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 |
|---|---|---|---|---|
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,121.41 – $5,543.00 | 3 |
| Suspension of testis CPT 54620 | not published | not published | $329.52 – $13,221.02 | 8 |
| Suspension of uterus CPT 58410 | not published | not published | $868.69 – $5,543.00 | 3 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $481.62 – $6,223.00 | 3 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $102.42 – $525.00 | 6 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,190.39 – $5,543.00 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,537.83 – $5,543.00 | 3 |
| Svc venogram s&i CPT 75827 | $2,676.60 | $4,461.00 | $78.79 – $5,904.13 | 6 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.95 – $195.45 | 6 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,034.51 – $10,872.82 | 6 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $2,686.23 – $14,557.06 | 6 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $247.71 – $1,109.19 | 6 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $295.91 – $1,451.17 | 6 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $215.82 – $1,160.39 | 6 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $436.60 – $2,366.04 | 6 |
| Sympathectomy cervical CPT 64802 | not published | not published | $942.77 – $7,324.02 | 8 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $781.48 – $7,324.02 | 8 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $860.30 – $5,543.00 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $865.71 – $12,272.18 | 8 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,204.11 – $5,543.00 | 3 |
| Synch audio-only est high 40 CPT 98015 | $160.20 | $267.00 | not published | 0 |
| Synch audio-only est low 20 CPT 98013 | $73.20 | $122.00 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | $108.60 | $181.00 | not published | 0 |
| Synch audio-only est sf 10 CPT 98012 | $40.20 | $67.00 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | $196.20 | $327.00 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | $94.80 | $158.00 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $150.00 | $250.00 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | $54.60 | $91.00 | not published | 0 |
| Synthetic sentence id test CPT 92576 | not published | not published | $36.61 – $140.09 | 6 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.96 – $24.37 | 7 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $76.80 | $128.00 | $4.40 – $15.40 | 6 |
| T3 (triiodothyronine) free CPT 84481 | $235.80 | $393.00 | $16.94 – $59.29 | 6 |
| T3 (triiodothyronine) total CPT 84480 | $208.80 | $348.00 | $14.18 – $49.63 | 6 |
| T4 (thyroxine) free CPT 84439 | $137.40 | $229.00 | $9.02 – $31.57 | 6 |
| T4 (thyroxine) total CPT 84436 | $123.60 | $206.00 | $6.87 – $24.04 | 6 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.35 – $0.35 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.42 – $1.42 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.71 – $0.71 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $202.71 – $909.85 | 7 |
| Tacrolimus therapeutic drug level CPT 80197 | $509.40 | $849.00 | $13.73 – $48.06 | 6 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.17 – $49.58 | 6 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,471.03 – $5,543.00 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,274.20 – $5,543.00 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,362.29 – $5,543.00 | 3 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $49.26 – $258.80 | 7 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $74.88 – $262.07 | 6 |
| Talymed HCPCS Q4127 | not published | not published | $133.36 – $5,538.00 | 6 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $1.77 – $1.77 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $242.85 – $1,468.00 | 3 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $165.08 – $1,468.00 | 3 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.35 – $0.35 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $5,075.40 | $8,459.00 | $747.04 – $2,658.36 | 6 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,592.80 | $5,988.00 | $2,870.86 – $10,218.60 | 6 |
| Target gsa panel organ neop CPT 81445 | $3,100.80 | $5,168.00 | $587.92 – $2,092.68 | 6 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,567.72 – $5,487.01 | 6 |
| Tas congenital car anomal CPT 33741 | $6,990.00 | $11,650.00 | $5,243.00 – $5,543.00 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $216.33 – $2,772.01 | 8 |
| Tavr perq femoral CPT 33361 | $38,387.40 | $63,979.00 | $1,542.68 – $5,543.00 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.25 – $0.86 | 7 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $134.67 – $479.50 | 6 |
| Tbs techl calculation only CPT 77091 | not published | not published | $93.26 – $326.40 | 5 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $93.26 – $326.40 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $98.16 – $350.00 | 6 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $294.60 | $491.00 | $61.98 – $216.93 | 6 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $475.23 – $475.23 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,212.70 – $1,335.69 | 2 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $411.79 – $2,714.32 | 7 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $757.67 – $757.67 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $68.04 – $68.04 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $3,269.46 | 7 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $1,323.86 – $1,533.06 | 2 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $1,150.10 | 6 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $102.77 – $102.77 | 1 |
| Tc-99m maa HCPCS A9540 | not published | not published | $24.45 – $24.45 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $60.60 – $60.60 | 1 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $16.30 – $16.30 | 1 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $765.47 – $765.47 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $9.90 – $9.90 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $48.90 – $48.90 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $29.06 – $29.06 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $22.33 – $22.33 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $13.47 – $13.47 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $37.92 – $37.92 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $114.47 – $114.47 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $540.43 – $2,309.75 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $58.83 – $58.83 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $109.15 – $109.15 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $583.63 – $2,772.01 | 8 |
| Tcd emboli detect w/inj CPT 93893 | $611.40 | $1,019.00 | $112.03 – $392.12 | 6 |
| Tcd emboli detect without inj CPT 93892 | $568.80 | $948.00 | $112.03 – $392.12 | 6 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $225.61 – $225.61 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $92.41 – $1,654.70 | 8 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $337.80 | $563.00 | $46.98 – $164.43 | 6 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $26.78 – $93.73 | 6 |
| T cells total count CPT 86359 | $202.80 | $338.00 | $37.73 – $132.05 | 6 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $160.36 – $809.86 | 6 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $231.39 – $809.86 | 6 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $227.18 – $809.86 | 6 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $520.98 – $5,543.00 | 3 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,171.64 – $5,543.00 | 3 |
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.