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 |
|---|---|---|---|---|
| Fusion of big toe joint CPT 28755 | $1,065.00 | $1,775.00 | $543.40 – $27,215.63 | 8 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,388.44 – $5,543.00 | 3 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $114.61 – $1,468.00 | 3 |
| Fusion of finger joint CPT 26860 | not published | not published | $588.99 – $12,272.18 | 8 |
| Fusion of finger tendons CPT 26471 | not published | not published | $645.23 – $12,272.18 | 8 |
| Fusion of finger tendons CPT 26474 | not published | not published | $630.44 – $6,031.04 | 8 |
| Fusion of foot bones CPT 28730 | $1,534.20 | $2,557.00 | $800.66 – $48,153.59 | 8 |
| Fusion of foot bones CPT 28735 | not published | not published | $852.18 – $48,153.59 | 8 |
| Fusion of foot bones CPT 28740 | $1,190.40 | $1,984.00 | $904.59 – $27,215.63 | 8 |
| Fusion of hand joint CPT 26843 | not published | not published | $779.53 – $27,215.63 | 8 |
| Fusion of knee CPT 27580 | not published | not published | $1,585.57 – $48,153.59 | 8 |
| Fusion of knuckle CPT 26850 | not published | not published | $726.81 – $27,215.63 | 8 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $736.48 – $12,272.18 | 8 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $870.87 – $12,272.18 | 8 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $885.58 – $27,215.63 | 8 |
| Fusion of knuckle with graft CPT 26852 | $1,239.00 | $2,065.00 | $838.56 – $27,215.63 | 8 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,973.25 – $5,543.00 | 3 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $882.96 – $7,840.33 | 8 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,167.23 – $13,221.02 | 8 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $739.09 – $12,272.18 | 8 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $699.58 – $12,272.18 | 8 |
| Fusion of thumb CPT 26841 | not published | not published | $763.91 – $27,215.63 | 8 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $750.87 – $48,153.59 | 8 |
| Fusion of toes CPT 28280 | not published | not published | $549.41 – $12,272.18 | 8 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,569.43 – $5,543.00 | 3 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,374.20 – $5,543.00 | 3 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,275.76 – $5,543.00 | 3 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $270.39 – $961.90 | 6 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $134.67 – $479.50 | 6 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $270.39 – $961.90 | 6 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $182.15 – $648.20 | 6 |
| G0180 home health certification HCPCS G0180 | not published | not published | $55.81 – $55.81 | 1 |
| G6pc gene CPT 81250 | $118.80 | $198.00 | $57.41 – $204.72 | 6 |
| G6pd full gene sequence CPT 81249 | $1,499.40 | $2,499.00 | $590.05 – $2,100.00 | 6 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $171.88 – $611.84 | 6 |
| G6pd known familial variant CPT 81248 | not published | not published | $368.91 – $1,313.38 | 6 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $24.10 – $24.10 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $49.63 – $173.70 | 6 |
| Gabapentin non-blood CPT 80355 | not published | not published | $23.74 – $23.74 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.35 – $0.35 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $9.60 | $16.00 | $1.77 – $1.77 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.35 – $0.35 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.53 – $14.53 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $508.20 | $847.00 | $21.07 – $73.74 | 6 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $75.18 | 6 |
| Galactose transferase test CPT 82776 | $39.60 | $66.00 | $11.69 – $41.09 | 6 |
| Galectin-3 CPT 82777 | not published | not published | $43.59 – $154.88 | 6 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $735.93 – $22,674.75 | 8 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $12.64 | 6 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $1,272.25 | 6 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $1,925.46 | 6 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $478.52 – $1,701.15 | 6 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $1,437.58 | 6 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $1.42 – $1.42 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $383.80 – $1,797.58 | 6 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $160.29 – $806.60 | 7 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $39.34 – $171.34 | 7 |
| Gammaglobulin iga CPT 82784 | $357.00 | $595.00 | $9.30 – $32.55 | 6 |
| Gammaglobulin ige CPT 82785 | $190.20 | $317.00 | $16.46 – $57.61 | 6 |
| Gamma glutamyltransferase CPT 82977 | $118.80 | $198.00 | $7.20 – $25.20 | 6 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.09 – $466.75 | 6 |
| Gammaplex injection HCPCS J1557 | not published | not published | $45.01 – $226.28 | 7 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $39.34 – $174.04 | 7 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $55.28 – $55.28 | 1 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $4,497.12 – $4,497.12 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $122.82 | 6 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $146.16 | 6 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $23.48 | 6 |
| Gastric emptying imag study CPT 78265 | $591.00 | $985.00 | $357.77 – $1,499.41 | 6 |
| Gastric emptying imag study CPT 78266 | not published | not published | $428.30 – $2,036.50 | 6 |
| Gastric motility studies CPT 91020 | not published | not published | $173.16 – $1,468.00 | 8 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $177.88 – $1,499.41 | 6 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $61.92 | 6 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,138.87 – $5,543.00 | 3 |
| Gastroesophageal reflux study CPT 78262 | $1,549.80 | $2,583.00 | $213.32 – $1,499.41 | 6 |
| Gastroesophageal reflux test CPT 91034 | $2,514.60 | $4,191.00 | $139.73 – $1,468.00 | 8 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,541.57 – $5,543.00 | 3 |
| Gastrointestinal repair CPT 43361 | not published | not published | $3,042.36 – $5,543.00 | 3 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,510.69 – $5,543.00 | 3 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,467.43 – $5,543.00 | 3 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $24.81 – $24.81 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,190.20 – $5,543.00 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $664.44 – $4,932.00 | 8 |
| Gated heart multiple CPT 78473 | $2,671.20 | $4,452.00 | $223.59 – $1,499.41 | 6 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.48 – $2.48 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.48 – $2.48 | 1 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.13 – $2.13 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.06 – $1.06 | 1 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $3.54 – $3.54 | 1 |
| Gba gene CPT 81251 | not published | not published | $46.42 – $165.38 | 6 |
| Gefitinib oral HCPCS J8565 | not published | not published | $56.70 – $56.70 | 1 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $55.28 – $272.09 | 6 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $1.77 – $9.38 | 6 |
| Gel-one HCPCS J7326 | not published | not published | $512.94 – $1,843.75 | 7 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $5.67 – $5.67 | 1 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $190.10 – $840.58 | 7 |
| General health panel CPT 80050 | $808.80 | $1,348.00 | $46.42 – $46.42 | 1 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $46.40 – $46.40 | 1 |
| Genetic tstg severe inh cond CPT 81443 | $7,307.40 | $12,179.00 | $2,407.68 – $8,569.96 | 6 |
| Genioplasty augmentation CPT 21120 | not published | not published | $709.72 – $22,203.30 | 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.