▸ Hospital · IL · CCN 140179

Osf Little Company Of Mary Medical Center

2800 WEST 95TH STREET, EVERGREEN PARK, IL, 140179

Compliance grade

77/100

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Rates published

1,123

last crawl 2026-05-22

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Source MRF: https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370813229_1215572045_osf-healthcare-system_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	13	—	—	$90	$12,303	$22,621
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	13	—	—	$90	$17,484	$32,568
Intracranial hemorrhage/CVA w CC	MS-DRG	065	13	—	—	$90	$9,042.7	$16,362
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	13	—	—	$90	$6,293.66	$11,365
Respiratory infections & inflammations w MCC	MS-DRG	177	13	—	—	$90	$13,702	$25,308
COPD w MCC	MS-DRG	190	13	—	—	$90	$9,864.29	$17,939
COPD w CC	MS-DRG	191	13	—	—	$90	$7,631.49	$13,781
COPD w/o CC/MCC	MS-DRG	192	13	—	—	$90	$5,936.01	$10,719
Simple pneumonia & pleurisy w CC	MS-DRG	194	13	—	—	$90	$7,318.54	$13,216
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	13	—	—	$90	$5,822.14	$10,514
AMI discharged alive w MCC	MS-DRG	280	13	—	—	$90	$14,052	$25,978
AMI discharged alive w CC	MS-DRG	281	13	—	—	$90	$8,273.4	$14,940
AMI discharged alive w/o CC/MCC	MS-DRG	282	13	—	—	$90	$6,620.11	$11,955
Heart failure & shock w MCC	MS-DRG	291	13	—	—	$90	$11,350	$20,791
Heart failure & shock w CC	MS-DRG	292	13	—	—	$90	$7,682.1	$13,873
Heart failure & shock w/o CC/MCC	MS-DRG	293	13	—	—	$90	$5,294.93	$9,561.72
Cardiac arrhythmia w MCC	MS-DRG	308	13	—	—	$90	$10,677	$19,499
Cardiac arrhythmia w CC	MS-DRG	309	13	—	—	$90	$6,726.38	$12,147
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	13	—	—	$90	$5,295.78	$9,563.25
GI hemorrhage w CC	MS-DRG	378	13	—	—	$90	$8,793.02	$15,882
GI hemorrhage w/o CC/MCC	MS-DRG	379	13	—	—	$90	$5,838.16	$10,543
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	13	—	—	$90	$7,096.69	$12,815
Fractures of femur w/o MCC	MS-DRG	533	13	—	—	$90	$13,744	$25,389
Kidney/UTI w MCC	MS-DRG	689	13	—	—	$90	$10,308	$18,791
Kidney/UTI w/o MCC	MS-DRG	690	13	—	—	$90	$7,348.91	$13,271
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	13	—	—	$90	$16,906	$31,459
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	13	—	—	$90	$9,152.35	$16,572
maternity
Cesarean section w CC/MCC	MS-DRG	765	1	—	—	$90	$90	$90
Cesarean section w/o CC/MCC	MS-DRG	766	1	—	—	$90	$90	$90
Vaginal delivery w complicating dx	MS-DRG	774	1	—	—	$90	$90	$90
Vaginal delivery w/o complicating dx	MS-DRG	775	1	—	—	$90	$90	$90
surgery
PCI w drug-eluting stent w MCC	MS-DRG	246	7	—	—	$90	$31,494	$48,511
PCI w drug-eluting stent w/o MCC	MS-DRG	247	7	—	—	$90	$20,076	$30,924
Major small/large bowel procedures w MCC	MS-DRG	329	13	—	—	$90	$39,293	$74,440
Major small/large bowel procedures w CC	MS-DRG	330	13	—	—	$90	$20,741	$38,823
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	13	—	—	$90	$14,716	$27,255
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	13	—	—	$90	$14,790	$27,395
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	13	—	—	$90	$12,041	$22,119
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	13	—	—	$90	$29,260	$55,178
Spinal fusion (non-cervical) w MCC	MS-DRG	459	7	—	—	$90	$69,732	$107,410
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	7	—	—	$90	$38,459	$59,240
Major joint replacement w MCC	MS-DRG	469	13	—	—	$90	$26,106	$49,123
Major joint replacement w/o MCC	MS-DRG	470	13	—	—	$90	$16,791	$31,239
Hip & femur procedures except major joint w MCC	MS-DRG	480	13	—	—	$90	$25,086	$47,165
Hip & femur procedures except major joint w CC	MS-DRG	481	13	—	—	$90	$18,188	$33,920
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	13	—	—	$90	$14,278	$26,414
OR procedure for obesity w MCC	MS-DRG	619	13	—	—	$90	$24,876	$46,761
OR procedure for obesity w CC	MS-DRG	620	13	—	—	$90	$14,019	$25,917
OR procedure for obesity w/o CC/MCC	MS-DRG	621	13	—	—	$90	$13,244	$24,429
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	13	—	—	$90	$10,986	$20,093
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	13	—	—	$90	$17,805	$33,185

Payer mix (top 13)

Payer	Codes covered	Median rate
Multiplan	51	$90
Aetna	47	$13,937
Cigna	47	$10,358
healthlink	47	$22,621
Humana	47	$13,611
imagine health	47	$13,270
UnitedHealthcare	47	$13,918
illinicare health plan	43	$13,223
Blue Cross Blue Shield	43	$16,528
WellCare	43	$11,129
clear spring	43	$11,019
Molina	43	$15,427
allwell	43	$11,019