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 |
|---|---|---|---|---|
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $785.00 – $785.00 | 1 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $308.00 – $1,400.00 | 3 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $308.00 – $1,400.00 | 3 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $308.00 – $1,400.00 | 3 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $308.00 – $1,400.00 | 3 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $188.65 – $364.79 | 7 |
| Tissue culture placenta CPT 88235 | $1,591.20 | $2,652.00 | $150.30 – $279.56 | 7 |
| Tissue culture skin/biopsy CPT 88233 | $1,677.00 | $2,795.00 | $140.73 – $261.76 | 7 |
| Tissue culture tumor CPT 88239 | $3,461.40 | $5,769.00 | $147.52 – $274.39 | 7 |
| Tissue exam koh skin/hair/nails CPT 87220 | $112.20 | $187.00 | $4.27 – $7.94 | 7 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $10.38 – $21.45 | 7 |
| Tixagev and cilgav inj HCPCS M0220 | $94.20 | $157.00 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $2,733.00 – $21,187.50 | 7 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $2,733.00 – $21,187.50 | 7 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $2,733.00 – $21,187.50 | 7 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $2,733.00 – $21,187.50 | 7 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $785.00 – $785.00 | 1 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $785.00 – $785.00 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $1,678.00 – $6,521.79 | 8 |
| Tobramycin peak therapeutic drug level CPT 80200 | $229.80 | $383.00 | $16.13 – $30.00 | 7 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.53 – $10.29 | 7 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $7.57 – $7.57 | 1 |
| Toe joint transfer CPT 26556 | not published | not published | $2,074.00 – $14,463.16 | 7 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $42.60 | $71.00 | $13.04 – $24.25 | 6 |
| Tomosynthesis breast screen bilateral CPT 77063 | $37.20 | $62.00 | $21.51 – $40.01 | 6 |
| Tone decay hearing test CPT 92563 | not published | not published | $40.03 – $74.45 | 6 |
| Tongue and neck surgery CPT 41135 | not published | not published | $4,100.00 – $4,100.00 | 1 |
| Tongue base vol reduction CPT 41530 | not published | not published | $1,094.00 – $6,608.41 | 7 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $1,471.00 – $6,608.41 | 7 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $785.00 – $785.00 | 1 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $785.00 – $785.00 | 1 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $785.00 – $785.00 | 1 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $785.00 – $785.00 | 1 |
| Tongue suspension CPT 41512 | not published | not published | $1,471.00 – $11,799.47 | 7 |
| Tongue to lip surgery CPT 41510 | not published | not published | $1,094.00 – $6,608.41 | 8 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $2,074.00 – $6,608.41 | 8 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $2,074.00 – $11,799.47 | 8 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.94 – $1.94 | 1 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.10 – $74.39 | 7 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $785.00 – $3,274.00 | 2 |
| Total hip arthroplasty CPT 27132 | not published | not published | $2,733.00 – $25,590.20 | 7 |
| Total Hip Replacement CPT 27130 | not published | not published | $2,733.00 – $25,590.20 | 7 |
| Total hysterectomy CPT 58150 | not published | not published | $3,274.00 – $5,247.00 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $2,733.00 – $25,590.20 | 7 |
| Total lung lavage CPT 32997 | not published | not published | $3,533.00 – $3,533.00 | 1 |
| Total tau CPT 84394 | $333.00 | $555.00 | $128.92 – $239.79 | 6 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $2,733.00 – $34,948.59 | 7 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $2,733.00 – $34,948.59 | 7 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $785.00 – $1,094.00 | 2 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $308.00 – $1,094.00 | 2 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $785.00 – $785.00 | 1 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $103.96 | 7 |
| Toxoplasma antibody igg CPT 86777 | $155.40 | $259.00 | $14.39 – $26.77 | 7 |
| Toxoplasma antibody igm CPT 86778 | $142.20 | $237.00 | $14.41 – $26.80 | 7 |
| Tp53 gene full gene sequence CPT 81351 | $694.20 | $1,157.00 | $577.67 – $1,193.84 | 7 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $277.20 – $572.88 | 7 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,041.60 | $1,736.00 | $296.56 – $612.89 | 7 |
| Tpmt gene com vrnts CPT 81335 | $1,058.40 | $1,764.00 | $157.33 – $325.15 | 7 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $267.74 – $498.00 | 7 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $2,074.00 – $26,297.34 | 7 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $1,471.00 – $7,026.03 | 7 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $1,678.00 – $18,868.65 | 7 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $1,477.20 | $2,462.00 | $1,094.00 – $10,687.19 | 7 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $363.83 – $727.39 | 7 |
| Trabeculoplasty laser surg CPT 65855 | $875.40 | $1,459.00 | $589.39 – $2,825.00 | 7 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $1,678.00 – $9,970.94 | 8 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $2,131.80 | $3,553.00 | $308.00 – $1,400.00 | 8 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $785.00 – $785.00 | 1 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $785.00 – $785.00 | 1 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $5,517.60 | $9,196.00 | $1,471.00 – $6,608.41 | 8 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $21.25 – $39.52 | 6 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $249.00 | $415.00 | $57.84 – $107.58 | 6 |
| Transabdom amnioinfus w/us CPT 59070 | $486.00 | $810.00 | $308.00 – $607.39 | 7 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $785.00 – $785.00 | 1 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $785.00 – $785.00 | 1 |
| Transcath biopsy CPT 37200 | $7,406.40 | $12,344.00 | $2,074.00 – $11,091.19 | 7 |
| Transcath closure of asd CPT 93580 | $27,549.00 | $45,915.00 | $3,217.00 – $36,538.81 | 7 |
| Transcath closure of vsd CPT 93581 | $27,549.00 | $45,915.00 | $3,217.00 – $36,538.81 | 7 |
| Transcatheter bx s&i CPT 75970 | $2,283.00 | $3,805.00 | $71.25 – $71.25 | 1 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $308.00 – $308.00 | 1 |
| Transcath mv repair init prosthesis CPT 33418 | not published | not published | $785.00 – $785.00 | 1 |
| Transcath occlusion cns CPT 61624 | $11,815.20 | $19,692.00 | $3,274.00 – $36,538.81 | 7 |
| Transcath occlusion non-cns CPT 61626 | $18,620.40 | $31,034.00 | $2,733.00 – $23,010.00 | 7 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $785.00 – $785.00 | 1 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $5,272.20 | $8,787.00 | $2,074.00 – $6,293.52 | 7 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $785.00 – $785.00 | 1 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $785.00 – $785.00 | 1 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $2,360.00 – $14,780.53 | 7 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $6.15 – $17.43 | 7 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $5.02 – $9.34 | 7 |
| Transcutaneous methb CPT 88741 | not published | not published | $6.15 – $17.43 | 7 |
| Transect artery sinus CPT 61611 | not published | not published | $785.00 – $785.00 | 1 |
| Transect pulmonary artery CPT 33922 | not published | not published | $785.00 – $785.00 | 1 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Transfer of embryo CPT 58976 | not published | not published | $308.00 – $1,400.00 | 8 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $2,074.00 – $14,463.16 | 8 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $2,074.00 – $6,521.79 | 8 |
| Transferrin CPT 84466 | $121.80 | $203.00 | $12.76 – $23.73 | 7 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $2,211.05 – $4,112.55 | 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.