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 |
|---|---|---|---|---|
| Abrasion lesions add-on CPT 15787 | not published | not published | $46.26 – $1,468.00 | 3 |
| Abrasion lesion single CPT 15786 | not published | not published | $215.00 – $1,468.00 | 8 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,883.00 | $4,805.00 | $864.08 – $6,194.59 | 8 |
| Abscess imaging ltd area CPT 78805 | not published | not published | $152.01 – $152.01 | 1 |
| Abscess imaging whole body CPT 78806 | not published | not published | $298.13 – $298.13 | 1 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $2.84 – $2.84 | 1 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $3.19 – $3.19 | 1 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.06 – $1.06 | 1 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $1.77 – $1.77 | 1 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $6.02 – $6.02 | 1 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $145.68 – $1,468.00 | 3 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $322.59 – $1,468.00 | 3 |
| Acetaminophen level CPT 80143 | $326.40 | $544.00 | $18.64 – $65.24 | 5 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $13.82 – $13.82 | 1 |
| Acetone qualitative CPT 82009 | $70.20 | $117.00 | $4.52 – $15.82 | 6 |
| Acetylcholine receptor modulating antibody CPT 86043 | $160.80 | $268.00 | $12.05 – $42.18 | 5 |
| Acetylcholinesterase assay CPT 82013 | $264.00 | $440.00 | $12.05 – $43.02 | 6 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $1.42 – $1.42 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $4.96 – $4.96 | 1 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $90.83 – $1,468.00 | 8 |
| Acne surgery 10040 CPT 10040 | not published | not published | $113.80 – $1,468.00 | 8 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $180.89 – $635.43 | 6 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $122.04 – $477.68 | 6 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $43.81 – $381.03 | 6 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $47.61 – $47.61 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $95.22 – $665.73 | 6 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $652.20 | $1,087.00 | $142.67 – $499.35 | 6 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $18.75 – $140.53 | 6 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $145.20 | $242.00 | $12.87 – $45.04 | 6 |
| Acoustic immitance testing CPT 92570 | not published | not published | $34.66 – $482.61 | 6 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $17.08 – $140.09 | 6 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $666.30 – $12,272.18 | 8 |
| Acth stimulation panel CPT 80402 | not published | not published | $86.96 – $304.36 | 6 |
| Acth stimulation panel CPT 80406 | not published | not published | $78.26 – $273.91 | 6 |
| Actigraphy testing CPT 95803 | $679.20 | $1,132.00 | $63.22 – $221.26 | 6 |
| Actinotherapy uv light CPT 96900 | not published | not published | $21.73 – $140.09 | 6 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $30.99 – $108.48 | 6 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $34.30 – $34.30 | 1 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $29.54 – $29.54 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $30.99 – $108.48 | 6 |
| Acute hepatitis panel CPT 80074 | $1,036.20 | $1,727.00 | $47.63 – $166.70 | 6 |
| Acute venous thrombus image CPT 78456 | $1,721.40 | $2,869.00 | $268.01 – $4,855.79 | 6 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.35 – $0.35 | 1 |
| #acylcarnitineprfl CPT 82017 | $276.00 | $460.00 | $16.87 – $59.04 | 6 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.30 – $57.72 | 6 |
| Adalimumab injection HCPCS J0135 | not published | not published | $279.96 – $279.96 | 1 |
| Adding walker to prev cast CPT 29440 | not published | not published | $46.17 – $1,468.00 | 8 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $359.70 – $1,774.40 | 6 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $150.97 – $821.10 | 6 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $485.86 – $2,395.58 | 6 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $299.81 – $1,478.58 | 6 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $321.78 – $1,587.18 | 6 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $267.91 – $1,320.86 | 6 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $635.41 – $3,132.78 | 6 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $323.91 – $1,596.94 | 6 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $483.73 – $2,131.36 | 6 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.71 – $0.71 | 1 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $41.93 | 6 |
| Adenovirus antibody,serum - quest CPT 86603 | $135.60 | $226.00 | $12.87 – $45.04 | 6 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.26 – $76.16 | 6 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $5,538.00 – $5,538.00 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $978.49 – $5,543.00 | 3 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $2.84 – $2.84 | 1 |
| Adh-sendout CPT 84588 | $335.40 | $559.00 | $33.94 – $118.79 | 6 |
| Adj gastric band via subq port CPT 43999 | $1,517.40 | $2,529.00 | $418.00 – $4,932.00 | 8 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $1,113.00 | $1,855.00 | $481.80 – $27,215.63 | 8 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $3,469.80 | $5,783.00 | $1,000.08 – $7,738.67 | 8 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $5,538.00 – $5,538.00 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.71 – $0.71 | 1 |
| Admin ecg contrast agent CPT 93352 | $406.20 | $677.00 | $34.48 – $34.48 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $575.40 | $959.00 | $31.29 – $270.05 | 6 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $1,150.20 | $1,917.00 | $69.14 – $270.05 | 6 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,150.20 | $1,917.00 | $142.46 – $1,238.87 | 6 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $434.40 | $724.00 | $109.62 – $1,238.87 | 6 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $474.00 | $790.00 | $31.54 – $270.05 | 6 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $474.00 | $790.00 | $77.16 – $270.05 | 6 |
| Administration immunization 1 vaccine CPT 90471 | $77.40 | $129.00 | $17.30 – $270.05 | 6 |
| Administration immunization each additional component CPT 90461 | not published | not published | $13.34 – $13.34 | 1 |
| Administration immunization each additional vaccine CPT 90472 | $63.60 | $106.00 | $13.34 – $13.34 | 1 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $17.30 – $17.30 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $17.30 – $270.05 | 6 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $13.34 – $13.34 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | not published | not published | $17.30 – $175.63 | 6 |
| Administration vaccine influenza virus HCPCS G0008 | $58.80 | $98.00 | $17.30 – $175.63 | 6 |
| Administration vaccine pneumococcal HCPCS G0009 | $69.60 | $116.00 | $17.30 – $175.63 | 6 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $30.83 – $147.69 | 7 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $423.69 – $4,855.79 | 6 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,363.48 – $5,543.00 | 3 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.71 – $0.71 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $80.15 – $80.15 | 1 |
| Aep hearing status deter i&r CPT 92651 | $246.60 | $411.00 | $231.39 – $809.86 | 5 |
| Aep neurodiagnostic i&r CPT 92653 | $614.40 | $1,024.00 | $231.39 – $809.86 | 5 |
| Aep thrshld est mlt freq i&r CPT 92652 | $614.40 | $1,024.00 | $231.39 – $809.86 | 5 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,943.42 – $10,301.97 | 6 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $770,620.00 – $2,697,170.00 | 6 |
| _afb id by dna probe rflx ast CPT 87149 | $254.40 | $424.00 | $20.05 – $70.18 | 6 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.09 – $25.58 | 6 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $388.80 | $648.00 | $115.36 – $403.76 | 6 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $134.67 – $479.50 | 6 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $270.39 – $961.90 | 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.