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 speech-gen aug dev eval iii, st CPT 92608 | $183.00 | $305.00 | $48.59 – $170.06 | 6 |
| Ghs sphenopalatine ganglion block CPT 64505 | $567.60 | $946.00 | $126.11 – $1,468.00 | 8 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $4.01 – $499.02 | 6 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $286.80 | $478.00 | $104.56 – $365.96 | 6 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $15.97 – $140.09 | 6 |
| Ghs strapping shoulder - 29240 CPT 29240 | $303.00 | $505.00 | $32.27 – $1,468.00 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | $402.00 | $670.00 | $72.74 – $254.59 | 6 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $16.27 – $175.63 | 6 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $167.08 – $797.78 | 6 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,568.40 | $2,614.00 | $302.44 – $2,772.01 | 8 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $852.60 | $1,421.00 | $178.04 – $1,524.70 | 8 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $933.00 | $1,555.00 | $360.26 – $5,819.47 | 8 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $25.55 | 6 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $550.80 | $918.00 | $264.33 – $1,468.00 | 8 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $264.33 – $1,468.00 | 8 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $85.05 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | $169.80 | $283.00 | $14.71 – $51.48 | 6 |
| Ghs vaginal delivery only CPT 59409 | $3,563.40 | $5,939.00 | $910.97 – $12,141.37 | 8 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $5,038.20 | $8,397.00 | $399.88 – $1,399.59 | 5 |
| Ghs windowing of cast CPT 29730 | not published | not published | $67.00 – $1,468.00 | 8 |
| Giardia ag if CPT 87269 | not published | not published | $13.47 – $47.64 | 6 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $51.52 | 6 |
| Gi endoscopic ultrasound CPT 76975 | $1,366.80 | $2,278.00 | $62.31 – $894.92 | 6 |
| Gi inhouse confirmation CPT 87045 | $198.60 | $331.00 | $9.44 – $33.04 | 6 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $411.68 – $12,435.18 | 8 |
| Gi protein loss CPT 78282 | not published | not published | $49.69 – $1,499.41 | 6 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $754.94 – $4,932.00 | 8 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $996.56 – $3,487.96 | 5 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $758.14 – $4,932.00 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $971.94 – $4,932.00 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $99.58 – $353.92 | 6 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $60.60 – $215.32 | 6 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $34.38 – $122.50 | 6 |
| Glassia injection HCPCS J0257 | not published | not published | $4.61 – $19.81 | 7 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $30.99 – $108.48 | 6 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $40.03 – $140.09 | 6 |
| Glaucoma surgery CPT 66150 | not published | not published | $925.19 – $15,503.08 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $924.45 – $15,503.08 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,044.55 – $8,655.87 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,157.64 – $8,655.87 | 8 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $84.70 – $412.44 | 6 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $146.33 – $512.16 | 7 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $135.00 – $472.50 | 6 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $50.02 | 6 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $161.24 | 6 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $176.75 | 6 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.36 – $62.20 | 6 |
| Glucose 1 hr post dose CPT 82950 | $89.40 | $149.00 | $4.75 – $16.62 | 6 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $21.18 | 6 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $57.60 | $96.00 | $3.19 – $11.48 | 6 |
| Glucose blood quantitative CPT 82947 | $78.60 | $131.00 | $3.93 – $13.76 | 6 |
| Glucose body fluid CPT 82945 | $99.00 | $165.00 | $3.93 – $13.76 | 6 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $55.62 – $221.26 | 6 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $366.00 | $610.00 | $12.87 – $45.04 | 6 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $82.80 | $138.00 | $3.92 – $13.72 | 6 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.84 – $0.84 | 1 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $14.53 – $14.53 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.29 – $39.50 | 7 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $249.00 | $415.00 | $18.58 – $65.03 | 6 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $519.43 | 6 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $402.60 | $671.00 | $18.52 – $64.82 | 6 |
| Gonioscopy CPT 92020 | not published | not published | $28.91 – $499.02 | 6 |
| Goniotomy CPT 65820 | not published | not published | $798.42 – $15,503.08 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $492.95 – $1,163.48 | 2 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $136.80 | $228.00 | $30.12 – $466.75 | 6 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $939.32 – $12,272.18 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $94.80 | $158.00 | $30.44 – $466.75 | 6 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $745.62 – $745.62 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $177.60 | $296.00 | $29.77 – $466.75 | 6 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $307.20 | $512.00 | $58.83 – $466.75 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,219.77 – $5,543.00 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $580.20 | $967.00 | $132.89 – $466.75 | 6 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $42.17 – $466.75 | 6 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $75.00 | $125.00 | $133.36 – $5,538.00 | 6 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $289.80 | $483.00 | $132.89 – $466.75 | 6 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $2.84 – $2.84 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.35 – $0.35 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,616.29 – $27,215.63 | 8 |
| Great toe with reduction 28495 CPT 28495 | $389.40 | $649.00 | $189.05 – $1,468.00 | 8 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,211.05 – $7,738.67 | 7 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,797.52 – $13,291.33 | 7 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $693.00 – $1,468.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,797.52 – $13,291.33 | 7 |
| Ground mileage HCPCS A0425 | not published | not published | $5.67 – $32.66 | 6 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $13.59 – $140.53 | 6 |
| Group health education CPT 99078 | $169.80 | $283.00 | $5,538.00 – $5,538.00 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $45.00 | $75.00 | $12.23 – $42.80 | 6 |
| Group train without patient HCPCS G0543 | not published | not published | $30.99 – $108.48 | 5 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $55.09 | 6 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $233.45 | 6 |
| Growth hormone panel CPT 80430 | not published | not published | $127.22 – $452.66 | 6 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $74.42 – $264.60 | 6 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,168.25 – $5,543.00 | 3 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,413.66 – $12,241.00 | 3 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,821.56 – $5,543.00 | 3 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,019.26 – $5,543.00 | 3 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,323.59 – $5,543.00 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $781.26 – $7,197.18 | 8 |
| G-tube reposition CPT 43761 | $2,281.80 | $3,803.00 | $130.62 – $1,468.00 | 8 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,393.80 | $7,323.00 | $66.73 – $7,840.33 | 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.