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 |
|---|---|---|---|---|
| Unlisted ultrasound procedure CPT 76999 | $556.20 | $927.00 | $93.26 – $326.40 | 5 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $672.23 – $5,538.00 | 8 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $428.40 – $1,499.41 | 5 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,538.00 – $22,674.75 | 8 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,538.00 – $22,674.75 | 8 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $735.47 – $2,574.14 | 5 |
| Upgrade pm system CPT 33214 | $17,573.40 | $29,289.00 | $535.69 – $39,201.93 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,525.00 | $5,875.00 | $258.92 – $1,308.51 | 6 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,343.80 | $5,573.00 | $228.44 – $1,308.51 | 6 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,091.80 | $5,153.00 | $145.76 – $894.92 | 6 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,125.00 | $1,875.00 | $279.33 – $4,932.00 | 8 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,250.40 | $2,084.00 | $372.15 – $4,932.00 | 8 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $333.47 – $1,537.72 | 6 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | $506.40 | $844.00 | $291.22 – $5,543.00 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $365.77 – $4,932.00 | 8 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $699.95 – $22,674.75 | 8 |
| Urea nitrogen CPT 84520 | $83.40 | $139.00 | $3.95 – $13.82 | 6 |
| Urea nitrogen 24 hour urine CPT 84540 | $88.20 | $147.00 | $5.32 – $19.46 | 6 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.09 – $25.20 | 6 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.96 – $17.95 | 6 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $693.00 – $2,030.32 | 3 |
| Ureteral reflux study CPT 78740 | $1,470.60 | $2,451.00 | $195.59 – $1,499.41 | 6 |
| Ureter endoscopy CPT 50970 | not published | not published | $410.75 – $13,221.02 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $465.19 – $20,110.30 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $525.02 – $20,110.30 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $397.45 – $13,221.02 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $469.33 – $20,110.30 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $422.78 – $20,110.30 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $518.12 – $20,110.30 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $395.09 – $20,110.30 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,224.05 – $5,543.00 | 3 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,252.16 – $5,543.00 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $898.20 | $1,497.00 | $56.53 – $894.92 | 6 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $820.55 – $13,221.02 | 8 |
| Urethrocystography void s&i CPT 74455 | $887.40 | $1,479.00 | $73.82 – $894.92 | 6 |
| Uric acid blood CPT 84550 | $88.20 | $147.00 | $4.52 – $15.82 | 6 |
| Uric acid urine CPT 84560 | $88.20 | $147.00 | $5.08 – $17.78 | 6 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.61 – $16.45 | 6 |
| Urinalysis microscopic only CPT 81015 | $99.00 | $165.00 | $3.05 – $10.68 | 6 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $99.00 | $165.00 | $2.17 – $7.60 | 6 |
| Urinalysis (with microscopy) CPT 81001 | $89.40 | $149.00 | $3.17 – $11.10 | 6 |
| Urinalysis (without microscopy) CPT 81003 | $75.60 | $126.00 | $2.25 – $7.88 | 6 |
| Urinary bldr retent nuc study CPT 78730 | $452.40 | $754.00 | $70.63 – $70.63 | 1 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.19 – $3.19 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $5.67 – $5.67 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $63.22 – $1,468.00 | 8 |
| Urinary suspensory HCPCS A5105 | not published | not published | $39.34 – $39.34 | 1 |
| Urine Culture Test CPT 87086 | $80.40 | $134.00 | $8.07 – $28.24 | 6 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $5.78 – $1,468.00 | 8 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $6.38 – $6.38 | 1 |
| Urine pregnancy test CPT 81025 | $155.40 | $259.00 | $8.51 – $30.14 | 6 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.41 – $104.93 | 6 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,350.18 – $5,543.00 | 3 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2.84 – $2.84 | 1 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $64.85 – $64.85 | 1 |
| Urography, antegrade CPT 74425 | $886.80 | $1,478.00 | $48.62 – $1,308.51 | 6 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $96.50 – $657.87 | 6 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $445.09 – $445.09 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $66.38 – $392.12 | 6 |
| User adjustable heel height HCPCS L5990 | not published | not published | $1,585.51 – $7,818.54 | 6 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.62 – $40.68 | 7 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $181.09 – $251.44 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $13,758.17 – $48,153.59 | 5 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $266.72 – $266.72 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $242.65 – $242.65 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $257.24 – $257.24 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $144.84 – $144.84 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $108.16 – $108.16 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $19.85 – $19.85 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $58.12 – $58.12 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $5,538.00 – $5,538.00 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $59.18 – $59.18 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $22.33 – $22.33 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $21.26 – $21.26 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $57.41 – $57.41 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $72.65 – $72.65 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $26.22 – $26.22 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $27.64 – $27.64 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $39.69 – $124.00 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $64.14 – $116.13 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $129.00 – $292.97 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $25.87 – $52.26 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $100.29 – $100.29 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $52.45 – $137.76 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $53.87 – $137.76 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $12.05 – $36.07 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $19.49 – $36.88 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $17.36 – $17.36 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $21.62 – $21.62 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $18.78 – $18.78 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.21 – $9.21 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $26.32 – $50.14 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $52.45 – $52.45 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $21.59 – $60.80 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $12.05 – $18.03 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $75.13 – $75.13 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $39.69 – $39.69 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $105.61 – $105.61 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $105.96 – $220.23 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $201.64 – $425.68 | 2 |
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.