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 |
|---|---|---|---|---|
| Post d/c phone follow up HCPCS G0544 | not published | not published | $108.87 – $202.49 | 6 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $308.00 – $1,094.00 | 2 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $399.88 – $743.78 | 6 |
| Postpartum Care Only CPT 59430 | $271.80 | $453.00 | $1,094.00 – $1,094.00 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $308.00 – $1,094.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $139.80 | $233.00 | $4.73 – $8.80 | 7 |
| Potassium hydroxide preps HCPCS Q0112 | $66.60 | $111.00 | $5.24 – $10.84 | 7 |
| Potassium serum/plasma/whole blood CPT 84132 | $73.80 | $123.00 | $4.76 – $8.85 | 7 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $123.30 – $254.82 | 7 |
| Pq biliary strict dil s&i CPT 74363 | $2,604.00 | $4,340.00 | $76.87 – $76.87 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,648.20 | $2,747.00 | $69.54 – $69.54 | 1 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $6,907.20 | $11,512.00 | $2,360.00 – $14,463.16 | 7 |
| Pq thr inj ext pse CPT 36002 | $1,872.00 | $3,120.00 | $672.23 – $2,825.00 | 7 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $3,699.60 | $6,166.00 | $308.00 – $1,094.00 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,917.60 | $8,196.00 | $2,074.00 – $6,521.79 | 7 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,917.60 | $8,196.00 | $2,074.00 – $6,521.79 | 7 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $373.77 – $730.46 | 7 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,044.20 | $3,407.00 | $1,471.00 – $6,521.79 | 8 |
| Pr application of long arm splint CPT 29105 | $464.40 | $774.00 | $174.14 – $323.90 | 7 |
| Pr application splint static short arm CPT 29125 | $404.40 | $674.00 | $142.58 – $308.00 | 7 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $108.00 | $180.00 | $40.03 – $74.45 | 6 |
| Pr biopsy skin punch single lesion CPT 11104 | $300.60 | $501.00 | $308.00 – $810.27 | 7 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $1,678.00 – $25,590.20 | 8 |
| Pr correction hammertoe CPT 28285 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $45.60 | $76.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $785.00 – $785.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,369.40 | $3,949.00 | $785.00 – $785.00 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $1,471.00 – $7,026.03 | 8 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $363.00 | $605.00 | $215.00 – $399.91 | 7 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $279.00 | $465.00 | not published | 0 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $381.00 | $635.00 | not published | 0 |
| Prealbumin CPT 84134 | $112.80 | $188.00 | $14.59 – $27.14 | 7 |
| Pregabalin - sendout CPT 80366 | not published | not published | $0.02 – $0.02 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,326.80 | $3,878.00 | $1,471.00 – $3,824.79 | 8 |
| Pregnancy associated plasma protein-a CPT 84163 | $159.60 | $266.00 | $15.05 – $27.99 | 7 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $729.00 | $1,215.00 | $87.83 – $208.38 | 6 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $807.00 | $1,345.00 | $87.20 – $208.38 | 6 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $234.00 | $390.00 | not published | 0 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $763.20 | $1,272.00 | not published | 0 |
| Prenatal Care Only (7+ visits) CPT 59426 | $1,302.60 | $2,171.00 | not published | 0 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $231.39 – $430.38 | 6 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $399.88 – $743.78 | 6 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $399.88 – $743.78 | 6 |
| Preparation for bladder xray CPT 51605 | not published | not published | $308.00 – $308.00 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $308.00 – $1,075.00 | 7 |
| Prepare donor heart CPT 33944 | not published | not published | $785.00 – $785.00 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $785.00 – $785.00 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $785.00 – $785.00 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $785.00 – $785.00 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $785.00 – $785.00 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $55.84 – $103.87 | 7 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $1,094.00 – $1,094.00 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $785.00 – $785.00 | 1 |
| Prepare penis study CPT 54230 | $1,139.40 | $1,899.00 | $308.00 – $1,094.00 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $308.00 – $1,471.00 | 2 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $785.00 – $785.00 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $308.00 – $308.00 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $785.00 – $785.00 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $785.00 – $785.00 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $785.00 – $785.00 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $785.00 – $785.00 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $785.00 – $785.00 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $785.00 – $785.00 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $785.00 – $785.00 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $785.00 – $785.00 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $6,885.00 – $14,145.39 | 7 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $308.00 – $1,094.00 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $920.24 – $1,711.65 | 6 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $785.00 – $785.00 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $785.00 – $785.00 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $785.00 – $785.00 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $308.00 – $810.27 | 7 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,713.00 | $2,855.00 | $792.00 – $3,533.00 | 7 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $308.00 – $1,094.00 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $137.89 – $256.47 | 6 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $785.00 – $785.00 | 1 |
| Pressure velocity wire add ves CPT 93572 | $1,267.80 | $2,113.00 | $308.00 – $308.00 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $235.80 | $393.00 | $55.37 – $339.58 | 7 |
| Pretreat rbc absorption reference CPT 86978 | $342.60 | $571.00 | $11.43 – $117.58 | 7 |
| Pretreat rbc density gradient separation reference CPT 86972 | $186.60 | $311.00 | $64.69 – $339.58 | 7 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $27.46 – $117.58 | 7 |
| Pretreat rbc w enzyme reference CPT 86971 | $222.00 | $370.00 | $36.73 – $339.58 | 7 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $248.40 | $414.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $54.00 | $90.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $92.40 | $154.00 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $130.80 | $218.00 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $168.60 | $281.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $142.67 – $265.37 | 6 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,114.20 | $1,857.00 | $1,471.00 – $3,291.98 | 7 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,114.20 | $1,857.00 | $1,094.00 – $3,533.00 | 8 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,024.20 | $1,707.00 | $308.00 – $810.27 | 7 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $4,131.60 – $7,684.77 | 7 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $39.99 – $74.39 | 6 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $459.60 | $766.00 | $39.99 – $74.39 | 6 |
| Prgrmg dev eval scrms ip CPT 93285 | $459.60 | $766.00 | $39.99 – $74.39 | 6 |
| Prgrmg eval implantable dfb CPT 93282 | $486.00 | $810.00 | $39.99 – $74.39 | 6 |
| Prgrmg eval implantable dfb CPT 93283 | $486.00 | $810.00 | $39.99 – $74.39 | 6 |
| Prgrmg eval implantable dfb CPT 93284 | $486.00 | $810.00 | $39.99 – $74.39 | 6 |
| Prgr stim/pace a/iv drug CPT 93623 | $7,196.40 | $11,994.00 | $2,875.00 – $2,875.00 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $652.80 | $1,088.00 | not published | 0 |
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.