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 |
|---|---|---|---|---|
| CT heart w/evaluation of calcium without contrast CPT 75571 | $117.00 | $195.00 | $74.53 – $326.40 | 6 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,881.00 | $3,135.00 | $233.76 – $1,308.51 | 6 |
| CT hrt w/3d image CPT 75572 | $1,881.00 | $3,135.00 | $179.19 – $1,308.51 | 6 |
| CT limited or localized follow-up study CPT 76380 | $1,881.00 | $3,135.00 | $93.26 – $326.40 | 6 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $3,148.20 | $5,247.00 | $166.67 – $657.87 | 6 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,822.40 | $4,704.00 | $112.03 – $392.12 | 6 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $1,845.63 – $8,563.00 | 6 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $1,906.58 – $9,412.97 | 6 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $61.31 – $359.90 | 6 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $1,853.42 – $8,722.14 | 6 |
| CT lwr extremity w/o&w/dye CPT 73702 | $4,007.40 | $6,679.00 | $187.96 – $657.87 | 6 |
| CT neck soft tissue w/contrast CPT 70491 | $2,248.80 | $3,748.00 | $132.65 – $657.87 | 6 |
| CT neck soft tissue without contrast CPT 70490 | $1,956.60 | $3,261.00 | $99.69 – $392.12 | 6 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,752.80 | $4,588.00 | $162.42 – $657.87 | 6 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,298.00 | $3,830.00 | $187.96 – $657.87 | 6 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,218.20 | $3,697.00 | $187.96 – $657.87 | 6 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,187.60 | $3,646.00 | $112.03 – $392.12 | 6 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $592.80 | $988.00 | $253.81 – $1,468.00 | 8 |
| CT scan for localization CPT 77011 | $1,881.00 | $3,135.00 | $165.96 – $165.96 | 1 |
| CT scan for therapy guide CPT 77014 | not published | not published | $75.95 – $75.95 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,355.80 | $5,593.00 | $258.93 – $1,308.51 | 6 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,136.20 | $5,227.00 | $226.56 – $1,308.51 | 6 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,695.20 | $4,492.00 | $112.45 – $894.92 | 6 |
| CT thoracic spine w/contrast CPT 72129 | $2,297.40 | $3,829.00 | $166.68 – $657.87 | 6 |
| CT thoracic spine without contrast CPT 72128 | $2,023.80 | $3,373.00 | $112.03 – $392.12 | 6 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $176.40 | $294.00 | $112.03 – $392.12 | 5 |
| CT t-spine w /wo contrast CPT 72130 | $2,644.20 | $4,407.00 | $187.96 – $657.87 | 6 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $3,725.40 | $6,209.00 | $163.84 – $1,308.51 | 6 |
| CT upper extremity without contrast (both sides) CPT 73200 | $3,383.40 | $5,639.00 | $112.03 – $392.12 | 6 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,526.20 | $5,877.00 | $187.96 – $657.87 | 6 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $954.71 – $4,206.23 | 6 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $182.57 – $963.57 | 6 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $182.57 – $1,002.20 | 6 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $860.25 – $13,291.33 | 8 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $765.28 – $7,738.67 | 8 |
| Culture aerobic additional method definitive id each CPT 87077 | $74.40 | $124.00 | $8.08 – $28.28 | 6 |
| Culture afb any source CPT 87116 | $273.00 | $455.00 | $10.80 – $37.80 | 6 |
| Culture anaerobic additional method definitive id each CPT 87076 | $176.40 | $294.00 | $8.08 – $28.28 | 6 |
| Culture anaerobic except blood CPT 87075 | $244.80 | $408.00 | $9.47 – $33.15 | 6 |
| Culture bacteria anaerobic CPT 87073 | $244.80 | $408.00 | $9.66 – $33.81 | 6 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $19.14 – $19.14 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $99.00 | $165.00 | $9.44 – $33.04 | 6 |
| Culture body fluid CPT 87070 | $238.20 | $397.00 | $8.62 – $30.17 | 6 |
| Culture fungi definitive id mold CPT 87107 | $132.00 | $220.00 | $10.32 – $36.12 | 6 |
| Culture fungi definitive id yeast CPT 87106 | $130.80 | $218.00 | $10.32 – $36.12 | 6 |
| Culture fungi other (except blood) CPT 87102 | $207.60 | $346.00 | $8.41 – $29.44 | 6 |
