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 |
|---|---|---|---|---|
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $521.40 | $869.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $521.40 | $869.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $923.40 | $1,539.00 | $353.96 – $1,468.00 | 8 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $347.40 | $579.00 | $286.97 – $1,675.51 | 8 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $1,005.60 | $1,676.00 | $257.06 – $1,524.70 | 8 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $529.80 | $883.00 | $256.91 – $1,524.70 | 8 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $529.80 | $883.00 | $278.74 – $1,524.70 | 8 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $583.20 | $972.00 | $316.64 – $1,524.70 | 8 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $627.60 | $1,046.00 | $311.32 – $1,524.70 | 8 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $627.60 | $1,046.00 | $369.52 – $1,524.70 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,287.60 | $2,146.00 | $335.83 – $1,524.70 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $529.80 | $883.00 | $384.11 – $2,772.01 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $627.60 | $1,046.00 | $387.41 – $1,524.70 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $627.60 | $1,046.00 | $424.19 – $2,772.01 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $627.60 | $1,046.00 | $435.63 – $1,524.70 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $627.60 | $1,046.00 | $513.62 – $2,933.00 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $627.60 | $1,046.00 | $435.63 – $1,524.70 | 8 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,102.80 | $1,838.00 | $565.06 – $7,738.67 | 8 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $627.60 | $1,046.00 | $435.63 – $1,524.70 | 8 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $30.10 | 6 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $12.86 – $12.86 | 1 |
| Ghs mbp CPT 83873 | not published | not published | $17.20 – $60.20 | 6 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $615.00 | $1,025.00 | $77.25 – $77.25 | 1 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $564.60 | $941.00 | $97.95 – $97.95 | 1 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $564.60 | $941.00 | $86.21 – $86.21 | 1 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $569.40 | $949.00 | $10.74 – $10.74 | 1 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $566.40 | $944.00 | $69.52 – $69.52 | 1 |
| Ghs musc test done w/n test comp CPT 95886 | $276.60 | $461.00 | $48.20 – $48.20 | 1 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $276.60 | $461.00 | $42.17 – $42.17 | 1 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $145.20 | $242.00 | $44.29 – $44.29 | 1 |
| Ghs myocardial strain img spckl track CPT 93356 | $0.60 | $1.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $385.80 | $643.00 | $200.59 – $2,772.01 | 8 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,046.60 | $3,411.00 | $164.86 – $3,317.36 | 8 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,464.60 | $2,441.00 | $116.54 – $2,933.00 | 8 |
| Ghs nerve block axillary nerve CPT 64417 | $1,554.60 | $2,591.00 | $139.08 – $3,317.36 | 8 |
| Ghs nerve block brachial plexus CPT 64415 | $3,430.20 | $5,717.00 | $125.74 – $3,317.36 | 8 |
| Ghs nerve block celiac plexus CPT 64530 | $2,298.00 | $3,830.00 | $209.45 – $3,317.36 | 8 |
| Ghs nerve block interscaline CPT 64510 | $1,810.20 | $3,017.00 | $138.88 – $3,317.36 | 8 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,839.00 | $3,065.00 | $209.44 – $3,317.36 | 8 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,839.00 | $3,065.00 | $144.15 – $2,933.00 | 8 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $100.81 – $2,933.00 | 8 |
| Ghs ng placement w fluoro guidance CPT 43752 | $543.00 | $905.00 | $44.88 – $1,675.51 | 8 |
| Ghs o2 saturation CPT 82810 | $156.60 | $261.00 | $9.57 – $34.20 | 6 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $42.99 – $482.61 | 6 |
| Ghs o2 uptake rest & indirect CPT 94690 | $427.20 | $712.00 | $49.01 – $221.26 | 6 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $50.18 – $5,538.00 | 6 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,659.60 | $2,766.00 | $165.76 – $2,933.00 | 8 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,903.40 | $4,839.00 | $345.40 – $5,904.13 | 8 |
