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 |
|---|---|---|---|---|
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $10.63 – $10.63 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $37.56 – $466.75 | 6 |
| Drug admin & hemodynmic meas CPT 93463 | $259.20 | $432.00 | $107.63 – $1,468.00 | 3 |
| Drug assay caffeine CPT 80155 | not published | not published | $37.92 – $135.00 | 6 |
| Drug assay posaconazole CPT 80187 | $162.00 | $270.00 | $27.11 – $94.88 | 5 |
| Drug assay rufinamide CPT 80210 | $107.40 | $179.00 | $27.11 – $94.88 | 5 |
| Drug assay vedolizumab CPT 80280 | $369.00 | $615.00 | $38.57 – $135.00 | 5 |
| Drug assay voriconazole CPT 80285 | $135.00 | $225.00 | $27.11 – $94.88 | 5 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $65.24 | 5 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.40 – $44.10 | 6 |
| Drug screening tapentadol CPT 80372 | not published | not published | $23.74 – $23.74 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $26.58 – $94.88 | 6 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $23.74 – $23.74 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $195.27 – $695.59 | 6 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $112.69 – $400.50 | 6 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $242.75 – $864.22 | 6 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $154.16 – $548.07 | 6 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $217.49 | 6 |
| Drug test prsmv instrmnt CPT 80306 | $335.40 | $559.00 | $17.01 – $59.99 | 6 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,192.20 | $1,987.00 | $62.14 – $217.49 | 6 |
| Drvvt confirm - quest CPT 85597 | $216.00 | $360.00 | $17.98 – $62.93 | 6 |
| Dry needling (97799) CPT 97799 | not published | not published | $5,538.00 – $5,538.00 | 1 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $309.39 – $14,745.36 | 8 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $2,092.58 – $7,324.02 | 7 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $302.57 – $1,524.70 | 8 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $260.46 – $1,524.70 | 8 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $297.45 – $2,772.01 | 8 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $383.19 – $2,772.01 | 8 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $589.39 – $2,933.00 | 8 |
| Ductogram sgl duct CPT 77053 | $744.00 | $1,240.00 | $39.45 – $894.92 | 6 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,013.82 – $5,543.00 | 3 |
| Duodenal motility study CPT 91022 | not published | not published | $94.49 – $1,468.00 | 8 |
| Duplex scan bilateral study 93985 CPT 93985 | $486.60 | $811.00 | $255.69 – $894.92 | 5 |
| Duplex scan unilateral study 93986 CPT 93986 | $324.00 | $540.00 | $112.03 – $392.12 | 5 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $687.00 | $1,145.00 | $112.03 – $392.12 | 6 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,003.80 | $1,673.00 | $140.91 – $809.86 | 6 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,859.40 | $3,099.00 | $166.42 – $894.92 | 6 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $86.15 – $301.51 | 6 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $39.45 – $392.12 | 6 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $350.40 | $584.00 | $137.89 – $482.61 | 5 |
| Dx aly aud oi snd prcsr each CPT 92623 | $87.60 | $146.00 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,654.20 | $2,757.00 | $276.81 – $6,675.80 | 8 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,798.80 | $2,998.00 | $262.39 – $6,675.80 | 8 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,572.20 | $4,287.00 | $253.31 – $6,675.80 | 8 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $49.02 – $1,675.51 | 6 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $234.58 – $4,932.00 | 8 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $327.50 – $4,932.00 | 8 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $165.80 – $1,468.00 | 8 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $137.89 – $1,468.00 | 8 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $170.88 – $1,468.00 | 8 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $171.27 – $6,675.80 | 8 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $153.52 – $4,932.00 | 8 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $18.63 – $18.63 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $23.94 – $809.86 | 6 |
