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 |
|---|---|---|---|---|
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,678.00 – $18,868.65 | 8 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,360.00 – $14,463.16 | 7 |
| Rsv assay w/optic CPT 87807 | $108.00 | $180.00 | $13.10 – $24.37 | 7 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $235.20 | $392.00 | $142.67 – $265.37 | 6 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $39.99 – $74.39 | 6 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $67.80 | $113.00 | $39.99 – $74.39 | 6 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $67.80 | $113.00 | $39.99 – $74.39 | 6 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.93 – $48.23 | 6 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $26.41 – $49.12 | 6 |
| Rubella antibody igg CPT 86762 | $172.80 | $288.00 | $14.39 – $26.77 | 7 |
| Rubeola ag if CPT 87283 | not published | not published | $14.70 – $113.09 | 7 |
| Rubeola antibody igg CPT 86765 | $159.60 | $266.00 | $12.88 – $23.96 | 7 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $296.56 – $612.89 | 7 |
| Russell viper venom diluted CPT 85613 | $201.60 | $336.00 | $9.58 – $17.82 | 7 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $2,498.40 | $4,164.00 | $825.37 – $1,705.77 | 7 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $35.80 – $68.44 | 7 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.54 – $73.54 | 6 |
| Salivary gland function exam CPT 78232 | $1,192.20 | $1,987.00 | $34.46 – $796.83 | 6 |
| Salivary gland imaging CPT 78230 | not published | not published | $39.36 – $796.83 | 6 |
| Salivary glnd img serial img CPT 78231 | $1,192.20 | $1,987.00 | $38.08 – $796.83 | 6 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $24.53 | 7 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $2,360.00 – $6,452.27 | 7 |
| Same day nb discharge 99463 CPT 99463 | $108.60 | $181.00 | $142.67 – $265.37 | 6 |
| Sargramostim injection HCPCS J2820 | not published | not published | $59.88 – $115.11 | 7 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $37.92 – $95.66 | 7 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $161.54 – $161.54 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $58.20 | $97.00 | $35.33 – $65.71 | 7 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $293.40 | $489.00 | $66.21 – $130.74 | 7 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $2,360.00 – $12,100.58 | 8 |
| Sbrt management CPT 77435 | $1,831.20 | $3,052.00 | $1,197.91 – $1,197.91 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $179.40 | $299.00 | not published | 0 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $108.87 – $202.49 | 6 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $781.80 | $1,303.00 | $255.69 – $475.58 | 6 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,371.60 | $2,286.00 | $112.03 – $208.38 | 6 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,482.60 | $2,471.00 | $255.69 – $475.58 | 6 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $793.80 | $1,323.00 | $112.03 – $208.38 | 6 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,016.40 | $1,694.00 | $112.03 – $208.38 | 6 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $801.00 | $1,335.00 | $112.03 – $208.38 | 6 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,264.20 | $2,107.00 | $255.69 – $475.58 | 6 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $720.60 | $1,201.00 | $112.03 – $208.38 | 6 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $729.00 | $1,215.00 | $112.03 – $208.38 | 6 |
| Scan proc cranial extra CPT 61782 | not published | not published | $308.00 – $1,094.00 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $308.00 – $1,094.00 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $308.00 – $1,094.00 | 2 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,671.00 | $2,785.00 | $1,471.00 – $3,291.98 | 7 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $1,678.00 – $8,800.00 | 8 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $13.95 – $34.48 | 7 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $29.65 – $29.65 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $18.63 – $59.41 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $26.20 – $81.78 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $187.80 | $313.00 | $26.49 – $49.27 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $187.80 | $313.00 | $24.84 – $50.31 | 7 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $37.68 | 7 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $29.65 – $29.65 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $996.56 – $2,825.00 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $996.56 – $2,825.00 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $33.57 | 7 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $52.58 | 7 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $17.50 – $86.21 | 7 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $44.79 | 7 |
| Screening Mammogram CPT 77067 | $413.40 | $689.00 | $67.78 – $171.25 | 6 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $29.65 – $29.65 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | $183.60 | $306.00 | $19.31 – $35.92 | 7 |
| Screen pap by tech w md supv HCPCS P3000 | $99.00 | $165.00 | $12.95 – $34.48 | 7 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $61.80 | $103.00 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $77.16 – $143.51 | 6 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $785.00 – $785.00 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $3,290.40 | $5,484.00 | $308.00 – $1,094.00 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $117.00 | $195.00 | $2.70 – $5.02 | 7 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $785.00 – $785.00 | 1 |
| Select picture audiometry CPT 92583 | $257.40 | $429.00 | $63.22 – $117.58 | 6 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $30.99 – $57.65 | 6 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $43.20 | $72.00 | not published | 0 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $36.60 | $61.00 | not published | 0 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $12.09 | 7 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.05 – $22.41 | 7 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $16.01 | 7 |
| Sensorimotor examination CPT 92060 | not published | not published | $63.22 – $117.58 | 6 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $40.03 – $74.45 | 6 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,074.00 – $4,738.83 | 8 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $75.30 – $357.12 | 7 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $1,471.00 – $14,463.16 | 8 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $1,471.00 – $14,463.16 | 8 |
| Serial casting application 97139app CPT 97139 | not published | not published | $18.10 – $18.10 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $0.02 – $81.19 | 7 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.02 – $0.02 | 1 |
| Set radiation therapy field CPT 77280 | $909.60 | $1,516.00 | $70.17 – $267.91 | 6 |
| Set radiation therapy field CPT 77285 | $1,836.00 | $3,060.00 | $103.86 – $746.32 | 6 |
| Set radiation therapy field CPT 77290 | $2,074.20 | $3,457.00 | $151.17 – $746.32 | 6 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $308.00 – $612.19 | 7 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,471.00 – $4,100.00 | 8 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $33.44 | 7 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $14.86 | 7 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,777.44 – $7,026.03 | 6 |
| Sex transformation m to f CPT 55970 | not published | not published | $5,360.72 – $9,970.94 | 6 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $173.93 – $359.44 | 7 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,094.00 – $3,533.00 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $115.20 | $192.00 | $215.00 – $399.91 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $159.60 | $266.00 | $215.00 – $399.91 | 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.