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 |
|---|---|---|---|---|
| X-ray exam of femur 1 CPT 73551 | $1,043.40 | $1,739.00 | $19.95 – $326.40 | 6 |
| X-ray exam of jaw joint CPT 70328 | $413.40 | $689.00 | $22.44 – $326.40 | 6 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $49.01 – $894.92 | 6 |
| X-ray exam of mastoids CPT 70120 | $592.80 | $988.00 | $25.27 – $392.12 | 6 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $35.91 – $2,049.42 | 6 |
| X-ray exam of penis CPT 74445 | $557.40 | $929.00 | $42.49 – $392.12 | 6 |
| X-ray exam of perineum CPT 74775 | not published | not published | $56.89 – $894.92 | 6 |
| X-ray exam of salivary gland CPT 70380 | $280.80 | $468.00 | $25.27 – $326.40 | 6 |
| X-ray exam of sinuses CPT 70210 | $278.40 | $464.00 | $22.79 – $326.40 | 6 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $37.77 – $894.92 | 6 |
| X-ray exam of teeth CPT 70300 | not published | not published | $8.62 – $326.40 | 6 |
| X-ray exam of teeth CPT 70310 | not published | not published | $29.88 – $894.92 | 6 |
| X-ray exam si joints CPT 72200 | $403.20 | $672.00 | $22.09 – $392.12 | 6 |
| X-ray exam thorac spine4/>vw CPT 72074 | $591.60 | $986.00 | $28.82 – $392.12 | 6 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $376.20 | $627.00 | $21.02 – $326.40 | 6 |
| X-ray facial bones complete > 3 views CPT 70150 | $601.20 | $1,002.00 | $30.23 – $392.12 | 6 |
| X-ray fallopian tube CPT 74742 | $707.40 | $1,179.00 | $58.65 – $58.65 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $985.80 | $1,643.00 | $24.21 – $326.40 | 6 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $460.20 | $767.00 | $26.69 – $326.40 | 6 |
| X-ray foot 2 views (both sides) CPT 73620 | $525.00 | $875.00 | $19.25 – $326.40 | 6 |
| X-ray forearm 2 views (both sides) CPT 73090 | $551.40 | $919.00 | $19.60 – $326.40 | 6 |
| X-ray hand 2 views (both sides) CPT 73120 | $529.80 | $883.00 | $20.66 – $392.12 | 6 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $8.97 – $326.40 | 6 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $510.60 | $851.00 | $18.90 – $326.40 | 6 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $563.40 | $939.00 | $39.45 – $392.12 | 6 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $474.60 | $791.00 | $27.04 – $392.12 | 6 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $556.80 | $928.00 | $34.84 – $392.12 | 6 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $710.40 | $1,184.00 | $42.29 – $392.12 | 6 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $333.00 | $555.00 | $21.38 – $326.40 | 6 |
| X-ray humerus >= 2 views left CPT 73060 | $571.80 | $953.00 | $21.73 – $326.40 | 6 |
| X-ray joint survey 1 view CPT 77077 | $354.00 | $590.00 | $22.44 – $392.12 | 6 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $562.80 | $938.00 | $23.85 – $326.40 | 6 |
| X-ray knee 3 views (both sides) CPT 73562 | $700.20 | $1,167.00 | $27.76 – $326.40 | 6 |
| X-ray knee ap standing bilateral CPT 73565 | $520.80 | $868.00 | $28.46 – $326.40 | 6 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $386.40 | $644.00 | $20.67 – $326.40 | 6 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $489.60 | $816.00 | $31.65 – $392.12 | 6 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $562.80 | $938.00 | $35.19 – $392.12 | 6 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $636.00 | $1,060.00 | $41.57 – $392.12 | 6 |
| X-ray male genital tract CPT 74440 | not published | not published | $68.15 – $894.92 | 6 |
| X-ray mandible complete > 4 views CPT 70110 | $592.80 | $988.00 | $27.40 – $392.12 | 6 |
| X-ray mandible ltd <4 views CPT 70100 | $429.00 | $715.00 | $25.27 – $326.40 | 6 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $21.02 – $21.02 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $411.00 | $685.00 | $25.63 – $326.40 | 6 |
| X-ray neck soft tissue CPT 70360 | $356.40 | $594.00 | $21.73 – $326.40 | 6 |
| X-ray nose to rectum for foreign body child CPT 76010 | $329.40 | $549.00 | $18.18 – $326.40 | 6 |
| X-ray of mammary ducts CPT 77054 | $1,114.20 | $1,857.00 | $52.21 – $894.92 | 6 |
| X-ray optic foramina CPT 70190 | not published | not published | $25.63 – $326.40 | 6 |
| X-ray pelvis 1-2 views CPT 72170 | $453.00 | $755.00 | $24.21 – $392.12 | 6 |
| X-ray pelvis complete > 3 views CPT 72190 | $505.20 | $842.00 | $28.82 – $392.12 | 6 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $976.20 | $1,627.00 | $45.82 – $1,308.51 | 6 |
