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 |
|---|---|---|---|---|
| Cystoscopy and biopsy CPT 52007 | not published | not published | $480.30 – $13,221.02 | 8 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $264.72 – $13,221.02 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $724.05 – $13,221.02 | 8 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $758.21 – $13,221.02 | 8 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $272.44 – $13,221.02 | 8 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $319.23 – $13,221.02 | 8 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $434.44 – $20,110.30 | 8 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $232.12 – $7,840.33 | 8 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $389.57 – $7,840.33 | 8 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $292.82 – $7,840.33 | 8 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $358.17 – $13,221.02 | 8 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $323.94 – $7,840.33 | 8 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $322.71 – $4,932.00 | 8 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $270.43 – $7,840.33 | 8 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $309.71 – $13,221.02 | 8 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $320.84 – $13,221.02 | 8 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $308.65 – $20,110.30 | 8 |
| Cystoscopy and treatment CPT 52310 | $4,543.80 | $7,573.00 | $284.51 – $7,840.33 | 8 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $469.94 – $7,840.33 | 8 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $273.01 – $13,221.02 | 8 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $569.72 – $13,221.02 | 8 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,038.40 | $5,064.00 | $197.69 – $2,933.00 | 8 |
| Cystoscopy chemodenervation CPT 52287 | $2,704.80 | $4,508.00 | $355.99 – $7,840.33 | 8 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $402.22 – $2,933.00 | 8 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $374.20 – $13,221.02 | 8 |
| Cystoscopy inject material CPT 52327 | not published | not published | $291.62 – $20,110.30 | 8 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,243.00 – $20,110.30 | 8 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $424.84 – $13,221.02 | 8 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $401.36 – $7,840.33 | 8 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $532.77 – $7,840.33 | 8 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $355.30 – $20,110.30 | 8 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $295.69 – $7,840.33 | 8 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $315.75 – $7,840.33 | 8 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $512.15 – $13,221.02 | 8 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $859.14 – $13,221.02 | 8 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $335.07 – $13,221.02 | 8 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $409.55 – $13,221.02 | 8 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $463.00 – $20,110.30 | 8 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $518.74 – $20,110.30 | 8 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $461.94 – $20,110.30 | 8 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $434.44 – $20,110.30 | 8 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $495.25 – $20,110.30 | 8 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $393.04 – $13,221.02 | 8 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $437.07 – $13,221.02 | 8 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $296.86 – $13,221.02 | 8 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,983.80 | $4,973.00 | $314.33 – $7,840.33 | 8 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $394.30 – $7,840.33 | 8 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $693.00 – $1,468.00 | 3 |
| Cystourethro w/implant CPT 52441 | not published | not published | $693.00 – $1,468.00 | 3 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $5,243.00 – $5,543.00 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $381.45 – $13,221.02 | 8 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $341.87 – $13,221.02 | 8 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $314.23 – $13,221.02 | 8 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.71 – $0.71 | 1 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $618.04 – $618.04 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,197.94 – $4,192.79 | 5 |
| Cytogenetics 25-99 CPT 88274 | $850.80 | $1,418.00 | $41.82 – $148.33 | 6 |
| Cytogenetics 3-5 CPT 88272 | $327.60 | $546.00 | $40.05 – $142.45 | 6 |
| Cytogenomic neo microra alys CPT 81277 | $5,365.20 | $8,942.00 | $1,160.00 – $4,060.00 | 5 |
| Cytogenom microarray copy nmbr var CPT 81228 | $5,398.80 | $8,998.00 | $884.90 – $3,150.00 | 6 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,863.22 – $6,521.27 | 5 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.98 – $41.93 | 6 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $195.00 | $325.00 | $14.39 – $50.36 | 6 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $205.80 | $343.00 | $16.85 – $58.98 | 6 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.11 – $46.97 | 6 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,110.28 – $6,330.12 | 7 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $29.41 – $105.10 | 6 |
| Cyto/molecular report CPT 88291 | $202.80 | $338.00 | $35.16 – $35.16 | 1 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $24.81 – $88.80 | 6 |
| Cytopath c/v automated CPT 88147 | not published | not published | $49.61 – $176.96 | 6 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $27.29 – $96.74 | 6 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $16.66 – $64.89 | 6 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.53 – $51.28 | 6 |
| Cytopath c/v manual CPT 88150 | not published | not published | $14.88 – $64.89 | 6 |
| Cytopath c/v redo CPT 88153 | not published | not published | $23.74 – $84.10 | 6 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $22.68 – $80.64 | 6 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $30.99 – $108.48 | 6 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $293.40 | $489.00 | $38.73 – $195.45 | 6 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $238.20 | $397.00 | $26.61 – $93.14 | 6 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $20.26 – $70.91 | 6 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $231.60 | $386.00 | $37.68 – $140.09 | 6 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $215.40 | $359.00 | $40.03 – $140.09 | 6 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $135.00 | $225.00 | $7.09 – $7.09 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $265.80 | $443.00 | $19.60 – $639.00 | 6 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $589.80 | $983.00 | $55.84 – $195.45 | 6 |
| Cytopath smear other source CPT 88160 | $255.00 | $425.00 | $30.99 – $108.48 | 6 |
| Cytopath smear other source CPT 88162 | $127.20 | $212.00 | $55.84 – $195.45 | 6 |
| Cytopath smear oth prep screen & interp CPT 88161 | $194.40 | $324.00 | $30.99 – $108.48 | 6 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $14.88 – $64.89 | 6 |
| Cytopath tbs c/v manual CPT 88164 | $97.20 | $162.00 | $14.88 – $64.89 | 6 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $41.46 – $147.77 | 6 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $14.88 – $64.89 | 6 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $77.26 – $275.28 | 6 |
| Cytotoxic antibody screening CPT 86808 | $837.60 | $1,396.00 | $29.68 – $103.88 | 6 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $182.57 – $639.00 | 6 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.61 – $4.61 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $337.67 – $1,431.00 | 7 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $13.47 – $52.51 | 7 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $13.82 – $13.82 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.35 – $0.35 | 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.