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 |
|---|---|---|---|---|
| Revasc evasc tpvt angio sf 1st CPT 37280 | $27,067.20 | $45,112.00 | $12,370.97 – $23,010.00 | 6 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $54,126.60 | $90,211.00 | $19,644.52 – $36,538.81 | 6 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $42,982.80 | $71,638.00 | $19,644.52 – $36,538.81 | 6 |
| Revasc intra lithotrip-ather HCPCS C9766 | $21,353.40 | $35,589.00 | $2,360.00 – $36,538.81 | 7 |
| Revasc intra lithotrip-stent HCPCS C9765 | $21,353.40 | $35,589.00 | $2,074.00 – $36,538.81 | 7 |
| Revasc intravasc lithotripsy HCPCS C9764 | $13,195.80 | $21,993.00 | $2,074.00 – $23,010.00 | 7 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $21,353.40 | $35,589.00 | $2,074.00 – $36,538.81 | 7 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $21,353.40 | $35,589.00 | $2,360.00 – $36,538.81 | 7 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $13,195.80 | $21,993.00 | $2,074.00 – $23,010.00 | 7 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $21,353.40 | $35,589.00 | $2,074.00 – $36,538.81 | 7 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $21,353.40 | $35,589.00 | $2,074.00 – $36,538.81 | 7 |
| Revascularization penis CPT 37788 | not published | not published | $785.00 – $785.00 | 1 |
| Revise abdomen-venous shunt CPT 49426 | $6,324.60 | $10,541.00 | $1,471.00 – $7,136.49 | 8 |
| Revise additional leg tendon CPT 27692 | not published | not published | $308.00 – $2,200.00 | 3 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $1,471.00 – $4,599.98 | 8 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,471.00 – $4,100.00 | 8 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $785.00 – $785.00 | 1 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $2,360.00 – $13,235.25 | 8 |
| Revise circulation to head CPT 61708 | not published | not published | $785.00 – $785.00 | 1 |
| Revise circulation to head CPT 61705 | not published | not published | $785.00 – $785.00 | 1 |
| Revise circulation to head CPT 61710 | not published | not published | $785.00 – $785.00 | 1 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $785.00 – $785.00 | 1 |
| Revise eye CPT 65091 | not published | not published | $1,678.00 – $7,836.10 | 8 |
| Revise eyelashes CPT 67825 | $890.40 | $1,484.00 | $308.00 – $632.66 | 7 |
| Revise eyelashes CPT 67835 | not published | not published | $1,471.00 – $4,738.83 | 8 |
| Revise eyelid defect CPT 67909 | not published | not published | $2,074.00 – $4,738.83 | 8 |
| Revise eyelid defect CPT 67911 | not published | not published | $1,678.00 – $4,738.83 | 8 |
| Revise eyelid lining CPT 68330 | not published | not published | $2,074.00 – $4,599.98 | 8 |
| Revise eyelid lining CPT 68360 | not published | not published | $1,471.00 – $7,836.10 | 8 |
| Revise eyelid lining CPT 68362 | not published | not published | $1,471.00 – $4,738.83 | 8 |
| Revise eye muscle CPT 67311 | not published | not published | $1,678.00 – $4,738.83 | 8 |
| Revise eye muscle CPT 67314 | not published | not published | $2,074.00 – $4,738.83 | 8 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $308.00 – $3,000.00 | 3 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $2,074.00 – $4,738.83 | 8 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $308.00 – $3,000.00 | 3 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $308.00 – $3,000.00 | 3 |
| Revise eye socket implant CPT 67560 | not published | not published | $1,471.00 – $7,836.10 | 8 |
| Revise eye sockets CPT 21260 | not published | not published | $5,951.00 – $11,799.47 | 7 |
| Revise eye sockets CPT 21261 | not published | not published | $5,951.00 – $11,799.47 | 7 |
| Revise eye sockets CPT 21263 | not published | not published | $5,951.00 – $11,799.47 | 7 |
| Revise eye sockets CPT 21267 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revise eye sockets CPT 21268 | not published | not published | $2,074.00 – $11,799.47 | 7 |
| Revise eye with implant CPT 65093 | not published | not published | $1,678.00 – $7,836.10 | 8 |
| Revise finger joint each CPT 26135 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Revise finger joint each CPT 26140 | not published | not published | $1,471.00 – $3,533.00 | 8 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $1,094.00 – $7,063.39 | 7 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $2,074.00 – $4,738.83 | 8 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $2,074.00 – $7,836.10 | 8 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $2,074.00 – $7,836.10 | 8 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $2,074.00 – $4,738.83 | 8 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $2,074.00 – $7,836.10 | 8 |
| Revise graft w/vein CPT 35879 | not published | not published | $5,963.01 – $11,091.19 | 7 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $5,963.01 – $11,091.19 | 7 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Revise head/neck of femur CPT 27179 | not published | not published | $6,885.00 – $14,463.16 | 7 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $2,360.00 – $7,136.49 | 8 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,733.00 – $25,590.20 | 7 |
| Revise hip joint replacement CPT 27138 | not published | not published | $2,733.00 – $25,590.20 | 7 |
| Revise hip joint replacement CPT 27137 | not published | not published | $2,733.00 – $25,590.20 | 7 |
| Revise/implant finger joint CPT 26536 | not published | not published | $2,360.00 – $14,463.16 | 8 |
| Revise kneecap CPT 27437 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Revise kneecap with implant CPT 27438 | not published | not published | $2,360.00 – $25,590.20 | 8 |
| Revise knuckle joint CPT 26530 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Revise knuckle with implant CPT 26531 | not published | not published | $3,274.00 – $14,463.16 | 8 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,471.00 – $4,100.00 | 8 |
| Revise lower leg tendon CPT 27690 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Revise lower leg tendon CPT 27691 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Revise lower leg tendons CPT 27686 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Revise middle ear bone CPT 69660 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Revise middle ear bone CPT 69661 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Revise middle ear bone CPT 69662 | not published | not published | $2,360.00 – $11,799.47 | 8 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revise ocular implant CPT 65125 | not published | not published | $2,547.76 – $4,738.83 | 7 |
| Revise ocular implant CPT 65150 | not published | not published | $1,471.00 – $7,836.10 | 8 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $2,360.00 – $5,247.00 | 2 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,678.00 – $7,026.03 | 8 |
| Revise penis/urethra CPT 54332 | not published | not published | $2,360.00 – $7,026.03 | 7 |
| Revise penis/urethra CPT 54336 | not published | not published | $3,274.00 – $7,026.03 | 7 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $2,360.00 – $14,780.53 | 7 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,678.00 – $25,590.20 | 8 |
| Revise radius & ulna CPT 25375 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $2,360.00 – $25,590.20 | 7 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $3,274.00 – $34,948.59 | 7 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $3,746.49 – $6,968.48 | 7 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $1,400.00 – $22,209.74 | 8 |
| Revise/remove sling repair CPT 57287 | not published | not published | $2,360.00 – $6,452.27 | 7 |
| Revise & repair chest wall CPT 32906 | not published | not published | $785.00 – $785.00 | 1 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $785.00 – $785.00 | 1 |
| Revise/replace knee joint CPT 27486 | not published | not published | $2,733.00 – $25,590.20 | 7 |
| Revise/replace knee joint CPT 27487 | not published | not published | $2,733.00 – $34,948.59 | 7 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $1,471.00 – $22,209.74 | 7 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $2,074.00 – $7,026.03 | 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.