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 |
|---|---|---|---|---|
| Radiology port images(s) CPT 77417 | $220.20 | $367.00 | $25.58 – $25.58 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $6,525.60 | $10,876.00 | $769.67 – $2,758.86 | 6 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $169.06 – $318.23 | 7 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,259.00 | $3,765.00 | $68.95 – $1,082.25 | 6 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,825.60 | $6,376.00 | $85.95 – $1,082.25 | 6 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,946.60 | $4,911.00 | $155.51 – $2,580.51 | 6 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,964.40 | $3,274.00 | $92.00 – $1,082.25 | 6 |
| Radphm lcl tumor plr sgl day CPT 78800 | $952.20 | $1,587.00 | $56.84 – $796.83 | 6 |
| Radphm quant measure sgl area add-on CPT 78835 | $913.80 | $1,523.00 | $39.32 – $39.32 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,678.00 – $14,463.16 | 7 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,678.00 – $5,789.71 | 8 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,678.00 – $5,789.71 | 7 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,678.00 – $5,789.71 | 8 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,678.00 – $5,789.71 | 8 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,678.00 – $5,789.71 | 7 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,678.00 – $5,789.71 | 8 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,678.00 – $5,789.71 | 7 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $1,678.00 – $14,463.16 | 7 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,471.00 – $5,789.71 | 7 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $73.37 – $140.38 | 7 |
| Range of motion measurements CPT 95852 | not published | not published | $5.27 – $9.80 | 6 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $67.85 – $126.21 | 7 |
| Rapid Strep Test CPT 87880 | $98.40 | $164.00 | $14.70 – $30.75 | 7 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $370.46 – $710.87 | 7 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $220.32 – $416.04 | 7 |
| Rbc count only automated CPT 85041 | $37.20 | $62.00 | $3.02 – $5.62 | 7 |
| Rbc deglycerolized each unit HCPCS P9039 | $997.20 | $1,662.00 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $308.00 – $879.35 | 7 |
| Rbc irradiated each unit HCPCS P9038 | $673.20 | $1,122.00 | not published | 0 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $16.00 | 7 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $13.89 | 7 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $27.46 – $890.42 | 7 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $1,678.00 – $6,608.41 | 7 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,678.00 – $11,799.47 | 7 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $5,951.00 – $11,799.47 | 7 |
| Realignment of knee CPT 27457 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Realignment of knee CPT 27455 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Realignment of tendons CPT 26437 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Realignment of thigh bone CPT 27454 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,678.00 – $11,799.47 | 8 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Rechanneling of artery CPT 35361 | not published | not published | $785.00 – $785.00 | 1 |
| Rechanneling of artery CPT 35306 | not published | not published | $785.00 – $785.00 | 1 |
| Rechanneling of artery CPT 35311 | not published | not published | $785.00 – $785.00 | 1 |
| Rechanneling of artery CPT 35363 | not published | not published | $785.00 – $785.00 | 1 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $785.00 – $785.00 | 1 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $785.00 – $785.00 | 1 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $785.00 – $785.00 | 1 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $785.00 – $785.00 | 1 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $2,360.00 – $11,091.19 | 7 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $785.00 – $785.00 | 1 |
| Recipient nephrectomy CPT 50340 | not published | not published | $785.00 – $785.00 | 1 |
| Recon, cta for surg plan HCPCS G0288 | $2,395.80 | $3,993.00 | not published | 0 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $785.00 – $785.00 | 1 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,678.00 – $11,799.47 | 7 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $2,733.00 – $54,083.82 | 7 |
| Reconstruct bronchus CPT 31775 | not published | not published | $785.00 – $785.00 | 1 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $6,885.00 – $14,463.16 | 7 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $2,360.00 – $6,608.41 | 8 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $2,360.00 – $11,799.47 | 7 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $2,360.00 – $14,463.16 | 8 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $2,360.00 – $34,948.59 | 8 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $2,360.00 – $25,590.20 | 8 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $3,217.00 – $14,463.16 | 7 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $2,074.00 – $25,590.20 | 7 |
| Reconstruct extra finger CPT 26587 | not published | not published | $2,360.00 – $6,521.79 | 8 |
| Reconstruct finger joint CPT 26545 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Reconstruct finger joint CPT 26548 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Reconstruct head of radius CPT 24365 | not published | not published | $2,360.00 – $25,590.20 | 8 |
| Reconstruct head of radius CPT 24366 | not published | not published | $2,360.00 – $25,590.20 | 8 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $2,733.00 – $34,948.59 | 7 |
| Reconstruction knee CPT 27427 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Reconstruction knee CPT 27428 | not published | not published | $2,074.00 – $25,590.20 | 8 |
| Reconstruction knee CPT 27429 | not published | not published | $2,074.00 – $25,590.20 | 8 |
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.