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 |
|---|---|---|---|---|
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.08 – $0.08 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $55.03 – $192.61 | 6 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $3.07 – $10.75 | 7 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.07 – $10.75 | 7 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.74 – $37.59 | 6 |
| Dark field exam without collj CPT 87166 | not published | not published | $11.30 – $39.55 | 6 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $187.11 – $914.18 | 7 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $43.56 – $47.49 | 2 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $56.70 – $56.70 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $215.00 – $1,468.00 | 8 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $236.49 – $12,141.37 | 8 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $288.13 – $12,141.37 | 8 |
| Dch glucoscan CPT 82948 | not published | not published | $4.96 – $17.64 | 6 |
| Dch pulmonary stress test CPT 94621 | $1,479.60 | $2,466.00 | $91.66 – $1,399.59 | 6 |
| Dch validity tests CPT 81002 | $46.80 | $78.00 | $3.48 – $12.18 | 6 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $8,896.20 | $14,827.00 | $634.24 – $7,324.02 | 8 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $808.00 – $12,435.18 | 8 |
| Dcmprn plantar digital nerve CPT 64726 | $477.60 | $796.00 | $293.77 – $7,324.02 | 8 |
| D&c of cervical stump CPT 57558 | not published | not published | $142.27 – $12,141.37 | 8 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $12.05 – $42.18 | 5 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $794.03 – $5,543.00 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $385.80 | $643.00 | $58.07 – $1,524.70 | 8 |
| Debridement (>20 cm) charge pt CPT 97598 | $358.20 | $597.00 | $28.86 – $1,468.00 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,325.60 | $3,876.00 | $336.29 – $6,194.59 | 8 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $759.60 | $1,266.00 | $79.29 – $1,468.00 | 3 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,518.60 | $2,531.00 | $134.51 – $1,468.00 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $793.20 | $1,322.00 | $127.11 – $1,524.70 | 8 |
| Debride nail1-5 11720 CPT 11720 | $501.60 | $836.00 | $34.53 – $1,468.00 | 8 |
| Debride nail6 or more 11721 CPT 11721 | $524.40 | $874.00 | $47.85 – $1,468.00 | 8 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,287.00 | $2,145.00 | $567.03 – $2,933.00 | 8 |
| Debride skin bone at fx site CPT 11012 | $1,803.00 | $3,005.00 | $737.61 – $10,894.61 | 8 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $647.27 – $5,543.00 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $882.58 – $5,543.00 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $603.00 | $1,005.00 | $44.27 – $1,468.00 | 3 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $85.08 – $1,468.00 | 8 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,128.60 | $1,881.00 | $510.98 – $2,933.00 | 8 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $23.24 – $1,468.00 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,018.20 | $1,697.00 | $245.61 – $2,772.01 | 8 |
| Decalcification CPT 88311 | $126.00 | $210.00 | $8.97 – $8.97 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $12.40 – $12.40 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,105.80 | $1,843.00 | $31.76 – $1,468.00 | 8 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $2,767.80 | $4,613.00 | $538.42 – $12,272.18 | 8 |
| Decomp forearm 1 space 25020 CPT 25020 | $1,849.80 | $3,083.00 | $613.77 – $6,223.00 | 8 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $2,516.40 | $4,194.00 | $1,328.09 – $6,031.04 | 8 |
| Decompress fasciotomyhand 26037 CPT 26037 | $1,266.60 | $2,111.00 | $615.38 – $12,272.18 | 8 |
| Decompress fingers/hand CPT 26035 | not published | not published | $937.87 – $12,272.18 | 8 |
| Decompress forearm 1 space CPT 25023 | $1,738.80 | $2,898.00 | $1,200.84 – $12,272.18 | 8 |
| Decompress forearm 2 spaces CPT 25024 | $1,247.40 | $2,079.00 | $852.81 – $12,272.18 | 8 |
| Decompression fasct forearm CPT 24495 | not published | not published | $798.76 – $27,215.63 | 8 |