| Culture fungi skin/hair/nail CPT 87101 | $204.60 | $341.00 | $7.71 – $26.98 | 6 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $282.00 | $470.00 | $14.53 – $51.14 | 6 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.39 – $53.86 | 6 |
| Culture of specimen by kit CPT 87084 | not published | not published | $26.58 – $94.74 | 6 |
| Culture quantitative aerobic other source CPT 87071 | $244.80 | $408.00 | $9.89 – $34.62 | 6 |
| Culture screening strep group a CPT 87081 | $117.60 | $196.00 | $6.63 – $23.20 | 6 |
| Culture type pulse field gel CPT 87152 | $374.40 | $624.00 | $7.44 – $27.09 | 6 |
| Culture typing added method CPT 87158 | not published | not published | $7.44 – $27.09 | 6 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $43.82 | 6 |
| Culture typing immunologic CPT 87147 | $73.80 | $123.00 | $5.18 – $18.13 | 6 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $650.40 | $1,084.00 | $218.06 – $763.21 | 5 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $496.80 | $828.00 | $35.09 – $122.82 | 6 |
| Culture urine each isolate CPT 87088 | $118.80 | $198.00 | $8.09 – $28.32 | 6 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $68.46 | 6 |
| Curette/treat cornea CPT 65435 | not published | not published | $85.76 – $4,932.00 | 8 |
| Curette/treat cornea CPT 65436 | not published | not published | $410.55 – $8,917.15 | 8 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,149.97 – $5,669.09 | 6 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,149.97 – $5,669.09 | 6 |
| Custom glove for term device HCPCS L6895 | not published | not published | $542.92 – $2,878.16 | 6 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $903.32 – $4,941.65 | 6 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $512.08 – $2,695.38 | 6 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,203.13 – $6,475.74 | 6 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $886.31 – $4,819.92 | 6 |
| Cv line/pic reposition CPT 36597 | $2,747.40 | $4,579.00 | $136.00 – $5,904.13 | 8 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $15.93 – $15.93 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $23.95 – $23.95 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $50.12 | 6 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $1.77 – $1.77 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $151.20 | $252.00 | $12.95 – $45.32 | 6 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $37.21 – $37.21 | 1 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.77 – $2.71 | 6 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $4.61 – $4.61 | 1 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $48.20 – $48.20 | 1 |
| Cyclosporine 2 hour CPT 80158 | $391.80 | $653.00 | $18.05 – $63.18 | 6 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.71 – $0.71 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.48 – $2.48 | 1 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $745.62 – $745.62 | 1 |
| Cyp2c19 gene com variants CPT 81225 | $1,692.00 | $2,820.00 | $286.34 – $1,019.76 | 6 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $171.88 – $611.84 | 6 |
| Cyp2d6 gene com variants CPT 81226 | $2,413.80 | $4,023.00 | $443.33 – $1,578.19 | 6 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $171.88 – $611.84 | 6 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $171.88 – $611.84 | 6 |
| Cystatin c CPT 82610 | $109.20 | $182.00 | $18.07 – $64.82 | 6 |
| Cystic fibrosis cftr CPT 81223 | $3,065.40 | $5,109.00 | $490.82 – $1,746.50 | 6 |
| Cystine urine quantitative CPT 82131 | $858.60 | $1,431.00 | $22.68 – $80.43 | 6 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $527.95 – $13,221.02 | 8 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $786.60 | $1,311.00 | $23.15 – $1,308.51 | 6 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $5,538.00 – $35,505.53 | 8 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $5,243.00 – $35,505.53 | 7 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $5,243.00 – $35,505.53 | 7 |
| Cystometrogram w/up 51727 CPT 51727 | $1,284.00 | $2,140.00 | $224.55 – $2,933.00 | 8 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $991.93 – $6,223.00 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $823.78 – $35,505.53 | 8 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $5,243.00 – $20,110.30 | 7 |
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.