| Ear and throat examination CPT 92502 | not published | not published | $102.69 – $2,022.84 | 8 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $145.39 – $5,819.47 | 8 |
| Ear cartilage graft CPT 21235 | not published | not published | $771.96 – $22,203.30 | 8 |
| Ear irrigation 69209 CPT 69209 | $380.40 | $634.00 | $14.29 – $1,468.00 | 8 |
| Ear protector evaluation CPT 92596 | not published | not published | $40.03 – $140.09 | 6 |
| Ecallantide injection HCPCS J1290 | not published | not published | $470.62 – $2,025.61 | 7 |
| Ecg 12 lead tracing only CPT 93005 | $269.40 | $449.00 | $8.62 – $221.26 | 6 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $7.67 – $7.67 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $341.40 | $569.00 | $5.78 – $221.26 | 6 |
| Ecg < 30 days transmission & analysis CPT 93271 | $636.60 | $1,061.00 | $101.88 – $356.58 | 6 |
| Ecg external < 48 hours recording CPT 93225 | $636.60 | $1,061.00 | $25.98 – $499.02 | 6 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $636.60 | $1,061.00 | $36.61 – $221.26 | 6 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $225.00 | $375.00 | $40.03 – $140.09 | 5 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $374.40 | $624.00 | $40.03 – $140.09 | 5 |
| Ecg record/review CPT 93268 | not published | not published | $204.07 – $204.07 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $27.36 – $27.36 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,190.80 | $5,318.00 | $133.48 – $2,049.42 | 6 |
| Echocardiography doppler color flow mapping CPT 93325 | $460.20 | $767.00 | $21.97 – $21.97 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $840.06 – $2,940.22 | 5 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,312.20 | $2,187.00 | $72.76 – $894.92 | 6 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $373.86 – $1,308.51 | 5 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $742.20 | $1,237.00 | $19.49 – $19.49 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $31.29 – $392.12 | 6 |
| Echo exam of eye CPT 76519 | not published | not published | $34.84 – $392.12 | 6 |
| Echo exam of eye CPT 76529 | not published | not published | $49.37 – $326.40 | 6 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $4.72 – $108.48 | 6 |
| Echo exam of fetal heart CPT 76825 | $1,336.80 | $2,228.00 | $191.95 – $2,049.42 | 6 |
| Echo exam of fetal heart CPT 76826 | $589.20 | $982.00 | $122.37 – $894.92 | 6 |
| Echo exam of fetal heart CPT 76827 | $873.60 | $1,456.00 | $45.82 – $392.12 | 6 |
| Echo exam of fetal heart CPT 76828 | $630.00 | $1,050.00 | $24.92 – $392.12 | 6 |
| Echo exam uterus 76831- CPT 76831 | $1,107.00 | $1,845.00 | $81.98 – $894.92 | 6 |
| Echograp trans r pros study CPT 76873 | $1,068.60 | $1,781.00 | $95.44 – $392.12 | 6 |
| Echo guidance radiotherapy CPT 76965 | $1,450.20 | $2,417.00 | $24.92 – $24.92 | 1 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $51.15 – $51.15 | 1 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $57.59 – $57.59 | 1 |
| Echo guide for amniocentesis CPT 76946 | $1,042.80 | $1,738.00 | $13.23 – $13.23 | 1 |
| Echo guide for artery repair CPT 76936 | $952.80 | $1,588.00 | $171.39 – $809.86 | 6 |
| Echo guide for heart biopsy CPT 76932 | $1,714.20 | $2,857.00 | $57.59 – $57.59 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $60.42 – $60.42 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $40.15 – $40.15 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $63.37 – $63.37 | 1 |
| Echo stress CPT 93350 | $2,656.80 | $4,428.00 | $116.71 – $2,049.42 | 6 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $30.43 – $2,049.42 | 6 |
| Echo tee guidance CPT 93355 | $2,826.00 | $4,710.00 | $250.84 – $250.84 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $3,403.80 | $5,673.00 | $137.02 – $2,049.42 | 6 |
| Echo transesophageal CPT 93313 | not published | not published | $12.73 – $2,049.42 | 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.