| X-ray ribs 2 views left CPT 71100 | $432.60 | $721.00 | $23.15 – $326.40 | 6 |
| X-ray ribs 3 views bilateral CPT 71110 | $719.40 | $1,199.00 | $26.34 – $392.12 | 6 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $529.80 | $883.00 | $25.62 – $392.12 | 6 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $885.60 | $1,476.00 | $32.36 – $392.12 | 6 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $455.40 | $759.00 | $25.28 – $392.12 | 6 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $416.40 | $694.00 | $21.73 – $326.40 | 6 |
| X-ray scapula complete (both sides) CPT 73010 | $651.60 | $1,086.00 | $22.79 – $392.12 | 6 |
| X-ray sella turcica CPT 70240 | not published | not published | $21.73 – $326.40 | 6 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $490.20 | $817.00 | $15.71 – $326.40 | 6 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $459.60 | $766.00 | $26.34 – $326.40 | 6 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $579.60 | $966.00 | $30.94 – $2,049.42 | 6 |
| X-ray skull < 4 views CPT 70250 | $415.80 | $693.00 | $25.27 – $392.12 | 6 |
| X-ray skull > 4 views complete CPT 70260 | $579.60 | $966.00 | $29.88 – $392.12 | 6 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $1,292.40 | $2,154.00 | $63.19 – $392.12 | 6 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $787.80 | $1,313.00 | $89.06 – $657.87 | 6 |
| X-ray small intestine follow-through study CPT 74248 | $514.80 | $858.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $381.60 | $636.00 | $15.35 – $326.40 | 6 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $432.60 | $721.00 | $26.34 – $326.40 | 6 |
| X-ray sternum > 2 views CPT 71120 | $460.20 | $767.00 | $21.02 – $326.40 | 6 |
| X-ray surgical specimen CPT 76098 | $690.00 | $1,150.00 | $8.62 – $2,049.42 | 6 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $715.80 | $1,193.00 | $100.40 – $657.87 | 6 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $616.80 | $1,028.00 | $36.97 – $326.40 | 6 |
| X-ray thoracic spine 2 views CPT 72070 | $476.40 | $794.00 | $22.79 – $392.12 | 6 |
| X-ray thoracic spine 3 views CPT 72072 | $547.80 | $913.00 | $25.28 – $392.12 | 6 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $232.20 | $387.00 | $22.44 – $326.40 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $306.00 | $510.00 | $26.69 – $326.40 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $354.60 | $591.00 | $48.66 – $392.12 | 6 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $586.80 | $978.00 | $21.38 – $326.40 | 6 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $452.40 | $754.00 | $22.08 – $326.40 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,098.60 | $1,831.00 | $101.47 – $657.87 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $883.80 | $1,473.00 | $87.29 – $657.87 | 6 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $92.61 – $92.61 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $140.09 – $140.09 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $499.20 | $832.00 | $23.50 – $326.40 | 6 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $590.40 | $984.00 | $58.58 – $657.87 | 6 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $91.02 – $91.02 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | $265.20 | $442.00 | $12.91 – $45.18 | 6 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.06 – $5.22 | 7 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $46.16 | 6 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $51,382.74 – $198,885.92 | 7 |
| Ziconotide injection HCPCS J2278 | not published | not published | $7.44 – $36.62 | 7 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.42 – $5.30 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.42 – $1.42 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $683.40 | $1,139.00 | $51.31 – $179.58 | 6 |
| Zika virus igm antibody CPT 86794 | $455.40 | $759.00 | $16.85 – $58.98 | 6 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.06 – $1.06 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $17.72 – $17.72 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.80 – $30.13 | 7 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $12.40 – $12.40 | 1 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $126.51 – $126.51 | 1 |
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.