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 |
|---|---|---|---|---|
| Desoxycorticosterone CPT 82633 | $366.60 | $611.00 | $30.98 – $108.43 | 6 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $450.80 – $5,543.00 | 3 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $2,314.80 | $3,858.00 | $1,748.69 – $5,543.00 | 3 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $1,674.00 | $2,790.00 | $1,263.17 – $5,543.00 | 3 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $146.51 – $1,468.00 | 8 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $188.81 – $1,468.00 | 8 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $215.00 – $1,468.00 | 8 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $156.77 – $1,468.00 | 8 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $172.76 – $1,468.00 | 8 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $197.47 – $1,468.00 | 8 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $100.60 – $1,468.00 | 8 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $151.36 – $1,468.00 | 8 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $185.20 – $1,468.00 | 8 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $202.49 – $1,468.00 | 8 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,412.80 | $5,688.00 | $436.81 – $7,324.02 | 8 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,527.60 | $2,546.00 | $194.59 – $1,468.00 | 3 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $220.93 – $4,488.20 | 8 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $239.40 | $399.00 | $68.36 – $1,468.00 | 8 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $252.45 – $7,738.67 | 8 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $152.46 – $7,738.67 | 8 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $268.80 | $448.00 | $135.95 – $1,468.00 | 8 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $418.00 – $2,772.01 | 8 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $363.80 – $1,524.70 | 8 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $418.00 – $7,738.67 | 8 |
| Destruction 2-14 lesions 17003 CPT 17003 | $150.60 | $251.00 | $5.91 – $1,468.00 | 3 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $271.31 – $7,738.67 | 8 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $548.58 – $10,410.57 | 8 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $248.54 – $1,524.70 | 8 |
| Destruction benign lesions < 14 lesions CPT 17110 | $210.00 | $350.00 | $114.11 – $1,468.00 | 8 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $254.01 – $3,317.36 | 8 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $2,638.80 | $4,398.00 | $176.50 – $1,468.00 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,412.80 | $5,688.00 | $431.90 – $7,324.02 | 8 |
| Destruction ciliary body CPT 66700 | not published | not published | $476.03 – $8,655.87 | 8 |
| Destruction ciliary body CPT 66720 | not published | not published | $485.11 – $8,917.15 | 8 |
| Destruction ciliary body CPT 66740 | not published | not published | $463.27 – $8,917.15 | 8 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $215.00 – $1,468.00 | 8 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $443.80 – $10,410.57 | 8 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $166.58 – $8,917.15 | 8 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $220.41 – $1,524.70 | 8 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $260.90 – $1,524.70 | 8 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $216.54 – $1,524.70 | 8 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $247.27 – $1,524.70 | 8 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $140.59 – $1,524.70 | 8 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $235.01 – $7,738.67 | 8 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $159.14 – $1,524.70 | 8 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $766.04 – $10,410.57 | 8 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $221.14 – $12,141.37 | 8 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $130.70 – $12,141.37 | 8 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $129.37 – $7,738.67 | 8 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $29.41 – $105.10 | 6 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $152.84 | 6 |
| Determination venous press CPT 93770 | not published | not published | $0.74 – $0.74 | 1 |
| Determine refractive state CPT 92015 | not published | not published | $21.26 – $21.26 | 1 |
| Developmental screen/score/document 96110 CPT 96110 | $164.40 | $274.00 | $10.03 – $10.03 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | $331.80 | $553.00 | $137.89 – $482.61 | 6 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $47.52 – $47.52 | 1 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,593.12 – $5,543.00 | 3 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $10.03 – $381.03 | 6 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $186.00 | $310.00 | $65.00 – $65.00 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $484.20 | $807.00 | $23.15 – $326.40 | 6 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.35 – $0.35 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.35 – $0.35 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $196.68 – $713.28 | 7 |
| Dexamethasone panel CPT 80420 | not published | not published | $159.12 – $566.58 | 6 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $1.06 – $1.06 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $49.74 – $217.24 | 7 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $82.93 – $82.93 | 1 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $14.23 – $14.23 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.35 – $0.35 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.06 – $1.06 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $2.48 – $2.48 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $4.61 – $4.61 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $311.40 | $519.00 | $22.23 – $77.81 | 6 |
| Diabetes (HbA1c) Test CPT 83036 | $82.20 | $137.00 | $9.71 – $33.98 | 6 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $194.20 – $194.20 | 1 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $32.25 – $32.25 | 1 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $32.25 – $32.25 | 1 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $32.25 – $32.25 | 1 |
| Diab manage trn ind/group HCPCS G0109 | $94.20 | $157.00 | $15.78 – $55.23 | 6 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $64.85 – $64.85 | 1 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $32.25 – $32.25 | 1 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $194.63 – $6,675.80 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $362.05 – $22,674.75 | 8 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $147.69 – $1,675.51 | 8 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $207.98 – $4,932.00 | 8 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $253.20 | $422.00 | $99.11 – $1,468.00 | 8 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $118.47 – $118.47 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $92.60 – $92.60 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $207.00 | $345.00 | $87.85 – $1,468.00 | 8 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $607.20 | $1,012.00 | $121.69 – $1,468.00 | 8 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $727.80 | $1,213.00 | $111.97 – $391.90 | 6 |
| Diagnostic Mammogram (one breast) CPT 77065 | $544.20 | $907.00 | $88.75 – $310.62 | 6 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $93.26 – $326.40 | 5 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $11,656.80 | $19,428.00 | $693.00 – $1,968.07 | 3 |
| Dialysis one evaluation CPT 90945 | $790.20 | $1,317.00 | $91.64 – $1,565.01 | 6 |
| Dialysis repeated eval CPT 90947 | not published | not published | $133.93 – $133.93 | 1 |
| Dialysis training complete CPT 90989 | not published | not published | $381.60 – $381.60 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $82.60 – $82.60 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.39 – $27.37 | 6 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $5.40 | $9.00 | $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.