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 |
|---|---|---|---|---|
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $23,000.40 | $38,334.00 | $3,625.00 – $43,298.39 | 8 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $6,270.00 | $10,450.00 | $1,567.25 – $11,842.65 | 8 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $3,460.20 | $5,767.00 | $436.29 – $20,870.52 | 8 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $2,005.80 | $3,343.00 | $262.09 – $11,842.65 | 8 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,005.80 | $3,343.00 | $138.64 – $11,842.65 | 8 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,028.60 | $3,381.00 | $380.85 – $11,842.65 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,154.06 – $13,291.33 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $243.57 – $1,468.00 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $4,918.80 | $8,198.00 | $827.30 – $7,738.67 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $1,689.60 | $2,816.00 | $1,074.70 – $7,738.67 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $1,431.00 | $2,385.00 | $925.93 – $7,738.67 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $1,239.00 | $2,065.00 | $854.40 – $7,738.67 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $1,102.80 | $1,838.00 | $663.29 – $7,738.67 | 8 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $2,242.56 | 5 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $11,340.00 | 5 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,169.87 – $5,543.00 | 3 |
| Troponin quantitative CPT 84484 | $307.80 | $513.00 | $12.40 – $43.64 | 6 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $589.39 – $2,933.00 | 8 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,870.78 – $13,221.02 | 8 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $52.09 – $265.65 | 6 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $47.84 – $211.54 | 6 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $129.70 – $640.32 | 6 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $81.86 – $361.48 | 6 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,952.60 | $4,921.00 | $840.06 – $2,940.22 | 5 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $840.06 – $2,940.22 | 5 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $840.06 – $2,940.22 | 5 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $840.06 – $2,940.22 | 5 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $392.12 – $22,674.75 | 8 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $10.99 – $10.99 | 1 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $45.36 – $45.36 | 1 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $6.38 – $6.38 | 1 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $45.72 – $45.72 | 1 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.35 – $0.35 | 1 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.06 – $1.06 | 1 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $83.10 – $1,654.70 | 8 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,245.09 – $27,812.82 | 8 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,138.92 – $6,223.00 | 3 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $387.70 – $2,203.92 | 6 |
| Tx atrial fib pulm vein isol CPT 93656 | $15,455.40 | $25,759.00 | $1,271.85 – $98,034.35 | 8 |
| Tx closed distal humerus fx CPT 24999 | $2,739.60 | $4,566.00 | $264.33 – $1,468.00 | 8 |
| Tx closed hip disl traumatic without anes CPT 27250 | $550.80 | $918.00 | $201.61 – $1,468.00 | 8 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,531.80 | $7,553.00 | $667.56 – $12,272.18 | 8 |
| Tx closed tib shaft fx without manip CPT 27750 | $541.20 | $902.00 | $264.33 – $1,468.00 | 8 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $165.52 – $2,933.00 | 8 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $105.06 – $2,772.01 | 8 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,043.28 – $5,543.00 | 3 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $988.02 – $5,543.00 | 3 |
| Tx l/r atrial fib addl CPT 93657 | $12,295.20 | $20,492.00 | $481.54 – $1,468.00 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $1,172.40 | $1,954.00 | $806.81 – $12,272.18 | 8 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $10,027.80 | $16,713.00 | $539.83 – $12,272.18 | 8 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $4,040.40 | $6,734.00 | $590.95 – $12,272.18 | 8 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $494.82 – $12,435.18 | 8 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $684.22 – $12,272.18 | 8 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $1,065.00 | $1,775.00 | $644.33 – $12,272.18 | 8 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $491.61 – $5,543.00 | 3 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $451.20 | $752.00 | $225.17 – $1,468.00 | 8 |
| Tympanic membrane repair CPT 69610 | not published | not published | $404.89 – $5,819.47 | 8 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $575.03 – $12,435.18 | 8 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $23.29 – $809.86 | 6 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $208.40 – $2,022.84 | 8 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,489.26 – $22,203.30 | 8 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,320.10 – $22,203.30 | 8 |
| Tyms gene com variants CPT 81346 | not published | not published | $171.88 – $611.84 | 6 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $30.48 – $30.48 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $676.38 | 5 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.90 – $14.07 | 6 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.75 – $240.61 | 6 |
| Ue triple control harness HCPCS L6677 | not published | not published | $259.41 – $1,278.41 | 6 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $229.99 – $819.00 | 6 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $608.40 | $1,014.00 | $85.88 – $392.12 | 6 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $4.72 – $392.12 | 6 |
| Ultrasound breast complete CPT 76641 | $376.20 | $627.00 | $70.28 – $392.12 | 6 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $376.20 | $627.00 | $53.27 – $326.40 | 6 |
| Ultrasound chest CPT 76604 | $836.40 | $1,394.00 | $61.77 – $392.12 | 6 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $687.00 | $1,145.00 | $22.08 – $392.12 | 6 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $26.34 – $392.12 | 6 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $33.67 – $33.67 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $77.72 – $392.12 | 6 |
| Ultrasound encephalogram CPT 76506 | $737.40 | $1,229.00 | $83.40 – $392.12 | 6 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $70.64 – $70.64 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,205.40 | $2,009.00 | $112.03 – $392.12 | 6 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $727.20 | $1,212.00 | $49.73 – $392.12 | 6 |
| Ultrasound guidance for vascular access CPT 76937 | $556.20 | $927.00 | $19.49 – $19.49 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,170.60 | $1,951.00 | $24.91 – $24.91 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $1,473.60 | $2,456.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $64.80 – $64.80 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $264.00 | $440.00 | $93.26 – $326.40 | 6 |
| Ultrasound infant hips ltd without stress CPT 76886 | $319.80 | $533.00 | $73.83 – $326.40 | 6 |
| Ultrasound joint complete left CPT 76881 | $1,414.80 | $2,358.00 | $57.16 – $392.12 | 6 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $865.20 | $1,442.00 | $32.72 – $392.12 | 6 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $112.03 – $392.12 | 5 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $599.40 | $999.00 | $42.53 – $42.53 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $523.20 | $872.00 | $21.61 – $21.61 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,011.60 | $1,686.00 | $83.50 – $894.92 | 6 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $786.60 | $1,311.00 | $70.63 – $392.12 | 6 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $347.40 | $579.00 | $51.50 – $392.12 | 6 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $650.40 | $1,084.00 | $58.59 – $392.12 | 6 |
| Ultrasound prostate/transrectal CPT 76872 | $1,205.40 | $2,009.00 | $94.74 – $392.12 | 6 |
| Ultrasound retroperitoneal limited CPT 76775 | $841.20 | $1,402.00 | $29.52 – $392.12 | 6 |
| Ultrasound scrotum and contents CPT 76870 | $955.80 | $1,593.00 | $73.12 – $392.12 | 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.