OSF Saint Anthony's Health Center
1 St Anthony's Way, Alton, IL · Osfhealthcare · · NPI 1710396932
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 |
|---|---|---|---|---|
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $596.40 | $994.00 | $112.03 – $114.27 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $596.40 | $994.00 | $112.03 – $114.27 | 3 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $229.91 – $229.91 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $1,207.86 – $1,207.86 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $2,215.89 – $2,215.89 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $231.39 – $236.02 | 3 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $399.88 – $407.88 | 3 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $399.88 – $407.88 | 3 |
| Preparation for bladder xray CPT 51605 | not published | not published | $95.21 – $146.00 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $146.00 – $589.51 | 4 |
| Prepare donor heart CPT 33944 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prepare donor intestine CPT 44715 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prepare donor lung double CPT 32856 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prepare donor lung single CPT 32855 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $34.60 – $56.96 | 4 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $171.50 – $171.50 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prepare penis study CPT 54230 | not published | not published | $146.00 – $201.00 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $146.00 – $460.98 | 2 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $146.00 – $1,842.00 | 2 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $1,048.10 – $1,306.00 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $750.06 – $1,306.00 | 2 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $1,043.63 – $1,306.00 | 2 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $897.76 – $1,306.00 | 2 |
| Prep donor liver whole CPT 47143 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $1,842.00 – $1,842.00 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $643.70 – $643.70 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $146.00 – $448.22 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $920.24 – $938.65 | 3 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $514.04 – $1,306.00 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $492.48 – $1,306.00 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $590.15 – $1,306.00 | 2 |
| Prep skin to 100cm2 other CPT 15004 | $1,354.20 | $2,257.00 | $146.00 – $444.34 | 4 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,404.00 | $2,340.00 | $560.00 – $1,716.00 | 4 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,030.80 | $1,718.00 | $118.05 – $146.00 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $137.89 – $140.65 | 3 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $516.60 – $1,306.00 | 2 |
| Pressure velocity wire add ves CPT 93572 | $521.40 | $869.00 | $146.00 – $146.00 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $444.60 | $741.00 | $28.24 – $186.22 | 4 |
| Pretreat rbc absorption reference CPT 86978 | $234.00 | $390.00 | $14.92 – $64.48 | 4 |
| Pretreat rbc density gradient separation reference CPT 86972 | $132.60 | $221.00 | $8.96 – $186.22 | 4 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $141.00 | $235.00 | $8.96 – $64.48 | 4 |
| Pretreat rbc w enzyme reference CPT 86971 | $219.00 | $365.00 | $8.96 – $186.22 | 4 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $190.21 – $194.01 | 3 |
| Preventive counseling group CPT 99411 | not published | not published | $17.23 – $17.23 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $30.12 – $30.12 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $55.93 – $55.93 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $113.61 – $113.61 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $166.99 – $166.99 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $177.60 | $296.00 | $224.75 – $224.75 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $142.67 – $145.52 | 3 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $200.32 – $1,805.28 | 4 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $413.63 – $1,805.28 | 4 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,035.00 | $1,725.00 | $146.00 – $444.34 | 4 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,842.00 – $4,214.23 | 4 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $39.99 – $40.79 | 3 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $1,842.00 – $2,663.00 | 2 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $426.45 – $426.45 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $320.77 – $320.77 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $208.33 – $208.33 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $290.55 – $290.55 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $191.76 – $191.76 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $120.48 – $120.48 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $10,756.80 | $17,928.00 | $1,105.07 – $20,037.41 | 4 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $4,937.40 | $8,229.00 | $146.00 – $417.83 | 2 |
| Prin care mgmt staff 1st 30 CPT 99426 | $160.80 | $268.00 | $108.87 – $111.04 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,319.40 | $2,199.00 | $146.00 – $444.34 | 4 |
| Pr incision & drainage abscess simple/single CPT 10060 | $1,125.60 | $1,876.00 | $146.00 – $219.30 | 4 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $1,294.80 | $2,158.00 | $146.00 – $333.09 | 4 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,213.20 | $2,022.00 | $146.00 – $444.34 | 4 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $171.60 | $286.00 | $142.67 – $145.52 | 3 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $158.40 | $264.00 | $142.67 – $145.52 | 3 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $294.00 | $490.00 | $31.06 – $31.06 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,305.00 – $2,134.43 | 4 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $146.00 – $346.94 | 4 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $308.48 – $2,598.71 | 4 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $501.93 – $2,598.71 | 4 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $351.18 – $2,598.71 | 4 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $214.81 – $219.11 | 3 |
| Procalcitonin CPT 84145 | $260.40 | $434.00 | $22.76 – $27.76 | 4 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $6.58 – $6.58 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $291.46 – $3,033.94 | 4 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $287.73 – $1,716.00 | 4 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $223.96 – $1,716.00 | 4 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,092.60 | $1,821.00 | $126.12 – $1,306.00 | 4 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $237.93 – $3,033.94 | 4 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $251.76 – $1,716.00 | 4 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $293.18 – $1,716.00 | 4 |
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.