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 |
|---|---|---|---|---|
| Team conf without pat by hc pro CPT 99368 | not published | not published | $39.55 – $39.55 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $60.92 – $60.92 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $46.00 – $46.00 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $222.49 – $778.73 | 6 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $840.06 – $2,940.22 | 5 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $840.06 – $2,940.22 | 5 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $44.65 – $197.33 | 6 |
| Telavancin injection HCPCS J3095 | not published | not published | $5.32 – $24.61 | 7 |
| Telehealth original site facility fee HCPCS Q3014 | $58.80 | $98.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $3,606.60 | $6,011.00 | $138.54 – $1,404.36 | 6 |
| Telethx isodose plan simple CPT 77306 | $3,606.60 | $6,011.00 | $76.77 – $1,404.36 | 6 |
| Temozolomide HCPCS J8700 | not published | not published | $0.71 – $0.71 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.28 – $36.40 | 7 |
| Temperature gradient studies CPT 93740 | not published | not published | $1.51 – $482.61 | 6 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $1,423.30 – $1,423.30 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.08 – $105.27 | 7 |
| Tendon lengthening CPT 26476 | not published | not published | $622.56 – $12,272.18 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $626.55 – $12,272.18 | 8 |
| Tendon shortening CPT 26477 | not published | not published | $606.98 – $12,272.18 | 8 |
| Tendon transfer with graft CPT 26492 | not published | not published | $939.23 – $12,272.18 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $119.78 – $691.04 | 7 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $234.60 – $234.60 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $666.11 – $27,215.63 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $595.14 – $12,272.18 | 8 |
| Tenolysis triceps CPT 24332 | not published | not published | $668.60 – $12,272.18 | 8 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $846.48 – $27,215.63 | 8 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $556.36 – $6,031.04 | 8 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $789.52 – $17,033.00 | 8 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $486.68 – $12,272.18 | 8 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $3,886.80 | $6,478.00 | $410.86 – $6,031.04 | 8 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $2,791.48 – $13,767.11 | 6 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $8.86 – $8.86 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $2.48 – $2.48 | 1 |
| Teriparatide injection HCPCS J3110 | not published | not published | $8.51 – $8.51 | 1 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $3,572.54 – $17,619.42 | 6 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $2,759.58 – $13,606.60 | 6 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,178.32 – $5,992.74 | 6 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $813.66 – $4,222.47 | 6 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,250.97 – $6,387.68 | 6 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $339.50 – $1,805.68 | 6 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $330.99 – $1,652.91 | 6 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $316.11 – $1,507.45 | 6 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $181.44 – $878.71 | 6 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $569.49 – $2,909.72 | 6 |
| Tert gene targeted seq alys CPT 81345 | $2,344.80 | $3,908.00 | $182.15 – $648.20 | 6 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $21.04 | 6 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.67 – $20.37 | 6 |
| Test for urine cystines CPT 82615 | not published | not published | $9.21 – $33.43 | 6 |
| Testicular imaging w/vasc flow CPT 78761 | $908.40 | $1,514.00 | $180.00 – $1,499.41 | 6 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $180.74 | 6 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.42 – $7.46 | 7 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $63.22 – $221.26 | 5 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $249.49 – $1,465.48 | 6 |
| Test socket above knee HCPCS L5624 | not published | not published | $353.67 – $1,720.64 | 6 |
| Test socket below knee HCPCS L5620 | not published | not published | $270.39 – $1,277.64 | 6 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $469.56 – $2,758.38 | 6 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $463.89 – $2,723.94 | 6 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $352.61 – $1,721.26 | 6 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $339.14 – $1,991.43 | 6 |
| Test socket symes HCPCS L5618 | not published | not published | $273.58 – $1,440.00 | 6 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $225.74 – $1,325.48 | 6 |
| Test stress cardiovascular tracing only CPT 93017 | $951.60 | $1,586.00 | $34.13 – $809.86 | 6 |
| Test urine for lactose CPT 83633 | not published | not published | $10.99 – $39.38 | 6 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.11 – $46.76 | 6 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.25 – $15.64 | 6 |
| Tetanus ig im CPT 90389 | not published | not published | $85.76 – $85.76 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $411.79 – $1,953.41 | 7 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.58 – $61.54 | 6 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $134.67 – $479.50 | 6 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $2,658.36 | 5 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $7,031.40 | $11,719.00 | $2,919.60 – $10,218.60 | 5 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $2,092.68 | 5 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $182.57 – $639.00 | 5 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $182.57 – $639.00 | 5 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $182.57 – $639.00 | 5 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $55.84 – $195.45 | 5 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $33.12 – $1,654.70 | 8 |
| Theophylline therapeutic drug level CPT 80198 | $184.80 | $308.00 | $14.14 – $49.49 | 6 |
| Therapeutic procd strg endur HCPCS G0237 | $101.40 | $169.00 | $9.68 – $108.48 | 6 |
| Therapeutic pulpotomy HCPCS D3220 | not published | not published | $68.87 – $2,424.76 | 6 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $100.80 | $168.00 | $25.85 – $90.48 | 6 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $100.80 | $168.00 | $22.59 – $79.06 | 6 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $124.15 – $1,468.00 | 8 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $127.65 – $12,435.18 | 8 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $891.00 | $1,485.00 | $130.17 – $657.87 | 6 |
| Ther/proph/diag inj ia CPT 96373 | $161.40 | $269.00 | $19.42 – $797.78 | 6 |
| Ther radiology tx plng cplx CPT 77263 | $1,613.40 | $2,689.00 | $181.77 – $181.77 | 1 |
| Ther radiology tx plng intrm CPT 77262 | $1,249.80 | $2,083.00 | $116.25 – $116.25 | 1 |
| Ther radiology tx plng smpl CPT 77261 | $883.20 | $1,472.00 | $77.00 – $77.00 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $2.84 – $2.84 | 1 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $4.96 – $4.96 | 1 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $262.24 – $1,463.56 | 6 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $385.92 – $1,951.95 | 6 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $214.40 – $1,031.56 | 6 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $288.11 – $1,346.03 | 6 |
| Thiotepa injection HCPCS J9340 | not published | not published | $98.52 – $404.33 | 2 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,701.95 – $5,543.00 | 3 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,735.99 – $5,543.00 | 3 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $142.82 – $629.37 | 6 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $155.57 – $686.07 | 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.