OSF Little Company of Mary Medical Center

2800 W 95Th St, Evergreen Park, IL 60805 · (708) 422-6200

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 2/5Chicago, IL-IN metro Website ↗

Price file

Prices published

File dated 2026-03-31

937 price rows for 65 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $83

$140

cash

$8 to $16

8 negotiated rates

$233

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,050

$3,901

cash

$180 to $695

7 negotiated rates

$6,501

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,250

$2,037

cash

$83 to $208

7 negotiated rates

$3,395

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,580

$2,209

cash

$114 to $350

7 negotiated rates

$3,682

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,360 to $5,500

9 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$6,584 to $15,545

24 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 7 lines · metro median $123

$53

cash

$35 to $65

8 negotiated rates

$88

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 3 lines · metro median $2,525

$533

cash

$997 to $3,533

9 negotiated rates

$889

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,282 to $3,533

9 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,282 to $3,533

9 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $75

$92

cash

$8 to $14

8 negotiated rates

$153

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $108

$223

cash

$11 to $20

8 negotiated rates

$372

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 6 lines · metro median $283

$468

cash

$87 to $87

1 negotiated rates

$780

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 9 lines · metro median $208

$117

cash

—

$195

list

Family psychotherapy with the patient

CPT 90847 · lowest of 5 lines · metro median $151

$253

cash

—

$421

list

Family psychotherapy without the patient

CPT 90846 · lowest of 5 lines · metro median $143

$220

cash

—

$367

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$2,360 to $12,050

8 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $144

$53

cash

$35 to $65

8 negotiated rates

$88

list

Group psychotherapy

CPT 90853 · lowest of 12 lines · metro median $83

$50

cash

$109 to $202

6 negotiated rates

$84

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$13,246 to $31,239

24 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$5,354 to $12,815

24 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$8,520 to $20,093

24 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$2,074 to $7,136

9 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$2,074 to $6,522

9 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$589 to $2,825

9 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $5,550

$4,897

cash

$3,274 to $6,462

8 negotiated rates

$8,162

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $91

$161

cash

$13 to $25

8 negotiated rates

$268

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $85

$203

cash

$8 to $15

8 negotiated rates

$339

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,750

$3,325

cash

$226 to $695

7 negotiated rates

$5,541

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$134 to $476

7 negotiated rates

—

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,765

$2,871

cash

$147 to $476

7 negotiated rates

$4,785

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,765

$2,871

cash

$147 to $476

7 negotiated rates

$4,785

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$16,764 to $39,537

24 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,220

$1,038

cash

$948 to $2,825

9 negotiated rates

$1,730

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 6 lines · metro median $148

$79

cash

—

$132

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 6 lines · metro median $178

$134

cash

—

$223

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 7 lines · metro median $208

$171

cash

—

$285

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $92

$183

cash

$18 to $34

8 negotiated rates

$305

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 3 lines · metro median $48

$35

cash

$6 to $11

8 negotiated rates

$58

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$30 to $55

7 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $590

$729

cash

$88 to $208

7 negotiated rates

$1,215

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 3 lines · metro median $103

$93

cash

—

$155

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 3 lines · metro median $101

$93

cash

—

$155

list

Prostate biopsy

CPT 55700

—

cash

$1,471 to $3,533

3 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$2,360 to $21,188

8 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 10 lines · metro median $28

$20

cash

$4 to $8

8 negotiated rates

$33

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $160

$175

cash

—

$291

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines · metro median $180

$241

cash

—

$401

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines · metro median $184

$241

cash

—

$401

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$1,678 to $7,804

9 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 8 lines · metro median $238

$275

cash

$68 to $68

1 negotiated rates

$459

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$308 to $2,200

3 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $2,105

$3,434

cash

$183 to $1,712

7 negotiated rates

$5,723

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$25,119 to $59,240

8 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 5 lines · metro median $996

$996

cash

$948 to $2,825

8 negotiated rates

$1,660

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 5 lines · metro median $1,145

$1,249

cash

$756 to $2,825

8 negotiated rates

$2,082

list

TSH test (thyroid)

CPT 84443 · lowest of 3 lines · metro median $80

$29

cash

$17 to $31

8 negotiated rates

$48

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$1,678 to $11,799

9 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $570

$783

cash

$62 to $208

7 negotiated rates

$1,305

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $740

$729

cash

$71 to $208

7 negotiated rates

$1,215

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 3 lines · metro median $2,216

$544

cash

$972 to $3,533

9 negotiated rates

$907

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $2,258

$806

cash

$972 to $3,533

9 negotiated rates

$1,344

list

Urinalysis with microscope

CPT 81001 · metro median $35

$32

cash

$3 to $6

8 negotiated rates

$53

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$4,630 to $11,210

24 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $478

$478

cash

$23 to $208

7 negotiated rates

$797

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370813229_1215572045_osf-healthcare-system_standardcharges.json
OSF Little Company of Mary Medical Center · parsed · json v3.0.0 · file dated 2026-03-31 · 32.2 MB · 937 price rows read · read Nov 2026
https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662570_osf-saint-james-john-w-albrecht-medical-center_standardcharges.json
OSF Saint James John W Albrecht Medical Center · unmatched · json v3.0.0 · file dated 2026-03-31 · 17.5 MB · read Oct 2026
https://osf-p-001.sitecorecontenthub.cloud/api/public/content/261579585_osf-healthcare-divine-mercy-continuing-care-hospital_standardcharges.json
OSF Healthcare Divine Mercy Continuing Care Hospital · unmatched · json v3.0.0 · file dated 2026-03-31 · 6.8 MB · read Oct 2026