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 |
|---|---|---|---|---|
| Synch audio-only new low 30 CPT 98009 | $94.80 | $158.00 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $150.00 | $250.00 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | $54.60 | $91.00 | not published | 0 |
| Synthetic sentence id test CPT 92576 | $257.40 | $429.00 | $40.03 – $74.45 | 6 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.96 – $12.95 | 7 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $95.40 | $159.00 | $4.40 – $8.18 | 7 |
| T3 (triiodothyronine) free CPT 84481 | $136.20 | $227.00 | $16.94 – $31.51 | 7 |
| T3 (triiodothyronine) total CPT 84480 | $129.00 | $215.00 | $14.18 – $26.37 | 7 |
| T4 (thyroxine) free CPT 84439 | $117.00 | $195.00 | $9.02 – $16.78 | 7 |
| T4 (thyroxine) total CPT 84436 | $85.20 | $142.00 | $6.87 – $12.78 | 7 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $255.06 – $483.52 | 7 |
| Tacrolimus therapeutic drug level CPT 80197 | $192.60 | $321.00 | $13.73 – $25.54 | 7 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.93 – $26.35 | 7 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $785.00 – $785.00 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $785.00 – $785.00 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $785.00 – $3,274.00 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.38 – $137.53 | 7 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $70.00 – $139.27 | 7 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $308.00 – $1,471.00 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $308.00 – $1,471.00 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,882.80 | $8,138.00 | $0.02 – $1,412.73 | 7 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,592.80 | $5,988.00 | $0.02 – $5,430.46 | 7 |
| Target gsa panel organ neop CPT 81445 | $2,983.80 | $4,973.00 | $0.02 – $1,112.11 | 7 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,567.72 – $2,915.96 | 7 |
| Tas congenital car anomal CPT 33741 | $7,540.20 | $12,567.00 | $785.00 – $785.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $308.00 – $1,473.13 | 7 |
| Tavr perq femoral CPT 33361 | $38,545.20 | $64,242.00 | $785.00 – $785.00 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.25 – $0.46 | 7 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $123.30 – $254.82 | 7 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $76.07 – $76.07 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $18.17 – $18.17 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $52.41 – $173.46 | 6 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $5.49 – $173.46 | 6 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $91.86 – $186.00 | 7 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $382.20 | $637.00 | $61.98 – $115.28 | 7 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $809.51 – $809.51 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $683.80 – $1,442.47 | 7 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $1,737.48 | 7 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $802.34 – $802.34 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $611.20 | 7 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $6.00 – $6.00 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $308.00 – $1,473.13 | 7 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $112.03 – $208.38 | 6 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $112.03 – $208.38 | 6 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $308.00 – $879.35 | 7 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $217.80 | $363.00 | $46.98 – $87.38 | 7 |
| T cells absolute cd 4 count CPT 86361 | $270.00 | $450.00 | $26.78 – $49.81 | 7 |
| T cells total count CPT 86359 | $204.60 | $341.00 | $37.73 – $70.18 | 7 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $231.39 – $430.38 | 6 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $231.39 – $430.38 | 6 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $231.39 – $430.38 | 6 |
| Tdh sdrl/ventr pnxr CPT 61105 | $1,079.40 | $1,799.00 | $785.00 – $785.00 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $785.00 – $785.00 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $413.84 | 7 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $840.06 – $1,562.52 | 6 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $840.06 – $1,562.52 | 6 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.03 – $13.08 | 7 |
| Telehealth original site facility fee HCPCS Q3014 | $52.80 | $88.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $1,760.40 | $2,934.00 | $278.97 – $746.32 | 6 |
| Telethx isodose plan simple CPT 77306 | $1,760.40 | $2,934.00 | $134.99 – $746.32 | 6 |
| Temozolomide HCPCS J8700 | not published | not published | $0.52 – $0.52 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.40 – $19.34 | 7 |
| Temperature gradient studies CPT 93740 | not published | not published | $137.89 – $256.47 | 6 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $8,800.00 – $8,800.00 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.08 – $55.95 | 7 |
| Tendon lengthening CPT 26476 | not published | not published | $1,094.00 – $6,521.79 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Tendon shortening CPT 26477 | not published | not published | $1,094.00 – $6,521.79 | 8 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $162.46 – $367.24 | 7 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,471.00 – $6,521.79 | 7 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,678.00 – $14,463.16 | 8 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,678.00 – $3,533.00 | 8 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $1,678.00 – $6,885.00 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,471.00 – $6,521.79 | 8 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,471.00 – $4,100.00 | 7 |
| Tert gene targeted seq alys CPT 81345 | $2,484.00 | $4,140.00 | $166.68 – $344.47 | 7 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $11.18 | 7 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.25 – $10.83 | 7 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $17.76 | 7 |
| Testicular imaging w/vasc flow CPT 78761 | $1,510.80 | $2,518.00 | $63.52 – $796.83 | 6 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $96.05 | 7 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.02 – $3.96 | 7 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $22.95 – $117.58 | 7 |
| Test stress cardiovascular tracing only CPT 93017 | $1,050.60 | $1,751.00 | $231.39 – $430.38 | 6 |
| Test urine for lactose CPT 83633 | not published | not published | $6.74 – $20.92 | 7 |
| Test urine for porphyrins CPT 84119 | not published | not published | $10.57 – $24.85 | 7 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.99 – $8.31 | 7 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $558.12 – $1,038.10 | 7 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.58 – $32.70 | 7 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $123.30 – $254.82 | 7 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $683.58 – $1,412.73 | 7 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $7,031.40 | $11,719.00 | $2,627.64 – $5,430.46 | 7 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $538.12 – $1,112.11 | 7 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $4.05 – $339.58 | 7 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $4.05 – $339.58 | 7 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $4.32 – $339.58 | 7 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $4.05 – $103.87 | 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.