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 |
|---|---|---|---|---|
| Unlisted px biliary tract CPT 47999 | $7,028.40 | $11,714.00 | $971.94 – $3,533.00 | 7 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $174.14 – $323.90 | 7 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $308.00 – $632.66 | 7 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $785.00 – $785.00 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $758.85 – $2,825.00 | 7 |
| Unlisted px external ear CPT 69399 | not published | not published | $253.81 – $472.09 | 7 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $308.00 – $632.66 | 7 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $264.33 – $491.66 | 7 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $264.33 – $491.66 | 7 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $264.33 – $491.66 | 7 |
| Unlisted px inner ear CPT 69949 | not published | not published | $253.81 – $472.09 | 7 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $308.00 – $632.66 | 7 |
| Unlisted px leg/ankle CPT 27899 | $1,566.60 | $2,611.00 | $264.33 – $491.66 | 7 |
| Unlisted px male genital sys CPT 55899 | $402.60 | $671.00 | $267.74 – $498.00 | 7 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $785.00 – $785.00 | 1 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $144.03 – $267.91 | 6 |
| Unlisted px middle ear CPT 69799 | not published | not published | $253.81 – $472.09 | 7 |
| Unlisted px neck/thorax CPT 21899 | $2,520.00 | $4,200.00 | $253.81 – $472.09 | 7 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $253.81 – $472.09 | 7 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $264.33 – $491.66 | 7 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,473.11 – $4,599.98 | 7 |
| Unlisted px salivry glnd/dux CPT 42699 | $2,143.80 | $3,573.00 | $253.81 – $472.09 | 7 |
| Unlisted px small intestine CPT 44799 | $1,915.80 | $3,193.00 | $971.94 – $3,533.00 | 7 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $253.81 – $472.09 | 7 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $144.03 – $267.91 | 6 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $253.81 – $472.09 | 7 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $253.81 – $472.09 | 7 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $42.98 – $103.87 | 7 |
| Unlisted resp px dx nuc med CPT 78599 | $993.60 | $1,656.00 | $428.40 – $796.83 | 6 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $215.00 – $399.91 | 6 |
| Unlisted surgical path px CPT 88399 | not published | not published | $42.98 – $103.87 | 7 |
| Unlisted transfusion med px CPT 86999 | $171.60 | $286.00 | $11.43 – $57.65 | 7 |
| Unlisted ultrasound procedure CPT 76999 | $1,193.40 | $1,989.00 | $93.26 – $173.46 | 6 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $672.23 – $2,825.00 | 7 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $428.40 – $796.83 | 6 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $1,678.00 – $12,050.01 | 7 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $1,678.00 – $12,050.01 | 7 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $735.47 – $1,367.97 | 6 |
| Upgrade pm system CPT 33214 | $17,812.80 | $29,688.00 | $3,274.00 – $27,008.00 | 7 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,592.20 | $5,987.00 | $225.91 – $695.38 | 6 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,346.80 | $5,578.00 | $176.81 – $695.38 | 6 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,871.00 | $4,785.00 | $146.57 – $475.58 | 6 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $927.00 | $1,545.00 | $971.94 – $3,533.00 | 8 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $927.00 | $1,545.00 | $971.94 – $3,533.00 | 8 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $785.00 – $785.00 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $971.94 – $3,533.00 | 8 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,074.00 – $12,050.01 | 8 |
| Urea nitrogen CPT 84520 | $100.80 | $168.00 | $3.95 – $7.35 | 7 |
| Urea nitrogen 24 hour urine CPT 84540 | $67.20 | $112.00 | $5.56 – $10.34 | 7 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $13.39 | 7 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.62 – $9.54 | 7 |
| Ureteral embolization/occl CPT 50705 | $29,062.20 | $48,437.00 | $308.00 – $1,094.00 | 2 |
| Ureteral reflux study CPT 78740 | $1,348.80 | $2,248.00 | $47.82 – $796.83 | 6 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,094.00 – $7,026.03 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,094.00 – $10,687.19 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,094.00 – $10,687.19 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,094.00 – $7,026.03 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,094.00 – $10,687.19 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,094.00 – $10,687.19 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,094.00 – $10,687.19 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,094.00 – $10,687.19 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | $3,606.00 | $6,010.00 | $4,100.00 – $4,100.00 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $785.00 – $785.00 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $430.20 | $717.00 | $29.64 – $475.58 | 6 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,360.00 – $7,026.03 | 7 |
| Urethrocystography void s&i CPT 74455 | $419.40 | $699.00 | $28.48 – $475.58 | 6 |
| Uric acid blood CPT 84550 | $79.80 | $133.00 | $4.52 – $8.41 | 7 |
| Uric acid urine CPT 84560 | $124.80 | $208.00 | $5.08 – $9.45 | 7 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.52 – $8.74 | 7 |
| Urinalysis microscopic only CPT 81015 | $73.20 | $122.00 | $3.05 – $5.67 | 7 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $69.00 | $115.00 | $2.17 – $4.04 | 7 |
| Urinalysis (with microscopy) CPT 81001 | $31.80 | $53.00 | $3.17 – $5.90 | 7 |
| Urinalysis (without microscopy) CPT 81003 | $171.00 | $285.00 | $2.25 – $4.19 | 7 |
| Urinary bldr retent nuc study CPT 78730 | $1,010.40 | $1,684.00 | $12.76 – $12.76 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $63.22 – $308.00 | 7 |
| Urine Culture Test CPT 87086 | $68.40 | $114.00 | $8.07 – $15.01 | 7 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $142.58 – $308.00 | 7 |
| Urine pregnancy test CPT 81025 | $86.40 | $144.00 | $7.75 – $16.01 | 7 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.14 – $55.76 | 7 |
| Urine shunt to intestine CPT 50815 | not published | not published | $785.00 – $785.00 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2.70 – $1,094.00 | 2 |
| Urography, antegrade CPT 74425 | not published | not published | $44.20 – $695.38 | 6 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $42.38 – $349.61 | 6 |
| Use 1st target lesion CPT 76982 | $328.80 | $548.00 | $53.82 – $208.38 | 6 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.62 – $21.62 | 7 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $152.39 – $152.39 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $13,758.17 – $25,590.20 | 6 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $161.65 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $147.06 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $155.90 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $87.78 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $65.55 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $75.15 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.38 – $70.38 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $177.56 – $177.56 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $31.67 – $31.67 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $83.49 – $83.49 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $83.49 – $83.49 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $21.86 – $21.86 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $22.35 – $22.35 | 1 |
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.