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 |
|---|---|---|---|---|
| Revision of penis CPT 54420 | not published | not published | $2,074.00 – $7,026.03 | 8 |
| Revision of penis CPT 54430 | not published | not published | $785.00 – $785.00 | 1 |
| Revision of penis CPT 54435 | not published | not published | $2,074.00 – $7,026.03 | 8 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $785.00 – $785.00 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $785.00 – $785.00 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $785.00 – $785.00 | 1 |
| Revision of radius CPT 25350 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Revision of radius CPT 25355 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,471.00 – $4,100.00 | 8 |
| Revision of scrotum CPT 55175 | not published | not published | $1,094.00 – $7,026.03 | 8 |
| Revision of scrotum CPT 55180 | not published | not published | $1,471.00 – $10,687.19 | 8 |
| Revision of spinal shunt CPT 63744 | not published | not published | $1,678.00 – $6,809.10 | 8 |
| Revision of testis CPT 54660 | not published | not published | $1,471.00 – $10,687.19 | 8 |
| Revision of thigh muscles CPT 27430 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Revision of toe CPT 28312 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $785.00 – $785.00 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $785.00 – $785.00 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $3,274.00 – $14,463.16 | 8 |
| Revision of upper arm CPT 24940 | not published | not published | $2,074.00 – $25,590.20 | 7 |
| Revision of ureter CPT 50700 | not published | not published | $785.00 – $785.00 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $1,094.00 – $7,026.03 | 8 |
| Revision of urethra CPT 53460 | not published | not published | $1,094.00 – $7,026.03 | 8 |
| Revision of urethra CPT 57220 | not published | not published | $1,678.00 – $9,970.94 | 8 |
| Revision of urinary tract CPT 51820 | not published | not published | $785.00 – $3,274.00 | 2 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $2,074.00 – $11,091.19 | 8 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Revision tips CPT 37183 | $8,142.60 | $13,571.00 | $2,822.00 – $11,344.49 | 7 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $2,360.00 – $25,590.20 | 7 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $2,360.00 – $25,590.20 | 7 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $2,074.00 – $11,091.19 | 7 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $2,074.00 – $11,091.19 | 7 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $785.00 – $785.00 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,678.00 – $10,687.19 | 8 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $1,094.00 – $6,968.48 | 7 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $1,094.00 – $6,968.48 | 8 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $785.00 – $785.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $1,094.00 – $6,968.48 | 8 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $1,094.00 – $6,968.48 | 8 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,733.00 – $34,948.59 | 7 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,733.00 – $34,948.59 | 7 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $1,678.00 – $61,505.89 | 7 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $785.00 – $34,948.59 | 7 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $1,471.00 – $22,209.74 | 7 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $1,094.00 – $6,885.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.42 – $20.06 | 7 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $1,836.00 | $3,060.00 | $2,074.00 – $4,100.00 | 7 |
| Rheumatoid factor qualitative CPT 86430 | $104.40 | $174.00 | $6.14 – $11.42 | 7 |
| Rheumatoid factor quantitative CPT 86431 | $79.20 | $132.00 | $5.67 – $10.55 | 7 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $2,074.00 – $11,799.47 | 8 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $32.51 – $63.71 | 7 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $105.00 | $175.00 | not published | 0 |
| R hrt cath chd abnl nt cnj CPT 93594 | $7,195.80 | $11,993.00 | $3,274.00 – $6,461.85 | 7 |
| R hrt cath chd nml nt cnj CPT 93593 | $7,195.80 | $11,993.00 | $3,274.00 – $6,461.85 | 7 |
| Rib cartilage graft CPT 21230 | not published | not published | $3,274.00 – $11,799.47 | 8 |
| Right ventric recording CPT 93603 | $2,187.60 | $3,646.00 | $1,304.74 – $2,875.00 | 7 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.60 – $27.15 | 7 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.50 – $20.08 | 7 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $74.16 – $137.93 | 7 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.28 – $67.48 | 7 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $31.28 – $58.18 | 7 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $20.26 – $37.68 | 7 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $13.69 – $25.46 | 7 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $7,195.80 | $11,993.00 | $3,274.00 – $6,461.85 | 7 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $7,195.80 | $11,993.00 | $3,274.00 – $6,461.85 | 7 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $2,733.00 – $14,463.16 | 7 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $418.20 | $697.00 | $758.85 – $2,825.00 | 7 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $2,074.00 – $12,050.01 | 7 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $1,471.00 – $5,789.71 | 8 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,094.00 – $3,533.00 | 8 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,020.60 | $1,701.00 | $1,769.88 – $3,291.98 | 7 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $1,094.00 – $6,885.00 | 7 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $308.00 – $1,094.00 | 2 |
| Rmvl icd by tv extr CPT 33244 | $4,782.00 | $7,970.00 | $2,074.00 – $7,448.55 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $42,122.40 | $70,204.00 | $1,678.00 – $48,788.00 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $58,561.80 | $97,603.00 | $1,678.00 – $62,564.62 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $40,032.60 | $66,721.00 | $1,678.00 – $48,788.00 | 7 |
| Rmvl icd pulse gen only CPT 33241 | $4,782.00 | $7,970.00 | $2,074.00 – $7,448.55 | 7 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $308.00 – $1,094.00 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $785.00 – $785.00 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $785.00 – $785.00 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,192.80 | $1,988.00 | $672.23 – $2,825.00 | 7 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $308.00 – $1,094.00 | 2 |
| Rmvl perm pm pulse gen CPT 33233 | $12,224.40 | $20,374.00 | $1,471.00 – $16,494.59 | 8 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $785.00 – $785.00 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $1,471.00 – $6,968.48 | 7 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $1,471.00 – $6,968.48 | 7 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $1,471.00 – $6,968.48 | 7 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $30,876.60 | $51,461.00 | $1,678.00 – $38,392.61 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $12,862.80 | $21,438.00 | $1,678.00 – $27,008.00 | 7 |
| Rmvl pq iabp CPT 33968 | $872.40 | $1,454.00 | $1,094.00 – $10,964.00 | 2 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,029.60 | $1,716.00 | $785.00 – $785.00 | 1 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,471.00 – $6,521.79 | 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.