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 |
|---|---|---|---|---|
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $26.41 – $92.44 | 5 |
| Rubella antibody igg CPT 86762 | $195.00 | $325.00 | $14.39 – $50.36 | 6 |
| Rubeola ag if CPT 87283 | not published | not published | $59.89 – $212.80 | 6 |
| Rubeola antibody igg CPT 86765 | $195.00 | $325.00 | $12.88 – $45.08 | 6 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $1,153.28 | 6 |
| Russell viper venom diluted CPT 85613 | $229.20 | $382.00 | $9.58 – $33.53 | 6 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $2,519.40 | $4,199.00 | $917.08 – $3,209.78 | 5 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $197.39 – $936.15 | 6 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $36.80 – $128.79 | 6 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.54 – $138.39 | 5 |
| Salivary gland function exam CPT 78232 | $1,170.60 | $1,951.00 | $83.97 – $1,499.41 | 6 |
| Salivary gland imaging CPT 78230 | not published | not published | $155.56 – $1,499.41 | 6 |
| Salivary glnd img serial img CPT 78231 | $1,248.60 | $2,081.00 | $83.97 – $1,499.41 | 6 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $46.16 | 6 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $920.78 – $12,141.37 | 8 |
| Same day nb discharge 99463 CPT 99463 | $203.40 | $339.00 | $119.14 – $499.35 | 6 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $1.42 – $1.42 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $38.27 – $216.61 | 7 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $180.00 | 5 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $266.54 – $266.54 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $54.60 | $91.00 | $35.33 – $123.66 | 5 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $276.60 | $461.00 | $70.29 – $246.02 | 5 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $458.48 – $22,769.90 | 8 |
| Sbrt management CPT 77435 | $2,416.80 | $4,028.00 | $690.35 – $690.35 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $242.40 | $404.00 | $147.74 – $147.74 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $144.50 – $144.50 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $73.27 – $73.27 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $97.50 – $97.50 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $46.87 – $46.87 | 1 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $108.87 – $381.03 | 6 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,339.20 | $2,232.00 | $221.35 – $894.92 | 6 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $879.00 | $1,465.00 | $112.03 – $392.12 | 6 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,263.60 | $2,106.00 | $149.78 – $894.92 | 6 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $923.40 | $1,539.00 | $95.79 – $392.12 | 6 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,041.60 | $1,736.00 | $103.95 – $392.12 | 6 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,036.20 | $1,727.00 | $98.63 – $392.12 | 6 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,344.00 | $2,240.00 | $217.57 – $894.92 | 6 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,017.60 | $1,696.00 | $112.03 – $392.12 | 6 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $994.20 | $1,657.00 | $103.94 – $392.12 | 6 |
| Scan proc cranial extra CPT 61782 | not published | not published | $193.07 – $1,468.00 | 3 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $274.15 – $1,468.00 | 3 |
| Scan proc spinal CPT 61783 | not published | not published | $267.18 – $1,468.00 | 3 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $4,256.85 – $21,762.48 | 6 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,226.60 | $3,711.00 | $1,082.86 – $6,194.59 | 8 |
| Scope plantar fasciotomy CPT 29893 | $945.60 | $1,576.00 | $658.75 – $12,272.18 | 8 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $14.88 – $64.89 | 6 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $33.43 – $33.43 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.54 – $111.79 | 6 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.23 – $153.89 | 6 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $168.00 | $280.00 | $26.49 – $92.71 | 6 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $168.00 | $280.00 | $26.58 – $94.68 | 6 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $70.91 | 6 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $33.43 – $33.43 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $340.63 – $3,487.96 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $340.17 – $3,487.96 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $17.72 – $63.18 | 6 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $98.94 | 6 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $45.72 – $162.22 | 6 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $84.28 | 6 |
| Screening Mammogram CPT 77067 | $487.20 | $812.00 | $92.07 – $322.24 | 6 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $33.43 – $33.43 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | $253.80 | $423.00 | $19.31 – $67.58 | 6 |
| Screen pap by tech w md supv HCPCS P3000 | $87.60 | $146.00 | $14.88 – $64.89 | 6 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.95 – $2.95 | 1 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $65.21 – $270.05 | 6 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $907.95 – $5,543.00 | 3 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,389.60 | $7,316.00 | $693.00 – $1,468.00 | 3 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $58.30 – $58.30 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $81.00 | $135.00 | $2.70 – $9.45 | 6 |
| Segmentectomy 32484 CPT 32484 | $2,915.40 | $4,859.00 | $1,609.62 – $5,543.00 | 3 |
| Select picture audiometry CPT 92583 | not published | not published | $47.95 – $221.26 | 6 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.71 – $0.71 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $30.99 – $108.48 | 5 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $13.58 – $13.58 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $10.03 – $10.03 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $22.75 | 6 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.05 – $42.18 | 6 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $30.14 | 6 |
| Sensorimotor examination CPT 92060 | not published | not published | $26.34 – $221.26 | 6 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $40.03 – $140.09 | 6 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $587.61 – $8,917.15 | 8 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $188.89 – $672.00 | 6 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $735.37 – $27,215.63 | 8 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $690.03 – $12,272.18 | 8 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $816.12 – $27,215.63 | 8 |
| Serial casting application 97139app CPT 97139 | not published | not published | $17.70 – $17.70 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $84.35 – $84.35 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.42 – $1.42 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $152.78 | 6 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $23.74 – $23.74 | 1 |
| Set radiation therapy field CPT 77280 | $1,062.60 | $1,771.00 | $144.03 – $504.12 | 6 |
| Set radiation therapy field CPT 77285 | $1,219.20 | $2,032.00 | $401.25 – $1,404.36 | 6 |
| Set radiation therapy field CPT 77290 | $1,607.40 | $2,679.00 | $401.25 – $1,404.36 | 6 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $35.79 – $1,468.00 | 8 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $24.21 – $24.21 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $647.93 – $7,324.02 | 8 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,333.54 – $6,577.10 | 6 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,574.52 – $7,765.20 | 6 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,494.79 – $7,371.00 | 6 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,333.54 – $6,577.10 | 6 |
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.