| Ghs optokenetic CPT 92544 | not published | not published | $2.95 – $482.61 | 6 |
| Ghs oscillating trac CPT 92545 | not published | not published | $2.95 – $809.86 | 6 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $126.00 | $210.00 | $23.14 – $80.99 | 6 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $23.14 – $80.99 | 6 |
| Ghs ot dds rom CPT 95851 | not published | not published | $7.16 – $25.06 | 6 |
| Ghs ot group caregiver training CPT 97552 | $34.80 | $58.00 | $9.58 – $33.53 | 5 |
| Ghs ot prosthetic training/15 min CPT 97761 | $123.00 | $205.00 | $41.42 – $144.97 | 6 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $108.00 | $180.00 | $44.60 – $218.26 | 6 |
| Ghs ot work hardening-additional hours CPT 97546 | $127.80 | $213.00 | $64.90 – $64.90 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $751.20 | $1,252.00 | $1.21 – $2,933.00 | 8 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,320.60 | $2,201.00 | $100.42 – $1,468.00 | 3 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,857.00 | $3,095.00 | $92.37 – $1,468.00 | 3 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $33.43 – $33.43 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | $592.80 | $988.00 | $200.32 – $1,468.00 | 8 |
| Ghs phenylketonurid CPT 84030 | $310.80 | $518.00 | $5.50 – $19.25 | 6 |
| Ghs picc line insert < 5 CPT 36568 | $5,440.80 | $9,068.00 | $102.51 – $5,904.13 | 8 |
| Ghs plngl fx pm cl CPT 26725 | $739.20 | $1,232.00 | $264.33 – $1,468.00 | 8 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $15.08 | 6 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $784.02 – $3,220.85 | 6 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $3.65 – $499.02 | 6 |
| Ghs ppd (tb intradermal) CPT 86580 | $46.20 | $77.00 | $8.62 – $108.48 | 6 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $116.40 | $194.00 | $9.66 – $33.81 | 6 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $19.64 | 6 |
| Ghs protoporphyrins fract CPT 84202 | $351.00 | $585.00 | $14.35 – $50.22 | 6 |
| Ghs pr without cont pulse ox CPT 94625 | $171.60 | $286.00 | $63.22 – $221.26 | 5 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $42.88 | 6 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $361.20 | $602.00 | $163.02 – $163.02 | 1 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $51.10 | 6 |
| Ghs refill of implantable pump CPT 95990 | $598.80 | $998.00 | $93.18 – $1,468.00 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | $210.00 | $350.00 | $142.58 – $1,468.00 | 8 |
| Ghs removal pharyngeal foreign body CPT 42809 | $351.00 | $585.00 | $212.59 – $1,675.51 | 8 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $769.80 | $1,283.00 | $587.47 – $6,031.04 | 8 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $1,077.60 | $1,796.00 | $529.68 – $12,272.18 | 8 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.59 – $55.62 | 6 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $15.08 | 6 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.82 – $48.68 | 6 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.25 – $14.94 | 6 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $43.08 | 6 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $34.44 | 6 |
| Ghs sensitivity (per antimicro) CPT 87184 | $114.60 | $191.00 | $7.44 – $26.18 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $485.40 | $809.00 | $175.37 – $1,524.70 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $640.80 | $1,068.00 | $222.40 – $1,524.70 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $576.60 | $961.00 | $207.58 – $1,524.70 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $627.60 | $1,046.00 | $168.86 – $1,524.70 | 8 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $414.00 | $690.00 | $144.86 – $1,468.00 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $452.40 | $754.00 | $134.55 – $1,468.00 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $454.80 | $758.00 | $175.40 – $1,468.00 | 8 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $592.20 | $987.00 | $215.00 – $1,468.00 | 8 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $627.60 | $1,046.00 | $191.54 – $1,468.00 | 8 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $127.33 – $809.86 | 6 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,141.20 | $1,902.00 | $100.52 – $809.86 | 6 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $3,182.40 | $5,304.00 | $300.50 – $3,220.85 | 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.