,868.65 | 7 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $3,217.00 – $23,010.00 | 7 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $3,217.00 – $36,538.81 | 7 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $3,274.00 – $23,010.00 | 7 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $3,274.00 – $23,010.00 | 7 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $308.00 – $1,094.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | $7,302.60 | $12,171.00 | $1,678.00 – $12,050.01 | 7 |
| Perq plmt bile duct stent CPT 47539 | $8,455.80 | $14,093.00 | $1,678.00 – $12,050.01 | 7 |
| Perq plmt bile duct stent CPT 47540 | $8,455.80 | $14,093.00 | $1,678.00 – $12,050.01 | 7 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $249.00 | $415.00 | $267.74 – $498.00 | 7 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,094.00 – $6,521.79 | 8 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,094.00 – $6,521.79 | 7 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,400.00 – $1,400.00 | 1 |
| Perq transcath closure each CPT 93592 | $9,199.20 | $15,332.00 | $308.00 – $1,094.00 | 2 |
| Perq transcath closure pda CPT 93582 | $27,596.40 | $45,994.00 | $3,217.00 – $36,538.81 | 7 |
| Perq transcath cls aortic CPT 93591 | $27,596.40 | $45,994.00 | $3,217.00 – $36,538.81 | 7 |
| Perq transcath cls mitral CPT 93590 | $27,596.40 | $45,994.00 | $3,217.00 – $36,538.81 | 7 |
| Perq transcath septal reduxn CPT 93583 | $30,714.00 | $51,190.00 | $785.00 – $3,217.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $785.00 – $785.00 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Perq tx malar fracture CPT 21355 | not published | not published | $1,678.00 – $6,608.41 | 8 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $1,471.00 – $11,799.47 | 8 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,074.00 – $6,608.41 | 8 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $22.28 | 7 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.23 – $31.65 | 7 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $60.22 – $112.02 | 7 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,857.00 | $8,095.00 | $196.00 – $2,850.19 | 6 |
| Pet CT whole body initial CPT 78816 | $4,857.00 | $8,095.00 | $196.00 – $2,850.19 | 6 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,857.00 | $8,095.00 | $196.00 – $2,850.19 | 6 |
| Pet image full body CPT 78813 | not published | not published | $196.00 – $2,850.19 | 6 |
| Pet image ltd area CPT 78811 | not published | not published | $196.00 – $2,580.51 | 6 |
| Pet image skull-thigh CPT 78812 | not published | not published | $196.00 – $2,850.19 | 6 |
| Pet image w/ct lmtd CPT 78814 | $4,857.00 | $8,095.00 | $196.00 – $2,850.19 | 6 |
| Pet not otherwise specified HCPCS G0235 | $12,402.00 | $20,670.00 | $428.40 – $796.83 | 6 |
| Pet scan brain perf study CPT 78609 | $9,563.40 | $15,939.00 | $196.00 – $196.00 | 1 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $90.60 | $151.00 | $21.04 – $39.13 | 6 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $134.40 | $224.00 | $29.14 – $54.20 | 6 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $46.80 | $78.00 | $10.56 – $19.64 | 6 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Ph body fluid CPT 83986 | $100.80 | $168.00 | $3.58 – $6.66 | 7 |
| Phencyclidine (pcp) CPT 83992 | $349.80 | $583.00 | $0.02 – $18.02 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $167.40 | $279.00 | $14.04 – $28.46 | 7 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $257.45 – $478.86 | 7 |
| Phenytoin total therapeutic drug level CPT 80185 | $317.40 | $529.00 | $13.25 – $24.64 | 7 |
| Phlebotomy therapeutic CPT 99195 | $340.20 | $567.00 | $142.58 – $265.19 | 6 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,985.20 | $6,642.00 | $1,678.00 – $6,293.52 | 7 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,985.20 | $6,642.00 | $1,678.00 – $6,293.52 | 7 |
| Phosphorus CPT 84100 | $74.40 | $124.00 | $4.74 – $8.82 | 7 |
| Phosphorus 24 hour urine CPT 84105 | $160.20 | $267.00 | $5.78 – $10.75 | 7 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $63.22 – $117.58 | 6 |
| Photochemotherapy puva CPT 96912 | not published | not published | $63.22 – $117.58 | 6 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $435.63 – $810.27 | 6 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $308.00 – $308.00 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $308.00 – $308.00 | 1 |
| Photo patch test CPT 95052 | not published | not published | $63.22 – $117.58 | 6 |
| Photopheresis CPT 36522 | not published | not published | $1,471.00 – $8,681.43 | 7 |
| Photosensitivity tests CPT 95056 | not published | not published | $142.58 – $265.19 | 6 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $55.84 – $103.87 | 7 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $79.69 – $339.58 | 7 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $27.46 – $57.65 | 7 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $785.00 – $785.00 | 1 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $332.44 – $644.47 | 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.