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 |
|---|---|---|---|---|
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $4,185.40 | 5 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $11,509.78 | 5 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $3,662.22 | 5 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.19 – $3.19 | 1 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $7.09 – $7.09 | 1 |
| Somatosensory testing CPT 95927 | $857.40 | $1,429.00 | $105.23 – $809.86 | 6 |
| Somatropin injection HCPCS J2941 | not published | not published | $47.49 – $80.72 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $10,463.43 | 5 |
| So neo gsap dna mcrstl ins CPT 81457 | $8,353.80 | $13,923.00 | $896.87 – $3,139.04 | 5 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $37.59 – $37.59 | 1 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $139.27 – $687.08 | 6 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $12.05 – $12.05 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $189.90 – $6,223.00 | 3 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $211.28 – $6,223.00 | 3 |
| Sp bone algrft morsel add-on CPT 20930 | $147.60 | $246.00 | $131.59 – $1,468.00 | 3 |
| Special casting material HCPCS A4590 | not published | not published | $27.64 – $27.64 | 1 |
| Special physics consult CPT 77370 | $1,071.60 | $1,786.00 | $126.08 – $504.12 | 6 |
| Special pump services CPT 99190 | $838.80 | $1,398.00 | $449.87 – $449.87 | 1 |
| Special pump services CPT 99191 | $587.40 | $979.00 | $314.51 – $314.51 | 1 |
| Special pump services CPT 99192 | $336.60 | $561.00 | $224.52 – $224.52 | 1 |
| Special radiation dosimetry CPT 77331 | $473.40 | $789.00 | $19.25 – $504.12 | 6 |
| Special radiation treatment CPT 77470 | $2,753.40 | $4,589.00 | $25.63 – $2,072.40 | 6 |
| Special supplies phys/qhp CPT 99070 | not published | not published | $5,538.00 – $5,538.00 | 1 |
| Special teletx port plan CPT 77321 | $3,606.60 | $6,011.00 | $44.05 – $1,404.36 | 6 |
| Specific gravity body fluid CPT 84315 | $91.80 | $153.00 | $3.19 – $11.48 | 6 |
| Specimen fat stain CPT 89125 | not published | not published | $5.67 – $20.58 | 6 |
| Speech audiometry complete CPT 92556 | not published | not published | $38.03 – $221.26 | 6 |
| Speech evaluation complex CPT 70371 | $898.20 | $1,497.00 | $55.40 – $894.92 | 6 |
| Speech recep thresh CPT 92555 | not published | not published | $24.21 – $221.26 | 6 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $37.34 | 6 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $68.56 | 6 |
| Sperm identification CPT 89257 | not published | not published | $55.84 – $195.45 | 5 |
| Sperm isolation complex CPT 89261 | not published | not published | $55.84 – $1,068.93 | 6 |
| Sperm isolation simple CPT 89260 | not published | not published | $55.84 – $1,069.99 | 6 |
| Sperm washing 58323 CPT 58323 | not published | not published | $16.29 – $1,468.00 | 8 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $694.45 – $22,203.30 | 8 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $822.70 – $10,410.57 | 8 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $127.87 – $1,468.00 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $139.29 – $6,223.00 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,692.00 | $2,820.00 | $756.44 – $2,933.00 | 7 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $7,391.00 – $48,153.59 | 7 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $153.48 – $809.86 | 6 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $691.80 | $1,153.00 | $46.53 – $1,399.59 | 6 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $94.69 – $482.61 | 6 |
| Spleen imaging CPT 78185 | not published | not published | $155.91 – $1,499.41 | 6 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,297.07 – $5,543.00 | 3 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,621.92 – $5,543.00 | 3 |
| Splicing of ureters CPT 50770 | not published | not published | $1,273.89 – $5,543.00 | 3 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $291.60 | $486.00 | $352.97 – $1,983.76 | 6 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $85.20 | $142.00 | $43.94 – $257.14 | 6 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $12.40 – $12.40 | 1 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $77.61 – $378.14 | 6 |
| Splint finger frog med HCPCS L3927 | $24.00 | $40.00 | $27.64 – $137.02 | 6 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $1.77 – $1.77 | 1 |
| Splint func pos polyflex ii med HCPCS L3999 | $307.80 | $513.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $585.60 | $976.00 | $77.61 – $378.14 | 6 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,533.60 | $7,556.00 | $911.45 – $13,291.33 | 8 |
| Split blood or products CPT 86985 | not published | not published | $26.22 – $639.00 | 6 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $70.17 – $411.46 | 6 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $4,533.60 | $7,556.00 | $221.45 – $1,468.00 | 3 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $16.61 – $16.61 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $353.96 – $1,468.00 | 7 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $623.71 – $3,074.86 | 6 |
| Sputum specimen collection CPT 89220 | not published | not published | $16.41 – $639.00 | 6 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $418.88 – $14,512.17 | 7 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,588.20 – $17,033.00 | 3 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,160.75 – $17,033.00 | 3 |
| Srs cran les complex addl CPT 61799 | not published | not published | $355.21 – $4,932.00 | 3 |
| Srs cran les simple addl CPT 61797 | not published | not published | $256.22 – $4,932.00 | 3 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $613.90 | 5 |
| Srs linear based CPT 77372 | $19,326.00 | $32,210.00 | $1,073.44 – $27,624.74 | 6 |
| Srs multisource CPT 77371 | $40,143.60 | $66,906.00 | $1,241.44 – $27,624.74 | 6 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,285.39 – $17,033.00 | 3 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $295.96 – $4,932.00 | 3 |
| Staggered spondaic word test CPT 92572 | not published | not published | $43.10 – $482.61 | 6 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,091.72 – $1,091.72 | 1 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $209.44 – $1,231.30 | 6 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $358.20 | $597.00 | $94.42 – $391.93 | 6 |
| Stance phase only HCPCS L5858 | not published | not published | $16,241.39 – $80,097.68 | 6 |
| Standard control cable extra HCPCS L6655 | not published | not published | $73.00 – $330.19 | 6 |
| Staph a dna amp probe CPT 87640 | $236.40 | $394.00 | $35.09 – $122.82 | 6 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $146.01 – $721.80 | 6 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $44.30 – $44.30 | 1 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $44.30 – $44.30 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $280.20 | $467.00 | $100.65 – $352.28 | 6 |
| Stem cells total count CPT 86367 | not published | not published | $76.55 – $272.23 | 6 |
| Stenger test pure tone CPT 92565 | not published | not published | $15.35 – $221.26 | 6 |
| Stenger test speech CPT 92577 | not published | not published | $13.93 – $1,399.59 | 6 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $10,672.00 – $23,867.00 | 3 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $4,266.30 – $21,651.00 | 3 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $2,242.21 – $17,033.00 | 3 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,227.33 – $5,543.00 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $5,538.00 – $21,651.00 | 3 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $55.39 – $55.39 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,621.07 – $5,543.00 | 3 |
| Stereotactic radiation trmt CPT 77432 | $1,478.40 | $2,464.00 | $458.12 – $458.12 | 1 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.35 – $0.35 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.35 – $0.35 | 1 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $3.19 – $3.19 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $589.46 – $17,033.00 | 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.