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 |
|---|---|---|---|---|
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $9.92 – $9.92 | 1 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $28.35 – $28.35 | 1 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $7.09 – $7.09 | 1 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $8.51 – $8.51 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $66.18 | 6 |
| Folic acid CPT 82746 | $161.40 | $269.00 | $14.70 – $51.45 | 6 |
| Follow-up angiography CPT 75898 | $1,983.00 | $3,305.00 | $45.68 – $11,842.65 | 6 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $41.08 – $499.35 | 6 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $786.60 – $8,917.15 | 8 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.54 – $22.89 | 7 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $2.13 – $2.13 | 1 |
| Fo nontorsion joint cf HCPCS L3935 | $120.00 | $200.00 | $175.42 – $864.74 | 6 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $66.62 – $328.20 | 6 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $41.11 – $202.44 | 6 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $67.33 – $332.22 | 6 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $197.39 – $936.15 | 6 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $140.69 – $694.68 | 6 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $115.53 – $568.96 | 6 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $152.03 – $749.38 | 6 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $107.02 – $526.78 | 6 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $152.03 – $749.38 | 6 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $172.94 – $853.41 | 6 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $44.30 – $218.82 | 6 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $324.26 – $1,436.75 | 6 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $226.81 – $998.52 | 6 |
| Foot X-ray CPT 73630 | $654.60 | $1,091.00 | $22.79 – $326.40 | 6 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $805.16 – $3,547.81 | 6 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $584.38 – $2,674.77 | 6 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,204.99 – $13,291.33 | 8 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $577.64 – $577.64 | 1 |
| Forensic cytopathology CPT 88125 | not published | not published | $12.51 – $195.45 | 6 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $793.20 | $1,322.00 | $75.47 – $1,468.00 | 8 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $10.99 – $10.99 | 1 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $2.13 – $2.13 | 1 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $20.91 – $35.69 | 2 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $1.33 – $4.66 | 6 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $99.75 | 6 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $26.69 – $326.40 | 6 |
| _fragile x methylation-sendout CPT 81244 | $526.80 | $878.00 | $44.30 – $157.12 | 6 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $786.76 – $17,033.00 | 8 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $515.27 – $2,735.36 | 6 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $560.99 – $2,471.56 | 6 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $655.25 – $3,260.04 | 6 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $668.72 – $3,838.21 | 6 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,522.46 – $5,543.00 | 3 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,230.77 – $5,543.00 | 3 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,168.84 – $5,543.00 | 3 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,528.06 – $5,543.00 | 3 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,457.27 – $5,543.00 | 3 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,790.10 – $5,543.00 | 3 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,502.02 – $5,543.00 | 3 |
| Frenectomy 41115 CPT 41115 | $1,630.20 | $2,717.00 | $262.58 – $5,819.47 | 8 |
| Frenotomy 40806 CPT 40806 | not published | not published | $104.87 – $2,022.84 | 8 |
| Frenulotomy of penis CPT 54164 | not published | not published | $210.94 – $7,840.33 | 8 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $320.40 | $534.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $320.40 | $534.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $20.20 – $639.00 | 6 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $40.03 – $140.09 | 6 |
| Frozen blood prep CPT 86930 | not published | not published | $119.78 – $639.00 | 6 |
| Frozen blood thaw CPT 86931 | not published | not published | $90.01 – $639.00 | 6 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.05 – $42.32 | 6 |
| Fructosamine glycated protein CPT 82985 | $102.60 | $171.00 | $16.66 – $58.66 | 6 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $41.11 – $202.44 | 6 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $225.16 – $1,468.00 | 3 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $153.51 – $1,468.00 | 3 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $273.94 – $1,351.21 | 6 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,462.54 – $5,205.80 | 6 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $68.40 – $243.32 | 6 |
| Ftl cgen abnor four anal CPT 81511 | $337.20 | $562.00 | $150.97 – $537.25 | 6 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $54.58 – $194.39 | 6 |
| Ftl cgen abnor two proteins CPT 81508 | $503.40 | $839.00 | $53.51 – $190.05 | 6 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $283.86 – $1,342.04 | 6 |
| Full field erg w/i&r CPT 92273 | not published | not published | $96.50 – $809.86 | 6 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $41.93 – $894.92 | 6 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $47.84 – $235.24 | 6 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,078.65 – $7,738.67 | 8 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $1,209.60 | $2,016.00 | $821.64 – $7,738.67 | 8 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $1,209.60 | $2,016.00 | $143.20 – $1,468.00 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,245.20 | $3,742.00 | $996.29 – $7,738.67 | 8 |
| Functional brain mapping CPT 96020 | not published | not published | $5,538.00 – $5,538.00 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $28.82 – $499.02 | 6 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,430.29 – $7,697.34 | 6 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.71 – $0.71 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $3,672.07 – $5,543.00 | 3 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,544.80 – $5,543.00 | 3 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,578.45 – $5,543.00 | 3 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,568.38 – $5,543.00 | 3 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,457.62 – $5,543.00 | 3 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,655.29 – $5,543.00 | 3 |
| Fuse/graft added joint CPT 26863 | not published | not published | $255.44 – $1,468.00 | 3 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,717.09 – $1,717.09 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $3,417.60 – $5,543.00 | 3 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,870.02 – $5,543.00 | 3 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,467.17 – $5,543.00 | 3 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,221.97 – $5,543.00 | 3 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,522.58 – $5,543.00 | 3 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $763.75 – $12,272.18 | 8 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $868.04 – $27,215.63 | 8 |
| Fusion of ankle joint open CPT 27870 | $2,050.20 | $3,417.00 | $1,125.67 – $48,153.59 | 8 |
| Fusion of big toe joint CPT 28750 | $1,524.60 | $2,541.00 | $858.94 – $27,215.63 | 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.