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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44376 | not published | not published | $1,471.00 – $3,824.79 | 8 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,471.00 – $3,824.79 | 8 |
| Small bowel endoscopy CPT 44382 | not published | not published | $971.94 – $3,533.00 | 8 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,471.00 – $3,824.79 | 7 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,471.00 – $3,824.79 | 8 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,471.00 – $3,824.79 | 8 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,471.00 – $3,824.79 | 8 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,471.00 – $3,824.79 | 8 |
| Small bowel endoscopy br/wa CPT 44380 | $1,841.40 | $3,069.00 | $971.94 – $3,533.00 | 8 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,094.00 – $3,824.79 | 7 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $2,360.00 – $12,100.58 | 8 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $79.80 | $133.00 | $5.39 – $10.03 | 7 |
| Smear gram stain CPT 87205 | $126.00 | $210.00 | $4.27 – $7.94 | 7 |
| Smear nasal eosinophil CPT 89190 | $99.60 | $166.00 | $5.79 – $10.77 | 7 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $115.20 | $192.00 | $5.99 – $11.14 | 7 |
| Smear wet mount CPT 87210 | $132.00 | $220.00 | $5.24 – $10.83 | 7 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $271.22 – $560.51 | 7 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $166.68 – $344.47 | 7 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $0.02 – $87.42 | 7 |
| Snrpn/ube3a gene CPT 81331 | $1,597.20 | $2,662.00 | $0.02 – $94.99 | 7 |
| So cap design without jnts cf HCPCS L3671 | $734.40 | $1,224.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $139.80 | $233.00 | $5.06 – $9.41 | 7 |
| Sodium serum/plasma/whole blood CPT 84295 | $73.80 | $123.00 | $4.81 – $8.95 | 7 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $93.26 – $173.46 | 6 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,210.78 – $2,502.28 | 7 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,076.25 – $2,224.24 | 7 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,959.66 – $6,116.63 | 7 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $941.72 – $1,946.21 | 7 |
| Somatosensory testing CPT 95927 | $2,362.20 | $3,937.00 | $231.39 – $430.38 | 6 |
| Somatropin injection HCPCS J2941 | not published | not published | $48.92 – $48.92 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,690.60 – $5,560.56 | 7 |
| So neo gsap dna mcrstl ins CPT 81457 | $8,194.80 | $13,658.00 | $807.18 – $1,668.18 | 7 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $22.78 – $22.78 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $1,094.00 – $5,247.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $1,094.00 – $5,247.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $308.00 – $1,094.00 | 2 |
| Special physics consult CPT 77370 | $782.40 | $1,304.00 | $144.03 – $267.91 | 6 |
| Special radiation dosimetry CPT 77331 | $916.20 | $1,527.00 | $83.97 – $267.91 | 6 |
| Special radiation treatment CPT 77470 | $2,316.60 | $3,861.00 | $196.69 – $1,101.33 | 6 |
| Special teletx port plan CPT 77321 | $903.60 | $1,506.00 | $91.79 – $746.32 | 6 |
| Specific gravity body fluid CPT 84315 | $66.60 | $111.00 | $3.08 – $6.10 | 7 |
| Specimen fat stain CPT 89125 | not published | not published | $5.29 – $10.94 | 7 |
| Speech audiometry complete CPT 92556 | $150.00 | $250.00 | $63.22 – $117.58 | 6 |
| Speech evaluation complex CPT 70371 | $577.80 | $963.00 | $76.30 – $475.58 | 6 |
| Speech recep thresh CPT 92555 | $126.60 | $211.00 | $63.22 – $117.58 | 6 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $19.85 | 7 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $36.44 | 7 |
| Sperm identification CPT 89257 | not published | not published | $42.98 – $103.87 | 7 |
| Sperm isolation complex CPT 89261 | not published | not published | $34.76 – $103.87 | 7 |
| Sperm isolation simple CPT 89260 | not published | not published | $35.72 – $103.87 | 7 |
| Sperm washing 58323 CPT 58323 | not published | not published | $216.65 – $402.97 | 7 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,074.00 – $11,799.47 | 8 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,678.00 – $5,532.48 | 8 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $308.00 – $1,094.00 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $1,094.00 – $5,247.00 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,038.80 | $3,398.00 | $756.44 – $2,825.00 | 7 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $2,360.00 – $25,590.20 | 7 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $231.39 – $430.38 | 6 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $580.20 | $967.00 | $399.88 – $743.78 | 6 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $137.89 – $256.47 | 6 |
| Spleen imaging CPT 78185 | $732.60 | $1,221.00 | $29.62 – $796.83 | 6 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $785.00 – $785.00 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $785.00 – $785.00 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $785.00 – $785.00 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $391.80 | $653.00 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $108.00 | $180.00 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $55.80 | $93.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $158.40 | $264.00 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $3,718.80 | $6,198.00 | $1,471.00 – $7,063.39 | 8 |
| Split blood or products CPT 86985 | not published | not published | $40.57 – $339.58 | 7 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $3,718.80 | $6,198.00 | $308.00 – $2,200.00 | 3 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $308.00 – $658.37 | 7 |
| Sputum specimen collection CPT 89220 | not published | not published | $30.08 – $339.58 | 7 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $7,712.18 | 7 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $6,885.00 – $6,885.00 | 1 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $6,885.00 – $6,885.00 | 1 |
| Srs cran les complex addl CPT 61799 | not published | not published | $3,533.00 – $3,533.00 | 1 |
| Srs cran les simple addl CPT 61797 | not published | not published | $3,533.00 – $3,533.00 | 1 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $157.86 – $326.24 | 7 |
| Srs linear based CPT 77372 | $17,404.80 | $29,008.00 | $1,777.43 – $14,680.58 | 6 |
| Srs multisource CPT 77371 | $56,264.40 | $93,774.00 | $2,051.83 – $14,680.58 | 6 |
| Srs spinal lesion CPT 63620 | not published | not published | $6,885.00 – $6,885.00 | 1 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $3,533.00 – $3,533.00 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $137.89 – $256.47 | 6 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $358.20 | $597.00 | $111.98 – $208.28 | 6 |
| Staph a dna amp probe CPT 87640 | $169.20 | $282.00 | $35.09 – $65.27 | 7 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $280.20 | $467.00 | $100.65 – $187.21 | 6 |
| Stem cells total count CPT 86367 | not published | not published | $46.25 – $144.67 | 7 |
| Stenger test pure tone CPT 92565 | $438.00 | $730.00 | $63.22 – $117.58 | 6 |
| Stenger test speech CPT 92577 | $358.20 | $597.00 | $399.88 – $743.78 | 6 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $2,074.00 – $10,964.00 | 2 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $2,074.00 – $7,831.00 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $1,094.00 – $6,885.00 | 2 |
| Stent placemt retro carotid CPT 37217 | $21,672.00 | $36,120.00 | $785.00 – $1,678.00 | 2 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $2,074.00 – $7,831.00 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $785.00 – $785.00 | 1 |
| Stereotactic radiation trmt CPT 77432 | $3,085.80 | $5,143.00 | $792.96 – $792.96 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $2,074.00 – $6,885.00 | 7 |
| St evaluate speech sound production CPT 92522 | $293.40 | $489.00 | $114.30 – $212.60 | 6 |
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.