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 |
|---|---|---|---|---|
| Chloride 24 hour urine CPT 82436 | $94.20 | $157.00 | $5.67 – $20.12 | 6 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.99 – $0.99 | 1 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $71.94 – $71.94 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $29.77 – $29.77 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $1,005.00 | $1,675.00 | $353.96 – $1,238.87 | 6 |
| Cholangiogram percutaneous compl CPT 47532 | $2,073.60 | $3,456.00 | $840.97 – $13,428.88 | 8 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $869.40 | $1,449.00 | $34.93 – $34.93 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,421.74 – $5,543.00 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,261.71 – $5,543.00 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,290.58 – $5,543.00 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,757.00 | $4,595.00 | $358.34 – $13,428.88 | 8 |
| Cholesterol CPT 82465 | $88.20 | $147.00 | $4.35 – $15.22 | 6 |
| Cholesterol body fluid CPT 84999 | $257.40 | $429.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $162.60 | $271.00 | $13.39 – $46.86 | 6 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,516.43 – $8,807.50 | 6 |
| Cholinesterase CPT 82480 | $260.40 | $434.00 | $7.87 – $27.54 | 6 |
| Cholinesterase challenge CPT 95857 | $385.20 | $642.00 | $56.68 – $809.86 | 6 |
| Chorion biopsy CPT 59015 | not published | not published | $171.52 – $3,454.55 | 8 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $22.33 – $22.33 | 1 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | not published | not published | $88.10 – $88.10 | 1 |
| Chrom analysis CPT 88273 | $568.80 | $948.00 | $34.81 – $121.84 | 6 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $38.27 – $136.50 | 6 |
| Chromatography CPT 83021 | $695.40 | $1,159.00 | $18.06 – $63.21 | 6 |
| Chromogenic substrate assay CPT 85130 | $855.60 | $1,426.00 | $11.89 – $41.62 | 6 |
| Chromo high res and frag x - sendout CPT 81243 | $1,056.60 | $1,761.00 | $55.99 – $199.64 | 6 |
| Chromosome analys amniotic CPT 88269 | $1,118.40 | $1,864.00 | $173.66 – $607.81 | 6 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $606.09 | 6 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,567.20 | $2,612.00 | $125.49 – $439.22 | 6 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $606.09 | 6 |
| Chromosome analysis 45 CPT 88263 | $852.60 | $1,421.00 | $150.29 – $526.02 | 6 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $259.76 – $925.19 | 6 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $606.09 | 6 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $660.00 | 6 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $240.10 | 6 |
| Chromosome count additional CPT 88285 | $582.00 | $970.00 | $26.58 – $94.18 | 6 |
| Chromosome karyotype study CPT 88280 | $345.60 | $576.00 | $32.96 – $117.14 | 6 |
| Chromosome study additional CPT 88289 | $415.80 | $693.00 | $34.43 – $120.50 | 6 |
| Chronic urticaria - sendout CPT 86343 | $459.60 | $766.00 | $12.46 – $43.61 | 6 |
| Chylomicron screen, bf - sendout CPT 82664 | $189.00 | $315.00 | $60.60 – $215.25 | 6 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,093.63 – $5,477.96 | 6 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $6,161.66 – $30,747.18 | 6 |
| Cidofovir injection HCPCS J0740 | not published | not published | $513.86 – $1,962.76 | 7 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $156.64 – $771.68 | 6 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $6.73 – $6.73 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $466.81 – $8,917.15 | 8 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $588,494.81 – $2,059,731.83 | 6 |
| Cine/video x-rays CPT 76120 | not published | not published | $83.39 – $392.12 | 6 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $31.99 – $31.99 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $1.42 – $1.42 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $216.60 – $7,840.33 | 8 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $6,240.60 | $10,401.00 | $234.88 – $5,543.00 | 8 |
| Circumcision (newborn) CPT 54150 | $5,205.60 | $8,676.00 | $165.14 – $7,840.33 | 8 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $1.77 – $1.77 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $323.91 – $1,153.28 | 6 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.73 – $30.54 | 7 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $1,925.79 – $5,543.00 | 3 |
| Clamp neck artery CPT 61703 | not published | not published | $1,518.53 – $5,543.00 | 3 |
| Claviculectomy partial CPT 23120 | not published | not published | $634.49 – $12,272.18 | 8 |
| Claviculectomy total CPT 23125 | not published | not published | $770.72 – $12,272.18 | 8 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $223.75 – $2,022.84 | 8 |
| Clearance of airways CPT 31720 | $206.40 | $344.00 | $54.88 – $1,468.00 | 8 |
| Clearance of airways CPT 31725 | not published | not published | $88.39 – $5,543.00 | 3 |
| Clearance of tear duct CPT 68530 | not published | not published | $340.14 – $1,468.00 | 8 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $101.73 – $499.02 | 6 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $79.24 – $499.02 | 6 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $98.74 – $499.02 | 6 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $40.03 – $140.09 | 6 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $86.24 – $86.24 | 1 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $808.00 – $12,141.37 | 8 |
| Cllr miami j sm HCPCS L0174 | $307.80 | $513.00 | $250.90 – $1,197.84 | 6 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $2,387.71 – $5,543.00 | 3 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $10.94 – $93.20 | 7 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $13.11 – $13.11 | 1 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $840.86 – $5,543.00 | 3 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $3,158.60 – $5,543.00 | 3 |
| Close chest after drainage CPT 32810 | not published | not published | $1,003.02 – $5,543.00 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $546.60 | $911.00 | $264.33 – $1,468.00 | 8 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,008.00 | $1,680.00 | $460.34 – $6,031.04 | 8 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,311.00 | $2,185.00 | $820.70 – $6,031.04 | 8 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $1,265.40 | $2,109.00 | $264.33 – $1,468.00 | 8 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,661.60 | $4,436.00 | $498.79 – $6,031.04 | 8 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $711.00 | $1,185.00 | $264.33 – $1,468.00 | 8 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,427.40 | $2,379.00 | $533.80 – $6,031.04 | 8 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $500.40 | $834.00 | $166.92 – $1,468.00 | 8 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $831.18 – $5,819.47 | 8 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $210.42 – $2,022.84 | 8 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $541.12 – $5,819.47 | 8 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,149.20 | $3,582.00 | $635.28 – $6,031.04 | 8 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $428.18 – $12,435.18 | 8 |
| Closed tx sesamoid fx 28530 CPT 28530 | $294.00 | $490.00 | $123.06 – $1,468.00 | 8 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $786.00 | $1,310.00 | $251.95 – $1,468.00 | 8 |
| Closed tx vert fx w/manj CPT 22315 | $2,044.20 | $3,407.00 | $958.18 – $12,272.18 | 8 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,300.85 – $2,933.00 | 3 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $563.40 | $939.00 | $253.81 – $1,468.00 | 8 |
| Close mastoid fistula CPT 69700 | not published | not published | $723.48 – $5,819.47 | 8 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $763.30 – $27,215.63 | 8 |
| Close mult vsd CPT 33675 | not published | not published | $2,193.25 – $5,543.00 | 3 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $2,298.56 – $5,543.00 | 3 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,653.25 – $5,543.00 | 3 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,773.17 – $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.