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 |
|---|---|---|---|---|
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | not published | not published | $2.48 – $2.48 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $207.60 | $346.00 | $13.86 – $175.63 | 6 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $281.40 | $469.00 | $38.67 – $797.78 | 6 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $21.97 – $21.97 | 1 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $16.30 – $16.30 | 1 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $7.44 – $7.44 | 1 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $6.38 – $6.38 | 1 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $11.69 – $11.69 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $12.76 – $12.76 | 1 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $7.09 – $7.09 | 1 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $37.92 – $37.92 | 1 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $23.03 – $23.03 | 1 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $15.59 – $15.59 | 1 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $6.73 – $6.73 | 1 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $4.61 – $4.61 | 1 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $81.86 – $81.86 | 1 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $2.84 – $2.84 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.02 – $0.02 | 1 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $1.06 – $1.06 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $6.38 – $6.38 | 1 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $2.13 – $2.13 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $62.65 | 6 |
| Hymenotomy CPT 56442 | not published | not published | $50.50 – $12,141.37 | 8 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $18.13 – $63.47 | 6 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $808.00 – $22,203.30 | 8 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $29.77 – $29.77 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $119.94 – $119.94 | 1 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $35.63 | 6 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $678.38 – $2,612.24 | 6 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $381.05 – $1,446.62 | 6 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $433.14 – $2,072.40 | 6 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $592.11 – $2,072.40 | 6 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $592.11 – $2,072.40 | 6 |
| Hypnotherapy CPT 90880 | not published | not published | $108.87 – $381.03 | 6 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $241.72 – $241.72 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $13.82 – $65.81 | 7 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,124.09 – $5,543.00 | 3 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,065.70 – $6,223.00 | 3 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,134.57 – $6,223.00 | 3 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $980.58 – $5,543.00 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $315.81 – $315.81 | 1 |
| Hysterosalpingography s&i CPT 74740 | $967.80 | $1,613.00 | $63.19 – $894.92 | 6 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $1,799.12 – $18,762.51 | 8 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,396.20 – $12,141.37 | 8 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $309.64 – $12,141.37 | 8 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $314.08 – $18,762.51 | 8 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $385.94 – $12,141.37 | 8 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $393.02 – $18,762.51 | 8 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $342.13 – $18,762.51 | 8 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $937.46 – $18,762.51 | 8 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,317.50 – $8,111.25 | 7 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,387.74 – $4,857.09 | 6 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $110.21 – $110.21 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $113.76 – $2,273.74 | 6 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $224.68 – $1,641.71 | 6 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $953.01 – $3,335.54 | 6 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $24.07 – $84.24 | 7 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $12.05 – $72.69 | 7 |
| I131 max 100uci HCPCS A9531 | not published | not published | $4.61 – $4.61 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $81.15 – $81.15 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.11 – $46.97 | 6 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $122.82 | 6 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $17.72 – $63.32 | 6 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $158.48 | 5 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $54.58 – $54.58 | 1 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $8,569.96 | 5 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $219.22 – $767.25 | 7 |
| Icatibant injection HCPCS J1744 | not published | not published | $206.78 – $206.78 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $158.87 – $809.86 | 6 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $13.22 – $140.09 | 6 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $8.29 – $221.26 | 6 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.75 – $108.48 | 6 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,050.05 – $27,215.63 | 8 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $491.72 – $12,435.18 | 8 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $32.25 – $32.25 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $295.82 – $6,194.59 | 8 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $559,781.08 – $1,959,233.78 | 6 |
| Identify sperm tissue CPT 89264 | not published | not published | $55.84 – $195.45 | 5 |
| Idet 1 or more levels CPT 22527 | not published | not published | $808.00 – $6,223.00 | 3 |
| Idet single level CPT 22526 | $2,731.80 | $4,553.00 | $808.00 – $6,223.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $1,161.60 | $1,936.00 | $564.94 – $12,272.18 | 8 |
| Idh1 common variants CPT 81120 | $606.60 | $1,011.00 | $189.95 – $676.38 | 6 |
| Idh2 common variants CPT 81121 | $927.00 | $1,545.00 | $290.95 – $1,035.27 | 6 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $478.21 – $10,410.57 | 8 |
| I&d lacrimal gland CPT 68400 | not published | not published | $298.90 – $4,932.00 | 8 |
| I&d lacrimal sac CPT 68420 | not published | not published | $338.21 – $8,917.15 | 8 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $492.00 | $820.00 | $375.86 – $10,894.61 | 8 |
| Idursulfase injection HCPCS J1743 | not published | not published | $533.70 – $1,953.77 | 7 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $335.79 – $10,894.61 | 8 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $184.32 – $10,894.61 | 8 |
| Ifnl3 gene CPT 81283 | $987.00 | $1,645.00 | $72.29 – $256.80 | 6 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $25.16 – $25.16 | 1 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $725.58 | 5 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $67.33 – $239.92 | 6 |
| Igh gene rearrange amp meth CPT 81261 | $683.40 | $1,139.00 | $197.99 – $692.96 | 6 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,582.80 | $2,638.00 | $294.52 – $1,030.82 | 6 |
| Igk rearrangeabn clonal pop CPT 81264 | $514.80 | $858.00 | $169.75 – $604.55 | 6 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $374.40 | $624.00 | $63.44 – $63.44 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $382.20 | $637.00 | $131.94 – $1,344.41 | 6 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $325.20 | $542.00 | $70.28 – $639.00 | 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.