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 |
|---|---|---|---|---|
| Aflibercept injection HCPCS J0178 | not published | not published | $731.88 – $2,561.60 | 7 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $18.07 – $40.89 | 2 |
| Afo molded ankle gauntlet HCPCS L1904 | $169.20 | $282.00 | $429.16 – $1,941.52 | 6 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $845.20 – $4,828.22 | 6 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $451.48 – $2,094.64 | 6 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $3,423.00 | $5,705.00 | $778.23 – $3,838.24 | 6 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $244.17 – $1,206.27 | 6 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $334.89 – $1,736.74 | 6 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $319.30 – $1,767.01 | 6 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $680.06 – $3,307.99 | 6 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $246.30 – $1,227.24 | 6 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $490.82 – $2,420.42 | 6 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $975.26 – $4,944.97 | 6 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $620.88 – $3,390.38 | 6 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $529.80 – $2,718.06 | 6 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $649.94 – $3,315.20 | 6 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $425.97 – $2,170.07 | 6 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,345.24 – $6,340.84 | 6 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $408.96 – $2,016.35 | 6 |
| After cataract laser surgery CPT 66821 | not published | not published | $347.30 – $2,933.00 | 8 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $175.07 – $796.53 | 7 |
| Ag detect nos ia single CPT 87450 | not published | not published | $10.63 – $10.63 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $31.65 – $499.02 | 6 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $147.49 – $1,468.00 | 3 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $28.11 – $482.61 | 6 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,383.58 – $10,500.91 | 6 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,567.08 – $6,903.64 | 6 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $492.24 – $2,411.36 | 6 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,168.05 – $6,128.71 | 6 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $427.39 – $1,882.68 | 6 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $77.96 – $400.86 | 6 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $180.03 – $844.09 | 6 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $101.35 – $514.22 | 6 |
| Ak open end sach HCPCS L5321 | not published | not published | $3,196.54 – $15,396.96 | 6 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $129.35 – $569.34 | 6 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $176.48 – $777.35 | 6 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $158.76 – $698.78 | 6 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,320.79 – $6,331.71 | 6 |
| Albumin body fluid quantitative each specimen CPT 82042 | $169.80 | $283.00 | $7.78 – $27.23 | 6 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $51.74 – $185.77 | 6 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $20.55 – $74.31 | 7 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $51.74 – $185.77 | 7 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.28 – $37.16 | 6 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $118.79 | 6 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $73.20 | $122.00 | $5.78 – $20.23 | 6 |
| Albumin serum plasma or whole blood CPT 82040 | $132.60 | $221.00 | $4.95 – $17.32 | 6 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.35 – $0.35 | 1 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.35 – $0.35 | 1 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.35 – $0.35 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $307.80 | $513.00 | $17.27 – $60.44 | 5 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $11.33 – $11.33 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $17.91 – $108.48 | 6 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $38.38 – $140.53 | 6 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $72.04 – $665.73 | 6 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $788.50 – $11,686.04 | 7 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $439.25 | 6 |
| Alefacept HCPCS J0215 | not published | not published | $27.64 – $27.64 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $1,850.59 – $8,541.45 | 7 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $7.09 – $7.09 | 1 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $15.95 – $15.95 | 1 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $4.96 – $4.96 | 1 |
| Alglucerase injection HCPCS J0205 | not published | not published | $32.96 – $32.96 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $200.94 – $200.94 | 1 |
| Alkaline phosphatase CPT 84075 | $79.80 | $133.00 | $5.18 – $18.13 | 6 |
| Allergen alpha lactalbumin ige CPT 86008 | $445.20 | $742.00 | $17.93 – $62.76 | 6 |
| Allergen egg white ige CPT 86003 | $171.60 | $286.00 | $5.22 – $18.27 | 6 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $27.90 | 6 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $10.74 – $175.63 | 6 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $9.33 – $175.63 | 6 |
| Allergy Skin Testing CPT 95004 | $57.60 | $96.00 | $4.40 – $3,220.85 | 6 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $5.78 – $3,220.85 | 6 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,399.12 – $48,153.59 | 8 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $133.36 – $5,538.00 | 6 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $133.36 – $5,538.00 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $775.80 | $1,293.00 | $133.36 – $466.75 | 6 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $469.80 | $783.00 | $84.70 – $466.75 | 6 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | not published | not published | $5,538.00 – $5,538.00 | 1 |
| Alloskin HCPCS Q4115 | not published | not published | $8.51 – $466.75 | 6 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $22.17 – $140.09 | 6 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $8.48 – $108.48 | 6 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $4.61 – $17.99 | 7 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $225.44 | 6 |
| Alpha-fetoprotein amniotic CPT 82106 | $162.00 | $270.00 | $17.00 – $59.50 | 6 |
| Alpha-fetoprotein tumor marker CPT 82105 | $258.00 | $430.00 | $16.77 – $58.70 | 6 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $2.48 – $2.48 | 1 |
| Als 1 HCPCS A0426 | not published | not published | $290.95 – $1,144.81 | 6 |
| Als1-emergency HCPCS A0427 | not published | not published | $305.83 – $1,812.62 | 6 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $86.12 – $332.82 | 7 |
| Alt/sgpt CPT 84460 | $118.80 | $198.00 | $5.30 – $18.55 | 6 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.49 – $15.72 | 6 |
| Aluminum - quest CPT 82108 | $164.40 | $274.00 | $25.48 – $89.18 | 6 |
| Alveoloplasty each quadrant CPT 41874 | $183.60 | $306.00 | $411.96 – $12,435.18 | 8 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $60.80 – $356.58 | 6 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $23.74 – $23.74 | 1 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $55.03 – $55.03 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $5.43 – $499.02 | 6 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $20.08 – $20.08 | 1 |
| Amifostine HCPCS J0207 | not published | not published | $963.57 – $963.57 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $1.06 – $1.06 | 1 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $20.96 | 6 |
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.