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 |
|---|---|---|---|---|
| Erwinaze injection HCPCS J9019 | not published | not published | $407.90 – $407.90 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $77.61 – $77.61 | 1 |
| Escharotomy ea addl incision CPT 16036 | $640.80 | $1,068.00 | $91.33 – $4,932.00 | 3 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $4,131.60 – $14,460.59 | 7 |
| Esophageal dilat s&i CPT 74360 | $913.20 | $1,522.00 | $91.11 – $91.11 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $132.01 – $5,543.00 | 3 |
| Esophageal motility CPT 78258 | $778.80 | $1,298.00 | $187.81 – $1,499.41 | 6 |
| Esophageal recording CPT 93615 | $2,626.80 | $4,378.00 | $10.39 – $4,932.00 | 8 |
| Esophageal recording CPT 93616 | $1,122.00 | $1,870.00 | $20.53 – $4,932.00 | 8 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $4,131.60 – $14,460.59 | 7 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,499.84 – $5,543.00 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,504.29 – $5,543.00 | 3 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $3,091.13 – $5,543.00 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $214.67 – $7,197.18 | 8 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $217.07 – $4,932.00 | 8 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $263.16 – $7,197.18 | 8 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $213.63 – $22,769.90 | 8 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $359.36 – $7,197.18 | 8 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,083.80 | $3,473.00 | $1,057.63 – $7,197.18 | 8 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $643.82 – $7,197.18 | 8 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $332.77 – $7,197.18 | 8 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $237.24 – $4,932.00 | 8 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $196.77 – $4,932.00 | 8 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $387.02 – $7,197.18 | 8 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $692.66 – $14,460.59 | 8 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $386.90 – $7,197.18 | 8 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,221.52 – $7,197.18 | 8 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $203.02 – $14,460.59 | 8 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $170.31 – $7,197.18 | 8 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $601.29 – $22,203.30 | 8 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $408.45 – $7,197.18 | 8 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $437.26 – $7,197.18 | 8 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $216.62 – $7,197.18 | 8 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $186.22 – $7,197.18 | 8 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $186.22 – $7,197.18 | 8 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $215.06 – $7,197.18 | 8 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,461.14 – $5,543.00 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $157.55 – $7,197.18 | 8 |
| Esophagus motility study CPT 91010 | $1,225.20 | $2,042.00 | $123.08 – $1,468.00 | 8 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $399.88 – $1,468.00 | 8 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,075.15 – $7,197.18 | 8 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $350.86 – $7,197.18 | 8 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $918.71 – $5,543.00 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,269.08 – $5,543.00 | 3 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $16.30 – $1,468.00 | 3 |
| Esoph imped function test CPT 91037 | not published | not published | $113.87 – $1,468.00 | 8 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $387.45 – $1,468.00 | 8 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $288.69 – $7,197.18 | 8 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $150.96 – $7,197.18 | 8 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $240.28 – $7,197.18 | 8 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $4,031.54 – $5,543.00 | 3 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $4,191.28 – $5,543.00 | 3 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $3,514.79 – $5,543.00 | 3 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $3,960.34 – $5,543.00 | 3 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $487.50 – $487.50 | 1 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $254.13 – $254.13 | 1 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $511.92 – $511.92 | 1 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $586.82 – $586.82 | 1 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $196.48 – $196.48 | 1 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $508.83 – $508.83 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $318.54 – $318.54 | 1 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $763.28 – $763.28 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,014.53 – $1,014.53 | 1 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $874.16 – $874.16 | 1 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $341.43 – $341.43 | 1 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $468.71 – $468.71 | 1 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $254.95 – $254.95 | 1 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $491.36 – $491.36 | 1 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $303.74 – $303.74 | 1 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $691.62 – $691.62 | 1 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $16.37 – $16.37 | 1 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $19.39 – $19.39 | 1 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $8.35 – $8.35 | 1 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $17.11 – $17.11 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $1,867.08 – $18,762.51 | 8 |
| Establish access to aorta CPT 36160 | not published | not published | $418.00 – $1,468.00 | 3 |
| Establish access to artery CPT 36100 | not published | not published | $542.08 – $1,468.00 | 3 |
| Establish brain cavity shunt CPT 62223 | $2,397.00 | $3,995.00 | $1,178.08 – $5,543.00 | 3 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,843.26 – $5,543.00 | 3 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,055.73 – $5,543.00 | 3 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,112.05 – $5,543.00 | 3 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,575.32 – $5,543.00 | 3 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,140.63 – $5,543.00 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $91.80 | $153.00 | $23.35 – $23.35 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $139.20 | $232.00 | $46.95 – $46.95 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | $194.40 | $324.00 | $77.88 – $77.88 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $294.00 | $490.00 | $114.24 – $114.24 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $416.40 | $694.00 | $153.56 – $153.56 | 1 |
| Estim aid bone healg invasiv CPT 20975 | $414.60 | $691.00 | $199.27 – $1,468.00 | 3 |
| Estradiol total CPT 82670 | $304.20 | $507.00 | $27.94 – $97.79 | 6 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $12.40 – $12.40 | 1 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $75.95 | 6 |
| Etanercept injection HCPCS J1438 | not published | not published | $154.16 – $1,304.79 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $436.60 – $1,815.19 | 7 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $968.48 – $12,435.18 | 8 |
| Ethylene glycol -sendout CPT 82693 | $253.80 | $423.00 | $14.90 – $52.15 | 6 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.71 – $0.71 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $74.42 – $303.94 | 6 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $105.58 – $369.53 | 7 |
| Euglobulin lysis CPT 85360 | $254.40 | $424.00 | $8.41 – $29.44 | 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.