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 |
|---|---|---|---|---|
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $6.73 – $6.73 | 1 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $68.40 – $68.40 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.15 – $0.15 | 1 |
| Diffusing capacity CPT 94729 | $405.00 | $675.00 | $46.18 – $46.18 | 1 |
| Digital analysis of eeg CPT 95957 | $487.80 | $813.00 | $165.83 – $165.83 | 1 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $204.56 – $1,468.00 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $4.96 – $4.96 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $3,626.40 – $18,084.47 | 7 |
| Digoxin total therapeutic drug level CPT 80162 | $176.40 | $294.00 | $13.28 – $46.48 | 6 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $68.04 – $68.04 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | $4,834.20 | $8,057.00 | $504.99 – $1,468.00 | 3 |
| Dilate esophagus CPT 43453 | not published | not published | $908.43 – $7,197.18 | 8 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $172.45 – $4,932.00 | 8 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $2,824.80 | $4,708.00 | $388.91 – $5,543.00 | 3 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $2,824.80 | $4,708.00 | $194.46 – $5,543.00 | 3 |
| Dilate ic vasospasm init CPT 61640 | $2,824.80 | $4,708.00 | $553.81 – $5,543.00 | 3 |
| Dilate tear duct opening CPT 68801 | not published | not published | $94.19 – $1,675.51 | 8 |
| Dilate urethra stricture CPT 53600 | not published | not published | $89.93 – $1,468.00 | 8 |
| Dilate urethra stricture CPT 53601 | not published | not published | $85.44 – $1,468.00 | 8 |
| Dilate urethra stricture CPT 53605 | not published | not published | $71.83 – $13,221.02 | 8 |
| Dilate urethra stricture CPT 53621 | not published | not published | $132.05 – $1,468.00 | 8 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $73.63 – $1,468.00 | 8 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $184.61 – $4,932.00 | 8 |
| Dilation of cervical canal 57800 CPT 57800 | $4,662.60 | $7,771.00 | $69.08 – $12,141.37 | 8 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $210.11 – $4,932.00 | 8 |
| Dilation of salivary duct CPT 42660 | not published | not published | $135.14 – $2,022.84 | 8 |
| Dilation of urethra CPT 53661 | not published | not published | $72.60 – $1,468.00 | 8 |
| Dilation of urethra CPT 53665 | not published | not published | $43.07 – $7,840.33 | 8 |
| Dilation of vagina CPT 57400 | not published | not published | $145.68 – $12,141.37 | 8 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $85.49 – $5,819.47 | 8 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $141.38 – $2,933.00 | 8 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,586.80 | $5,978.00 | $166.56 – $13,221.02 | 8 |
| Dilat xst trc new access rcs CPT 50437 | $3,586.80 | $5,978.00 | $278.51 – $13,221.02 | 8 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $53.51 – $53.51 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $6.73 – $6.73 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $532.64 – $2,621.41 | 7 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.35 – $0.35 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.71 – $0.71 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $16.30 – $16.30 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $1.77 – $1.77 | 1 |
| Direct advanced life support CPT 99288 | not published | not published | $5,538.00 – $5,538.00 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $26.34 – $140.09 | 6 |
| Disability dlco CPT 94727 | $406.80 | $678.00 | $31.29 – $809.86 | 6 |
| Disaccharidases CPT 82657 | $1,348.80 | $2,248.00 | $21.97 – $77.60 | 6 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $508.26 – $7,738.67 | 8 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,237.93 – $48,153.59 | 8 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,715.93 – $5,543.00 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $239.27 – $5,543.00 | 3 |
| Discography cerv/thor spine CPT 72285 | $4,150.20 | $6,917.00 | $57.88 – $7,324.02 | 6 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $63.08 – $277.94 | 6 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $169.04 – $923.30 | 6 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $693.00 – $6,675.80 | 7 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,724.28 – $5,543.00 | 3 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $428.55 – $5,543.00 | 3 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,298.14 – $20,870.52 | 8 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,300.68 – $5,543.00 | 3 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $866.07 – $22,203.30 | 8 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $354.64 – $4,932.00 | 3 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $23.74 – $23.74 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $4,360.20 | $7,267.00 | $340.57 – $5,543.00 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $274.29 – $976.50 | 6 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $270.39 – $961.90 | 6 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $134.67 – $479.50 | 6 |
| Dna antibody native/double stranded CPT 86225 | $351.00 | $585.00 | $13.74 – $48.09 | 6 |
| Dna gardnerella CPT 87510 | $118.80 | $198.00 | $20.05 – $70.18 | 6 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.33 – $79.62 | 6 |
| Dna probe gc CPT 87590 | not published | not published | $26.58 – $94.08 | 6 |
| Dna trichomonas CPT 87660 | $123.60 | $206.00 | $20.05 – $70.18 | 6 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $7.09 – $7.09 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $1.42 – $1.42 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.61 – $177.12 | 6 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $3.90 – $3.90 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $60.60 – $60.60 | 1 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $64.37 – $64.37 | 1 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $101.57 – $101.57 | 1 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $144.95 – $144.95 | 1 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $207.70 – $207.70 | 1 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $59.22 – $59.22 | 1 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $85.95 – $85.95 | 1 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $149.03 – $149.03 | 1 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $199.78 – $199.78 | 1 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $235.15 – $235.15 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.71 – $0.71 | 1 |
| Doppler echo complete CPT 93320 | $684.60 | $1,141.00 | $35.08 – $35.08 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,451.00 | $4,085.00 | $149.77 – $1,468.00 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,002.00 | $1,670.00 | $111.85 – $809.86 | 6 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $703.80 | $1,173.00 | $73.83 – $499.02 | 6 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.71 – $0.71 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $47.13 – $47.13 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $16,903.02 – $16,903.02 | 1 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $74.77 – $348.00 | 6 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $247.08 – $864.79 | 6 |
| Double transfer toe-hand CPT 26554 | not published | not published | $4,197.31 – $27,215.63 | 8 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.84 – $2.84 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $71.86 – $374.94 | 7 |
| Dpyd gene common variants CPT 81232 | $1,596.60 | $2,661.00 | $171.88 – $611.84 | 6 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $16.66 – $16.66 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $443.40 | $739.00 | $221.54 – $2,933.00 | 8 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,123.20 | $1,872.00 | $240.06 – $2,933.00 | 8 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $227.55 – $6,194.59 | 8 |
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.