Supplies, drugs & other prices at Osf Little Company of Mary Medical Center
Evergreen Park, IL · every code in this section with a posted price and a Medicare benchmark.
56 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $6,921.60 | $11,536 | 0.7× |
| Admin hepatitis b vaccine (G0010) | $54.60 | $91 | 1.1× |
| Admin influenza virus vac (G0008) | $49.20 | $82 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $56.40 | $94 | 1.1× |
| Behavior counsel obesity 15m (G0447) | $151.80 | $253 | 1.4× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$71.40–$126 | $119–$210 | varies |
| Chemo extend iv infus w/pump (G0498) | $321 | $535 | 0.9× |
| Diab manage trn per indiv (G0108) | $249 | $415 | 4.5× |
| Diab manage trn ind/group (G0109) | $163.80 | $273 | 10.2× |
| Direct refer hospital observ (G0379) | $1,129.20 | $1,882 | 1.8× |
| Fern test (Q0114) | $27.60 | $46 | 2.8× |
| Group behave couns 2-10 (G0473) | $167.40 | $279 | 4.2× |
| Hbot, full body chamber, 30m (G0277) | $966.60 | $1,611 | 6.6× |
| Home sleep test/type 3 porta (G0399) | $484.80 | $808 | 2.1× |
| Hpv combo assay ca screen (G0476) | $123.60 | $206 | 3.5× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) range across 2 matching MRF lines |
$643.20–$902.40 | $1,072–$1,504 | varies |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $943.80 | $1,573 | 1.9× |
| Mnt subs tx for change dx (G0270) | $54 | $90 | 1.7× |
| Neuro csf prion prtn qual (0035U) | $1,502.40 | $2,504 | 2.8× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$51.60–$78 | $86–$130 | varies |
| Opps service,sched team conf (G0175) | $1,225.20 | $2,042 | 2.7× |
| Oth resp proc, group (G0239) | $80.40 | $134 | 2.0× |
| Oth resp proc, indiv (G0238) | $79.80 | $133 | 2.6× |
| Perq Sacral Augmt Bilat Inj (0201T) | $9,102 | $15,170 | 1.2× |
| Perq Sacral Augmt Unilat Inj (0200T) | $9,102 | $15,170 | 1.2× |
| Pet not otherwise specified (G0235) | $12,351.60 | $20,586 | 28.8× |
| Pin service 60m per month (G0023) | $165 | $275 | 1.5× |
| Place device/marker, non pro (C9728) | $1,531.20 | $2,552 | 1.0× |
| Potassium hydroxide preps (Q0112) | $66 | $110 | 11.3× |
| Prostate biopsy, any mthd (G0416) | $693 | $1,155 | 1.8× |
| Psa screening (G0103) | $183 | $305 | 9.5× |
| Revasc intra lithotrip-ather (C9766) | $21,353.40 | $35,589 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $21,353.40 | $35,589 | 1.1× |
| Revasc intravasc lithotripsy (C9764) | $13,195.80 | $21,993 | 1.1× |
| Revasc lith-sten-ath tib/per (C9775) | $21,353.40 | $35,589 | 1.1× |
| Revasc lithotr-ather tib/per (C9774) | $21,353.40 | $35,589 | 1.1× |
| Revasc lithotr-stent tib/per (C9773) | $21,353.40 | $35,589 | 1.1× |
| Revasc lithotrip tibi/perone (C9772) | $13,195.80 | $21,993 | 1.1× |
| Revasc lithotrip-stent-ather (C9767) | $21,353.40 | $35,589 | 1.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $187.20 | $312 | 7.1× |
| Scr c/v cyto,thinlayer,rescr (G0143) range across 2 matching MRF lines |
$157.80–$187.20 | $263–$312 | varies |
| Screen pap by tech w md supv (P3000) | $98.40 | $164 | 5.3× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $16,941 | $28,235 | 0.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $22,144.80 | $36,908 | 1.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $4,697.40 | $7,829 | 0.8× |
| Therapeutic procd strg endur (G0237) | $79.80 | $133 | 2.6× |
| Tomosynthesis, mammo (G0279) | $42.60 | $71 | 3.4× |
| Tpmt and Nudt15 Genotype (0034U) range across 2 matching MRF lines |
$934.20–$1,058.40 | $1,557–$1,764 | varies |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $18,741.60 | $31,236 | 3.1× |
| Transcatheter renal sympath denervation unilat (0338T) | $12,493.80 | $20,823 | 2.0× |
| Trluml perip athrc abd aorta (0236T) unusually low: confirm this is the full procedure |
$5,149.20 | $8,582 | 0.4× |
| Trluml Perip Athrc Brchiocph (0237T) | $7,654.20 | $12,757 | 0.6× |
| Trluml Perip Athrc Iliac Art (0238T) | $24,624 | $41,040 | 1.3× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) unusually low: confirm this is the full procedure |
$4,878 | $8,130 | 0.4× |
| Tte w or w/o contr, cont ecg (C8930) | $1,873.20 | $3,122 | 2.2× |
| Wet mounts/ w preparations (Q0111) | $78 | $130 | 4.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.