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 |
|---|---|---|---|---|
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $382.20 | $637.00 | $215.00 – $399.91 | 7 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $355.80 | $593.00 | $215.00 – $399.91 | 7 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $370.80 | $618.00 | $215.00 – $399.91 | 7 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $3,211.80 | $5,353.00 | $1,471.00 – $4,112.55 | 8 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $43.20 | $72.00 | not published | 0 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $308.00 – $879.35 | 7 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,827.00 | $3,045.00 | $1,471.00 – $3,137.62 | 7 |
| PSA (Prostate) Test CPT 84153 | $183.60 | $306.00 | $18.39 – $34.21 | 7 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $30.99 – $57.65 | 6 |
| Psychophysiological therapy CPT 90875 | $220.80 | $368.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $405.00 | $675.00 | $108.87 – $202.49 | 6 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $200.40 | $334.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $249.60 | $416.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $277.80 | $463.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $414.60 | $691.00 | $231.39 – $430.38 | 6 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $309.00 | $515.00 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | $251.40 | $419.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $206.40 | $344.00 | $142.58 – $265.19 | 6 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $155.40 | $259.00 | not published | 0 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $155.40 | $259.00 | not published | 0 |
| Psytx complex interactive CPT 90785 | $83.40 | $139.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $86.40 | $144.00 | $15.18 – $28.23 | 6 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $8.03 – $8.03 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $86.40 | $144.00 | $18.35 – $34.13 | 6 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $80.40 | $134.00 | $13.94 – $25.93 | 6 |
| Pt application of modality traction mechanical CPT 97012 | $80.40 | $134.00 | $14.22 – $26.45 | 6 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $0.02 – $558.00 | 7 |
| Pten gene full sequence CPT 81321 | $4,266.60 | $7,111.00 | $0.02 – $1,116.00 | 7 |
| Pten gene known fam variant CPT 81322 | not published | not published | $0.02 – $86.68 | 7 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $4,100.00 – $11,799.47 | 7 |
| Pt evaluation high complexity patient/family CPT 97163 | $278.40 | $464.00 | $94.04 – $174.91 | 6 |
| Pt evaluation low complexity patient/family CPT 97161 | $231.60 | $386.00 | $98.89 – $183.94 | 6 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $247.20 | $412.00 | $99.73 – $185.50 | 6 |
| Pt-focused hlth risk assmt CPT 96160 | $31.80 | $53.00 | not published | 0 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $25.74 – $47.88 | 6 |
| Pt re-evaluation patient/family CPT 97164 | $160.80 | $268.00 | $68.90 – $128.15 | 6 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $130.20 | $217.00 | $30.03 – $55.86 | 6 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.33 – $22.93 | 6 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $105.00 | $175.00 | $28.06 – $52.19 | 6 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $30.54 – $56.80 | 6 |
| Pt wheelchair management each 15 minutes CPT 97542 | $108.00 | $180.00 | $31.68 – $58.92 | 6 |
| Pul art balloon repr percut CPT 92997 | $9,384.60 | $15,641.00 | $3,274.00 – $23,010.00 | 7 |
| Pul art balloon repr percut CPT 92998 | $9,384.60 | $15,641.00 | $6,885.00 – $6,885.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $4,950.00 – $10,061.86 | 7 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $785.00 – $785.00 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $785.00 – $785.00 | 1 |
| Pulmonary vent imaging CPT 78579 | $1,263.00 | $2,105.00 | $42.38 – $796.83 | 6 |
| Pulse ox continuous overnight monitoring CPT 94762 | $711.00 | $1,185.00 | $137.89 – $256.47 | 6 |
| Pulse ox multiple CPT 94761 | $18.60 | $31.00 | not published | 0 |
| Pulse ox single CPT 94760 | $70.80 | $118.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $1,132.80 | $1,888.00 | $756.44 – $2,825.00 | 8 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $110.40 | $184.00 | $142.58 – $308.00 | 7 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,431.00 | $2,385.00 | $308.00 – $810.27 | 7 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $1,094.00 – $6,608.41 | 8 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,759.20 | $2,932.00 | $756.44 – $2,825.00 | 8 |
| Puraply 1 sq cm HCPCS Q4195 | $256.20 | $427.00 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $256.20 | $427.00 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,129.80 | $1,883.00 | $308.00 – $1,094.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $756.44 – $2,825.00 | 7 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $756.44 – $2,825.00 | 7 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $785.00 – $785.00 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $785.00 – $785.00 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $785.00 – $785.00 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $785.00 – $785.00 | 1 |
| Pyruvate CPT 84210 | $127.20 | $212.00 | $13.31 – $26.93 | 7 |
| Pyruvate kinase CPT 84220 | $127.20 | $212.00 | $9.44 – $17.56 | 7 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $142.58 – $265.19 | 6 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,252.40 | $3,754.00 | $72.60 – $1,082.25 | 6 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,719.00 | $2,865.00 | $63.46 – $796.83 | 6 |
| Quest t3 uptake CPT 84479 | $94.80 | $158.00 | $6.47 – $12.03 | 7 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.26 – $4.26 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $347.32 – $655.54 | 7 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $241.15 – $450.45 | 7 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $275.18 – $511.83 | 7 |
| Rabies vaccine id CPT 90676 | not published | not published | $236.86 – $440.56 | 7 |
| Radial keratotomy CPT 65771 | not published | not published | $3,274.00 – $4,100.00 | 2 |
| Radiation handling CPT 77790 | $698.40 | $1,164.00 | $19.46 – $19.46 | 1 |
| Radiation physics consult CPT 77336 | $615.00 | $1,025.00 | $144.03 – $267.91 | 6 |
| Radiation therapy dose plan CPT 77300 | $615.00 | $1,025.00 | $61.11 – $267.91 | 6 |
| Radiation therapy management CPT 77431 | $636.00 | $1,060.00 | $199.76 – $199.76 | 1 |
| Radiation treatment aid(s) CPT 77332 | $549.60 | $916.00 | $43.79 – $267.91 | 6 |
| Radiation treatment aid(s) CPT 77333 | $808.20 | $1,347.00 | $73.15 – $267.91 | 6 |
| Radiation treatment aid(s) CPT 77334 | $1,123.80 | $1,873.00 | $109.84 – $746.32 | 6 |
| Radiation treatment delivery CPT 77401 | not published | not published | $75.66 – $75.66 | 1 |
| Radiation treatment delivery CPT 77402 | $735.00 | $1,225.00 | $109.34 – $203.37 | 6 |
| Radiation treatment delivery CPT 77412 | $2,778.60 | $4,631.00 | $431.57 – $1,101.33 | 6 |
| Radiation tx management x5 CPT 77427 | $1,267.20 | $2,112.00 | $356.68 – $356.68 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $785.00 – $3,274.00 | 2 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,471.00 – $5,789.71 | 7 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,678.00 – $5,789.71 | 7 |
| Radiesse injection HCPCS Q2026 | not published | not published | $333.42 – $649.49 | 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.