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 |
|---|---|---|---|---|
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $360.00 | $600.00 | $183.04 – $183.04 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | $251.40 | $419.00 | $91.58 – $488.29 | 3 |
| Psy evaluation of records CPT 90885 | not published | not published | $112.75 – $112.75 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $206.40 | $344.00 | $57.08 – $145.43 | 3 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $156.00 | $260.00 | $42.52 – $42.52 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $105.00 | $175.00 | $85.01 – $85.01 | 1 |
| Psytx complex interactive CPT 90785 | $81.00 | $135.00 | $30.38 – $30.38 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $176.59 – $176.59 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $222.48 – $222.48 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $296.05 – $296.05 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $86.40 | $144.00 | $15.18 – $15.48 | 3 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $17.41 – $17.41 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $86.40 | $144.00 | $18.35 – $18.72 | 3 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $80.40 | $134.00 | $13.94 – $14.22 | 3 |
| Pt application of modality traction mechanical CPT 97012 | $80.40 | $134.00 | $14.22 – $14.50 | 3 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $176.91 – $176.91 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $52.56 – $306.00 | 4 |
| Pten gene full sequence CPT 81321 | $3,876.60 | $6,461.00 | $360.42 – $612.00 | 4 |
| Pten gene known fam variant CPT 81322 | not published | not published | $35.04 – $47.53 | 4 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,842.00 – $6,470.68 | 4 |
| Pt evaluation high complexity patient/family CPT 97163 | $278.40 | $464.00 | $94.04 – $95.92 | 3 |
| Pt evaluation low complexity patient/family CPT 97161 | $231.60 | $386.00 | $98.89 – $100.87 | 3 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $247.20 | $412.00 | $99.73 – $101.72 | 3 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $7.23 – $40.95 | 3 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $25.74 – $26.25 | 3 |
| Pt re-evaluation patient/family CPT 97164 | $160.80 | $268.00 | $68.90 – $70.28 | 3 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $118.20 | $197.00 | $30.03 – $30.63 | 3 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.33 – $12.58 | 3 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $105.00 | $175.00 | $28.06 – $28.62 | 3 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $30.54 – $31.15 | 3 |
| Pt wheelchair management each 15 minutes CPT 97542 | $108.00 | $180.00 | $31.68 – $32.31 | 3 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $1,620.11 – $12,618.39 | 4 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $825.73 – $3,113.00 | 2 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $3,300.00 – $5,517.79 | 4 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $348.54 – $436.97 | 3 |
| Pulse ox continuous overnight monitoring CPT 94762 | $267.00 | $445.00 | $58.70 – $140.65 | 3 |
| Pulse ox multiple CPT 94761 | $141.60 | $236.00 | $11.38 – $11.38 | 1 |
| Pulse ox single CPT 94760 | $39.60 | $66.00 | $10.57 – $10.57 | 1 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $143.89 – $1,306.00 | 4 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $83.40 | $139.00 | $35.34 – $146.00 | 4 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,626.60 | $2,711.00 | $146.00 – $444.34 | 4 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $119.80 – $3,623.97 | 4 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,500.00 | $2,500.00 | $177.11 – $1,306.00 | 4 |
| Puraply 1 sq cm HCPCS Q4195 | $301.80 | $503.00 | $133.36 – $136.02 | 3 |
| Puraply xt 1 sq cm HCPCS Q4197 | $301.80 | $503.00 | $133.36 – $136.02 | 3 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $121.76 – $146.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $211.83 – $1,306.00 | 4 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $199.61 – $1,306.00 | 4 |
| Pwr pck base combo vad, rep HCPCS Q0489 | $20,627.40 | $34,379.00 | not published | 0 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,306.00 – $1,306.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,306.00 – $1,842.00 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $40.61 – $40.61 | 1 |
| Pyruvate CPT 84210 | $129.60 | $216.00 | $9.22 – $14.77 | 4 |
| Pyruvate kinase CPT 84220 | $109.20 | $182.00 | $8.02 – $9.63 | 4 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $16.99 – $145.43 | 3 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,582.20 | $2,637.00 | $550.14 – $593.49 | 3 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,404.00 | $2,340.00 | $355.74 – $436.97 | 3 |
| Quest t3 uptake CPT 84479 | $88.80 | $148.00 | $5.50 – $6.60 | 4 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $242.18 – $247.02 | 3 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $275.18 – $280.68 | 3 |
| Radial keratotomy CPT 65771 | not published | not published | $2,039.00 – $2,914.00 | 2 |
| Radiation handling CPT 77790 | not published | not published | $46.82 – $46.82 | 1 |
| Radiation physics consult CPT 77336 | $820.80 | $1,368.00 | $144.03 – $146.92 | 3 |
| Radiation therapy dose plan CPT 77300 | $1,035.00 | $1,725.00 | $83.57 – $146.92 | 3 |
| Radiation therapy management CPT 77431 | not published | not published | $281.46 – $281.46 | 1 |
| Radiation treatment aid(s) CPT 77332 | $831.00 | $1,385.00 | $41.86 – $146.92 | 3 |
| Radiation treatment aid(s) CPT 77333 | $1,053.00 | $1,755.00 | $144.03 – $146.92 | 3 |
| Radiation treatment aid(s) CPT 77334 | $2,499.60 | $4,166.00 | $159.76 – $409.27 | 3 |
| Radiation treatment delivery CPT 77402 | $679.80 | $1,133.00 | $109.34 – $111.52 | 3 |
| Radiation treatment delivery CPT 77412 | $3,176.40 | $5,294.00 | $592.11 – $603.96 | 3 |
| Radiation tx management x5 CPT 77427 | not published | not published | $517.48 – $517.48 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,306.00 – $2,914.00 | 2 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $2,093.00 – $7,931.41 | 4 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,093.00 – $7,931.41 | 4 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,093.00 – $7,931.41 | 4 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,842.00 – $7,931.41 | 4 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,093.00 – $7,931.41 | 4 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,305.00 – $3,175.00 | 4 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,603.00 – $3,175.00 | 4 |
| Radiology port images(s) CPT 77417 | $571.20 | $952.00 | $3.52 – $3.52 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $8,284.20 | $13,807.00 | $1,483.26 – $1,512.93 | 3 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,131.20 | $3,552.00 | $566.84 – $593.49 | 3 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $581.86 – $593.49 | 3 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,860.80 | $4,768.00 | $1,309.31 – $1,415.12 | 3 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,906.20 | $3,177.00 | $581.86 – $593.49 | 3 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $428.40 – $436.97 | 3 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $165.37 – $165.37 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,603.00 – $7,931.41 | 4 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,603.00 – $3,175.00 | 4 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,603.00 – $3,175.00 | 4 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,603.00 – $3,175.00 | 4 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,603.00 – $3,175.00 | 4 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,603.00 – $3,175.00 | 4 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,603.00 – $3,175.00 | 4 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,603.00 – $3,175.00 | 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.