OSF Saint Anthony Medical Center
5666 East State Street, Rockford, IL · Osfhealthcare · · NPI 1790739977
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 |
|---|---|---|---|---|
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $208.02 – $208.02 | 1 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $242.75 – $242.75 | 1 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $254.09 – $254.09 | 1 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $208.02 – $208.02 | 1 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $190.66 – $190.66 | 1 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $265.79 – $265.79 | 1 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $80.45 – $369.41 | 7 |
| Av fistula revision CPT 36833 | not published | not published | $917.07 – $20,870.52 | 8 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $826.66 – $20,870.52 | 8 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $783.46 – $20,870.52 | 8 |
| Av fusion direct any site CPT 36821 | not published | not published | $750.12 – $11,842.65 | 8 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $827.43 – $20,870.52 | 8 |
| Avul nail plate addl CPT 11732 | $350.40 | $584.00 | $34.48 – $1,468.00 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $316.80 | $528.00 | $113.68 – $1,468.00 | 8 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $531,849.12 – $1,861,471.91 | 6 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $175.77 – $809.38 | 6 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $776.28 – $22,674.75 | 8 |
| Azacitidine injection HCPCS J9025 | not published | not published | $1.42 – $1.42 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $0.71 – $0.71 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $68.04 – $891.65 | 7 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $2.84 – $2.84 | 1 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $13.82 – $13.82 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $166.91 – $623.18 | 7 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $43.59 – $43.59 | 1 |
| Baclofen eval charges CPT 97750 | $106.20 | $177.00 | $34.36 – $120.26 | 6 |
| Bacterial meningitis antigen CPT 86403 | $142.20 | $237.00 | $11.34 – $40.39 | 6 |
| Bacterial vaginosis pcr CPT 87801 | $895.80 | $1,493.00 | $70.20 – $245.70 | 6 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $52.57 | 6 |
| #bac vag cand-c. albicans naa CPT 87481 | $136.20 | $227.00 | $35.09 – $122.82 | 6 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $6.38 – $6.38 | 1 |
| Balloon dilate urtrl strix CPT 50706 | $5,307.60 | $8,846.00 | $693.00 – $1,468.00 | 3 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,349.86 – $5,543.00 | 3 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.35 – $0.35 | 1 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $2.48 – $2.48 | 1 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $9.57 – $9.57 | 1 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $6.02 – $6.02 | 1 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $4.61 – $4.61 | 1 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $8.51 – $8.51 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $195.55 – $12,141.37 | 8 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $122.82 | 6 |
| Bartonella dna quant CPT 87472 | not published | not published | $42.84 – $149.94 | 6 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $24.92 – $809.86 | 6 |
| Basiliximab HCPCS J0480 | not published | not published | $3,616.48 – $16,843.10 | 7 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $522.01 – $3,030.93 | 6 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $243.82 – $1,245.54 | 6 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $1,310.51 – $6,461.32 | 6 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $1,136.51 – $5,604.20 | 6 |
| B cells total count CPT 86355 | $546.00 | $910.00 | $37.73 – $132.05 | 6 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $137.86 – $137.86 | 1 |
| Bcg vaccine percut CPT 90585 | not published | not published | $137.86 – $137.86 | 1 |
| Bckdhb gene CPT 81205 | not published | not published | $93.56 – $332.46 | 6 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $13.82 – $13.82 | 1 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $9.21 – $9.21 | 1 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $172.80 | $288.00 | $27.61 – $381.03 | 6 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.89 – $13.63 | 7 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $43.59 – $200.16 | 7 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $7,633.77 – $38,388.28 | 6 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $2,256.71 – $11,727.34 | 6 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $309.02 – $1,361.71 | 6 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $68.04 – $330.40 | 6 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $532.99 – $2,660.70 | 6 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $571.62 – $2,518.60 | 6 |
| Below knee leather socket HCPCS L5638 | not published | not published | $473.46 – $2,780.36 | 6 |
| Below knee suction socket HCPCS L5647 | not published | not published | $773.62 – $3,408.44 | 6 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $111.99 – $552.09 | 6 |
| Below knee total contact HCPCS L5637 | not published | not published | $281.03 – $1,650.46 | 6 |
| Below knee wood socket HCPCS L5639 | not published | not published | $1,090.44 – $4,804.10 | 6 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $7.09 – $7.09 | 1 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $2.05 – $29.77 | 7 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.94 – $48.80 | 6 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.90 – $45.15 | 7 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $31.74 – $111.08 | 6 |
| Benign lesion paring 2-4 CPT 11056 | $331.80 | $553.00 | $69.23 – $1,468.00 | 8 |
| Benign lesion paring 4+ CPT 11057 | $497.40 | $829.00 | $77.25 – $1,468.00 | 8 |
| #_benzodiazconfur CPT 80346 | $202.80 | $338.00 | $23.74 – $23.74 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $18.43 – $18.43 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $454.80 | $758.00 | $25.45 – $89.08 | 6 |
| Beta-2 microglobulin CPT 82232 | $436.20 | $727.00 | $16.18 – $56.63 | 6 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $451.22 | 5 |
| Beta-amyloid 1-42 CPT 82234 | $339.00 | $565.00 | $128.92 – $451.22 | 5 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | not published | not published | $6.73 – $6.73 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $74.36 – $260.24 | 7 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $23.74 – $83.07 | 6 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $25.85 – $90.49 | 6 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.86 – $6.51 | 6 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $63.00 | $105.00 | $37.86 – $132.51 | 5 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $43.20 | $72.00 | $22.02 – $77.07 | 5 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $59.04 | 6 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $634.32 – $6,223.00 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,245.80 | $3,743.00 | $152.84 – $3,317.36 | 8 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,003.80 | $1,673.00 | $89.15 – $1,468.00 | 8 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $638.40 | $1,064.00 | $143.75 – $1,468.00 | 8 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $93.03 | 6 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $187.45 – $1,468.00 | 3 |
| Bile duct revision CPT 47701 | not published | not published | $1,913.93 – $5,543.00 | 3 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $344.71 – $24,281.13 | 8 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $342.02 – $24,281.13 | 8 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $583.54 – $39,868.95 | 8 |
| Biliary endoscopy thru skin CPT 47555 | $3,510.00 | $5,850.00 | $366.07 – $24,281.13 | 8 |
| Biliary endoscopy thru skin CPT 47556 | $5,769.00 | $9,615.00 | $414.85 – $39,868.95 | 8 |
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.