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 |
|---|---|---|---|---|
| Assay rbc glutathione CPT 82979 | not published | not published | $8.44 – $17.56 | 7 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.74 – $36.72 | 7 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $300.00 | $500.00 | $94.91 – $176.53 | 6 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $108.87 – $202.49 | 6 |
| Assess cyst contrast inject CPT 49424 | $1,712.40 | $2,854.00 | $308.00 – $1,094.00 | 2 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.27 – $7.94 | 7 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | $237.60 | $396.00 | $137.89 – $256.47 | 6 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $308.00 – $2,360.00 | 2 |
| Assistive tech assessment, ot CPT 97755 | $90.60 | $151.00 | $36.48 – $67.85 | 6 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $251.03 – $1,605.89 | 7 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $91.98 – $339.58 | 7 |
| Ast/sgot CPT 84450 | $97.20 | $162.00 | $5.18 – $9.63 | 7 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $636.32 – $1,258.29 | 7 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $241.90 – $449.93 | 7 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $89.39 – $174.83 | 7 |
| Athletic trn eval high cmplx CPT 97171 | not published | not published | $65.98 – $65.98 | 1 |
| Athletic trn eval low cmplx CPT 97169 | not published | not published | $65.98 – $65.98 | 1 |
| Athletic trn eval mod cmplx CPT 97170 | not published | not published | $65.98 – $65.98 | 1 |
| Athletic trn re-eval plan cr CPT 97172 | not published | not published | $33.39 – $33.39 | 1 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $2,074.00 – $7,831.00 | 2 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $2,074.00 – $7,831.00 | 2 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $123.30 – $254.82 | 7 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $29.57 | 7 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $3,274.00 – $4,100.00 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $3,274.00 – $9,970.94 | 7 |
| Attach ocular implant CPT 65140 | not published | not published | $1,678.00 – $7,836.10 | 8 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $114.00 | $190.00 | not published | 0 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $123.30 – $254.82 | 7 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $123.30 – $254.82 | 7 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $123.30 – $254.82 | 7 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $123.30 – $254.82 | 7 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $123.30 – $254.82 | 7 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $123.30 – $254.82 | 7 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $137.89 – $256.47 | 6 |
| Audiometry air + bone CPT 92553 | $150.00 | $250.00 | $137.89 – $256.47 | 6 |
| Auditory function 60 min CPT 92620 | not published | not published | $137.89 – $256.47 | 6 |
| Aud rehab postling hear loss CPT 92633 | $138.60 | $231.00 | not published | 0 |
| Aud rehab pre-ling hear loss CPT 92630 | $168.60 | $281.00 | not published | 0 |
| Augmentation cheek bone CPT 21270 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $2,733.00 – $11,799.47 | 8 |
| Augmentation of facial bones CPT 21208 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $6,525.60 | $10,876.00 | $308.00 – $1,094.00 | 2 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $6,907.20 | $11,512.00 | $2,360.00 – $14,463.16 | 7 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,678.00 – $14,463.16 | 7 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $1,678.00 – $14,463.16 | 7 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $0.02 – $1,563.61 | 7 |
| Autologous blood op salvage CPT 86891 | not published | not published | $221.50 – $1,605.89 | 7 |
| Autologous blood process CPT 86890 | not published | not published | $156.79 – $339.58 | 7 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,211.05 – $4,112.55 | 6 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,211.05 – $4,112.55 | 6 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $12.03 | 7 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $142.58 – $265.19 | 6 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $137.89 – $256.47 | 6 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $142.58 – $265.19 | 6 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $360.59 – $588.28 | 2 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $348.98 – $569.08 | 2 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $372.19 – $606.92 | 2 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $209.46 – $341.57 | 2 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $209.46 – $341.57 | 2 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $209.46 – $341.57 | 2 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $244.26 – $398.58 | 2 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $255.86 – $417.22 | 2 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $209.46 – $341.57 | 2 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $192.05 – $313.05 | 2 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $267.46 – $436.42 | 2 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $97.14 – $196.31 | 7 |
| Av fistula revision CPT 36833 | not published | not published | $2,074.00 – $11,091.19 | 8 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,678.00 – $11,091.19 | 8 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,678.00 – $11,091.19 | 8 |
| Av fusion direct any site CPT 36821 | not published | not published | $1,678.00 – $6,293.52 | 8 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,678.00 – $11,091.19 | 8 |
| Avul nail plate addl CPT 11732 | $265.80 | $443.00 | $308.00 – $1,094.00 | 2 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $444.60 | $741.00 | $215.00 – $399.91 | 7 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $502,840.73 – $989,239.36 | 7 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,471.00 – $12,050.01 | 8 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.30 – $0.30 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $224.97 – $473.85 | 7 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $174.80 – $331.18 | 7 |
| Baclofen eval charges CPT 97750 | $106.20 | $177.00 | $34.36 – $63.91 | 6 |
| Bacterial meningitis antigen CPT 86403 | $109.20 | $182.00 | $11.54 – $21.46 | 7 |
| Bacterial vaginosis pcr CPT 87801 | $747.00 | $1,245.00 | $70.20 – $130.57 | 7 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $27.94 | 7 |
| #bac vag cand-c. albicans naa CPT 87481 | $129.00 | $215.00 | $35.09 – $65.27 | 7 |
| Balloon dilate urtrl strix CPT 50706 | $319.20 | $532.00 | $308.00 – $1,094.00 | 2 |
| Banding pulmonary artery CPT 33690 | not published | not published | $785.00 – $785.00 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $5,778.60 | $9,631.00 | $1,471.00 – $6,452.27 | 8 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $65.27 | 7 |
| Bartonella dna quant CPT 87472 | not published | not published | $42.84 – $79.68 | 7 |
| Basic vestibular evaluation CPT 92540 | $483.60 | $806.00 | $231.39 – $430.38 | 6 |
| Basiliximab HCPCS J0480 | not published | not published | $4,687.66 – $8,950.90 | 7 |
| B cells total count CPT 86355 | $515.40 | $859.00 | $37.73 – $70.18 | 7 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.39 – $6.31 | 6 |
| Bckdhb gene CPT 81205 | not published | not published | $0.02 – $176.68 | 7 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $151.80 | $253.00 | $108.87 – $202.49 | 6 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.89 – $7.24 | 7 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $54.97 – $106.37 | 7 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.24 – $4.02 | 7 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.94 – $25.93 | 7 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.90 – $24.00 | 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.