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 |
|---|---|---|---|---|
| Close tear duct opening CPT 68760 | not published | not published | $216.80 – $1,468.00 | 8 |
| Close tear duct opening CPT 68761 | not published | not published | $154.96 – $1,468.00 | 8 |
| Close tear system fistula CPT 68770 | not published | not published | $666.22 – $8,917.15 | 8 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.59 – $56.00 | 6 |
| Clos txnose fx without stablz 21315 CPT 21315 | $3,864.00 | $6,440.00 | $286.56 – $5,819.47 | 8 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $970.09 – $5,543.00 | 3 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,800.42 – $5,543.00 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,135.48 – $5,543.00 | 3 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,575.00 – $5,543.00 | 3 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,368.00 | $2,280.00 | $364.99 – $2,022.84 | 8 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $181.22 – $4,932.00 | 8 |
| Closure of salivary fistula CPT 42600 | not published | not published | $524.79 – $12,435.18 | 8 |
| Closure of valve CPT 33600 | not published | not published | $1,917.07 – $5,543.00 | 3 |
| Closure of valve CPT 33602 | not published | not published | $1,859.38 – $5,543.00 | 3 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $460.55 – $12,435.18 | 8 |
| Closure paravalvlr leak pq CPT 33999 | $1,171.20 | $1,952.00 | $418.00 – $2,933.00 | 8 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,218.16 – $5,543.00 | 3 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $966.97 – $5,543.00 | 3 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $66.26 | 6 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $71.47 | 6 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $66.26 | 6 |
| Clot factor xii hageman CPT 85280 | $378.00 | $630.00 | $19.35 – $67.73 | 6 |
| Clot factor xiii fibrin scrn CPT 85291 | $382.80 | $638.00 | $9.11 – $31.88 | 6 |
| Clot factor xiii fibrin stab CPT 85290 | $514.20 | $857.00 | $16.34 – $57.19 | 6 |
| Clotting assay whole blood CPT 85396 | not published | not published | $21.93 – $21.93 | 1 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.06 – $1.06 | 1 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.77 – $1.77 | 1 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.42 – $1.42 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,378.20 | $2,297.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $745.20 | $1,242.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $343.20 | $572.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $250.42 – $6,031.04 | 8 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $243.60 – $1,468.00 | 8 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $744.00 | $1,240.00 | $379.57 – $6,031.04 | 8 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $874.80 | $1,458.00 | $232.27 – $1,468.00 | 8 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $388.80 | $648.00 | $196.30 – $1,468.00 | 8 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $550.80 | $918.00 | $194.68 – $1,468.00 | 8 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $846.60 | $1,411.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $487.80 | $813.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $558.60 | $931.00 | $106.15 – $1,468.00 | 8 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,789.40 | $4,649.00 | $833.33 – $6,031.04 | 8 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $4,228.80 | $7,048.00 | $517.25 – $6,031.04 | 8 |
| Clsd tx fracture of radius 25500 CPT 25500 | $546.60 | $911.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $550.80 | $918.00 | $151.33 – $1,468.00 | 8 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $610.20 | $1,017.00 | $172.15 – $1,468.00 | 8 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $546.60 | $911.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,434.60 | $2,391.00 | $579.08 – $6,031.04 | 8 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $546.60 | $911.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,221.60 | $2,036.00 | $551.07 – $6,031.04 | 8 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $514.20 | $857.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $316.20 | $527.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $852.60 | $1,421.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $775.20 | $1,292.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $2,615.40 | $4,359.00 | $299.72 – $1,468.00 | 8 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $577.95 – $2,022.84 | 8 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $474.60 | $791.00 | $242.95 – $1,468.00 | 8 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $563.40 | $939.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $841.20 | $1,402.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $1,102.20 | $1,837.00 | $505.91 – $12,272.18 | 8 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $708.60 | $1,181.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $624.00 | $1,040.00 | $231.31 – $1,468.00 | 8 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $265.10 – $12,435.18 | 8 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $135.95 – $135.95 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,178.60 | $3,631.00 | $388.59 – $6,031.04 | 8 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $550.80 | $918.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $745.80 | $1,243.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx pelvic ring fx CPT 27197 | $2,457.60 | $4,096.00 | $134.64 – $1,468.00 | 8 |
| Clsd tx pelvic ring fx CPT 27198 | $3,893.40 | $6,489.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $4,186.20 | $6,977.00 | $459.59 – $6,031.04 | 8 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $550.80 | $918.00 | $207.67 – $1,468.00 | 8 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $546.60 | $911.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,491.00 | $2,485.00 | $472.11 – $6,031.04 | 8 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $563.40 | $939.00 | $246.77 – $1,468.00 | 8 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,425.00 | $2,375.00 | $458.37 – $6,031.04 | 8 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,320.80 | $3,868.00 | $591.13 – $6,031.04 | 8 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,008.00 | $1,680.00 | $435.03 – $6,031.04 | 8 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $4,087.80 | $6,813.00 | $393.64 – $12,272.18 | 8 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $769.80 | $1,283.00 | $111.70 – $1,468.00 | 8 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $500.40 | $834.00 | $125.56 – $1,468.00 | 8 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $474.60 | $791.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,128.00 | $1,880.00 | $521.31 – $6,031.04 | 8 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $546.60 | $911.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $264.33 – $1,468.00 | 8 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $813.60 | $1,356.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $511.80 | $853.00 | $264.33 – $1,468.00 | 8 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $264.33 – $1,468.00 | 8 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $560.40 | $934.00 | $264.33 – $1,468.00 | 8 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $264.33 – $1,468.00 | 8 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $2,143.61 – $5,543.00 | 3 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $2,142.73 – $5,543.00 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $629.40 | $1,049.00 | $264.33 – $1,468.00 | 8 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,038.00 | $1,730.00 | $513.72 – $6,031.04 | 8 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $769.64 – $22,203.30 | 8 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $545.40 | $909.00 | $408.26 – $6,031.04 | 8 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $804.60 | $1,341.00 | $264.33 – $1,468.00 | 8 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,975.80 | $3,293.00 | $592.07 – $6,031.04 | 8 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $702.60 | $1,171.00 | $264.33 – $1,468.00 | 8 |
| Cltx lunate dislc w/mnpj CPT 25690 | $4,054.20 | $6,757.00 | $522.10 – $6,031.04 | 8 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,011.69 – $22,203.30 | 8 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,103.60 | $3,506.00 | $799.13 – $5,819.47 | 8 |
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.