| Decompression of leg CPT 27892 | $5,013.00 | $8,355.00 | $603.31 – $12,272.18 | 8 |
| Decompression of leg CPT 27893 | $5,013.00 | $8,355.00 | $664.23 – $27,215.63 | 8 |
| Decompression of leg CPT 27894 | $5,013.00 | $8,355.00 | $930.54 – $12,272.18 | 8 |
| Decompression of lower leg CPT 27600 | $864.00 | $1,440.00 | $446.57 – $12,272.18 | 8 |
| Decompression of lower leg CPT 27601 | $1,051.80 | $1,753.00 | $486.70 – $12,272.18 | 8 |
| Decompression of thigh/knee CPT 27496 | $1,135.80 | $1,893.00 | $591.41 – $12,272.18 | 8 |
| Decompression of thigh/knee CPT 27497 | $1,174.20 | $1,957.00 | $634.02 – $12,272.18 | 8 |
| Decompression of thigh/knee CPT 27498 | $1,357.80 | $2,263.00 | $713.99 – $6,223.00 | 8 |
| Decompression of thigh/knee CPT 27499 | $1,437.00 | $2,395.00 | $762.16 – $27,215.63 | 8 |
| Decompression of tibia nerve CPT 28035 | $822.60 | $1,371.00 | $564.76 – $7,324.02 | 8 |
| Decompression unspecified nerve 64722 CPT 64722 | $534.60 | $891.00 | $387.99 – $7,324.02 | 8 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,733.96 – $5,543.00 | 3 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,272.40 – $14,745.36 | 8 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,850.25 – $27,215.63 | 8 |
| Decompress small bowel CPT 44021 | not published | not published | $1,095.08 – $5,543.00 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,678.52 – $27,215.63 | 8 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $2,020.89 – $27,215.63 | 8 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $238.14 – $1,468.00 | 3 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $364.29 – $1,468.00 | 3 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $310.27 – $10,894.61 | 8 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $9.57 – $9.57 | 1 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $3.90 – $15.60 | 7 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,003.37 – $30,655.64 | 8 |
| Delay flap arms/legs CPT 15610 | not published | not published | $372.61 – $7,738.67 | 8 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $483.65 – $7,738.67 | 8 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $461.98 – $7,738.67 | 8 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $339.64 – $13,291.33 | 8 |
| Delivery of placenta 59414 CPT 59414 | $4,222.20 | $7,037.00 | $103.62 – $12,141.37 | 8 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,056.47 – $1,056.47 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,460.38 – $1,460.38 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $768.01 – $5,543.00 | 3 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $71.81 – $499.35 | 6 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $120.00 | $200.00 | $17.12 – $821.31 | 6 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,226.81 – $12,272.18 | 8 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $18.43 – $103.27 | 7 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $451.80 | $753.00 | $142.58 – $1,468.00 | 8 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $2.48 – $2.48 | 1 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $21.62 – $21.62 | 1 |
| Dermabrasion other than face CPT 15782 | not published | not published | $600.99 – $10,894.61 | 8 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $581.78 – $2,933.00 | 8 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $435.63 – $1,524.70 | 8 |
| Dermabrasion total face CPT 15780 | not published | not published | $968.93 – $10,894.61 | 8 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $719.88 – $13,291.33 | 8 |
| Dermagraft HCPCS Q4106 | not published | not published | $32.25 – $32.25 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $104.73 – $7,738.67 | 6 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $920.79 – $13,291.33 | 8 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $713.27 – $7,738.67 | 8 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $2,697.60 | $4,496.00 | $2,037.86 – $5,543.00 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $302.56 – $14,685.48 | 8 |
| Design mlc device for imrt CPT 77338 | $1,811.40 | $3,019.00 | $275.67 – $1,404.36 | 6 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $7.41 – $12.40 | 2 |
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.