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 |
|---|---|---|---|---|
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $5,243.00 – $5,543.00 | 2 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $180.73 – $1,468.00 | 3 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $200.61 – $1,468.00 | 3 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $133.86 – $1,468.00 | 3 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $165.11 – $1,468.00 | 3 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $196.12 – $686.42 | 6 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $11.10 – $11.10 | 1 |
| Tissue culture placenta CPT 88235 | $1,759.80 | $2,933.00 | $150.30 – $526.05 | 6 |
| Tissue culture skin/biopsy CPT 88233 | $1,627.20 | $2,712.00 | $140.73 – $492.55 | 6 |
| Tissue culture tumor CPT 88239 | $3,951.60 | $6,586.00 | $147.52 – $516.32 | 6 |
| Tissue exam koh skin/hair/nails CPT 87220 | $119.40 | $199.00 | $4.27 – $14.94 | 6 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $133.36 – $5,538.00 | 6 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $11.53 – $40.35 | 5 |
| Tixagev and cilgav inj HCPCS M0220 | $94.80 | $158.00 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $33.31 – $33.31 | 1 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $856.43 – $39,868.95 | 8 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,125.36 – $39,868.95 | 8 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $990.87 – $39,868.95 | 8 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,344.95 – $39,868.95 | 8 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $777.87 – $3,836.21 | 6 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $669.78 – $3,303.44 | 6 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $875.68 – $4,317.88 | 6 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,089.02 – $5,370.64 | 6 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $434.83 – $2,151.06 | 6 |
| Tlso corset front HCPCS L0970 | not published | not published | $104.19 – $459.69 | 6 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $228.66 – $800.31 | 6 |
| Tlso full corset HCPCS L0974 | not published | not published | $163.37 – $751.66 | 6 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $340.92 – $1,631.91 | 6 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $256.45 – $897.58 | 6 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $418.53 – $2,045.19 | 6 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $326.76 – $1,143.66 | 6 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $581.90 – $2,830.06 | 6 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,415.76 – $7,257.21 | 6 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $875.68 – $4,317.88 | 6 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $1,622.37 – $7,837.44 | 6 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,299.88 – $6,497.02 | 6 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $246.65 – $1,216.74 | 6 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $302.64 – $1,491.77 | 6 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | $3,382.80 | $5,638.00 | $2,688.36 – $5,543.00 | 3 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | $3,469.20 | $5,782.00 | $2,761.95 – $5,543.00 | 3 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $506.75 – $12,272.18 | 8 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $63.43 – $63.43 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $2.84 – $2.84 | 1 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $38.98 – $38.98 | 1 |
| Tobramycin peak therapeutic drug level CPT 80200 | $235.20 | $392.00 | $16.13 – $56.46 | 6 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $4.96 – $19.36 | 7 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $12.49 – $12.49 | 1 |
| Toe joint transfer CPT 26556 | not published | not published | $3,731.71 – $27,215.63 | 8 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $52.80 | $88.00 | $13.04 – $45.64 | 6 |
| Tomosynthesis breast screen bilateral CPT 77063 | $47.40 | $79.00 | $21.51 – $75.29 | 6 |
| Tone decay hearing test CPT 92563 | not published | not published | $30.94 – $140.09 | 6 |
| Tongue and neck surgery CPT 41135 | not published | not published | $2,374.74 – $5,543.00 | 3 |
| Tongue base vol reduction CPT 41530 | not published | not published | $988.82 – $12,435.18 | 8 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $185.06 – $12,435.18 | 8 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $3,303.99 – $5,543.00 | 3 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,393.01 – $5,543.00 | 3 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,599.12 – $5,543.00 | 3 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $3,007.90 – $5,543.00 | 3 |
| Tongue suspension CPT 41512 | not published | not published | $703.46 – $22,203.30 | 8 |
| Tongue to lip surgery CPT 41510 | not published | not published | $477.59 – $12,435.18 | 8 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $271.75 – $12,435.18 | 8 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $282.68 – $22,203.30 | 8 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.06 – $1.06 | 1 |
| Topotecan oral HCPCS J8705 | not published | not published | $101.71 – $438.28 | 6 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.99 – $139.98 | 6 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $103.13 – $529.27 | 6 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $112.34 – $555.10 | 6 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,530.67 – $5,543.00 | 3 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,848.92 – $48,153.59 | 8 |
| Total Hip Replacement CPT 27130 | $3,140.40 | $5,234.00 | $1,494.92 – $48,153.59 | 8 |
| Total hysterectomy CPT 58150 | not published | not published | $1,116.08 – $6,223.00 | 3 |
| Total Knee Replacement CPT 27447 | $3,145.80 | $5,243.00 | $1,494.21 – $48,153.59 | 8 |
| Total lung lavage CPT 32997 | not published | not published | $377.56 – $4,932.00 | 3 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,622.48 – $2,622.48 | 1 |
| Total tau CPT 84394 | $339.00 | $565.00 | $128.92 – $451.22 | 5 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $474.87 – $2,091.81 | 6 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,848.25 – $65,763.48 | 8 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,942.39 – $65,763.48 | 8 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $5,243.00 – $5,543.00 | 2 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $583.86 – $1,468.00 | 3 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $3,364.96 – $5,543.00 | 3 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $195.62 | 6 |
| Toxoplasma antibody igg CPT 86777 | $176.40 | $294.00 | $14.39 – $50.36 | 6 |
| Toxoplasma antibody igm CPT 86778 | $151.80 | $253.00 | $14.41 – $50.44 | 6 |
| Tp53 gene full gene sequence CPT 81351 | $673.80 | $1,123.00 | $641.85 – $2,246.48 | 5 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $1,078.00 | 5 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,009.80 | $1,683.00 | $329.51 – $1,153.28 | 5 |
| Tpmt gene com vrnts CPT 81335 | $1,098.60 | $1,831.00 | $171.88 – $611.84 | 6 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $267.74 – $1,468.00 | 7 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $9,598.00 – $49,484.24 | 7 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,777.44 – $13,221.02 | 7 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $5,243.00 – $35,505.53 | 7 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $3,509.22 – $20,110.30 | 8 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $295.56 – $1,368.74 | 7 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $260.24 – $2,933.00 | 8 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $6.73 – $6.73 | 1 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $380.42 – $18,762.51 | 8 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,701.00 | $2,835.00 | $179.70 – $2,022.84 | 8 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $3,197.90 – $5,543.00 | 3 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,536.95 – $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.