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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $267.60 | $446.00 | $142.63 – $499.20 | 5 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $58.80 | $98.00 | $35.09 – $122.82 | 6 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $148.80 | $248.00 | $35.09 – $122.82 | 6 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $72.60 | $121.00 | $70.18 – $245.63 | 5 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $97.20 | $162.00 | $76.77 – $268.70 | 5 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,717.20 | $2,862.00 | $679.77 – $2,379.19 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,171.20 | $1,952.00 | $416.78 – $1,458.73 | 6 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $449.02 | 6 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $258.70 – $920.46 | 6 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $889.20 | $1,482.00 | $42.84 – $149.94 | 6 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $439.20 | $732.00 | $42.84 – $149.94 | 6 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $582.00 | $970.00 | $42.84 – $149.94 | 6 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $586.80 | $978.00 | $85.10 – $297.85 | 6 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $274.20 | $457.00 | $140.34 – $499.20 | 6 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $31.04 – $108.64 | 7 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $28.04 – $98.14 | 6 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $26.04 – $91.12 | 7 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $28.71 – $102.27 | 6 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $40.00 – $137.76 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $15.95 – $47.64 | 2 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $693.00 – $1,468.00 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,423.64 – $5,543.00 | 3 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $3,378.31 – $5,543.00 | 3 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $693.00 – $1,468.00 | 2 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $693.00 – $1,468.00 | 2 |
| Infuse radioactive materials CPT 77750 | $2,622.00 | $4,370.00 | $118.81 – $1,446.62 | 6 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $90.63 – $90.63 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $126.91 – $1,399.59 | 6 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $192.60 | $321.00 | $46.81 – $821.31 | 6 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $1,691.47 – $8,940.33 | 6 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,249.20 – $6,355.40 | 6 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $39.41 – $137.94 | 5 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,149.97 – $5,669.09 | 6 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $70.04 – $499.35 | 6 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $1,232.40 | $2,054.00 | $375.84 – $375.84 | 1 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $139.18 – $139.18 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $178.24 – $178.24 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $96.47 – $96.47 | 1 |
| Initial observation care CPT 99218 | not published | not published | $107.36 – $107.36 | 1 |
| Initial observation care CPT 99219 | not published | not published | $145.97 – $145.97 | 1 |
| Initial observation care CPT 99220 | not published | not published | $199.25 – $199.25 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $426.00 | $710.00 | $67.19 – $821.31 | 6 |
| Init nb em per day non-fac CPT 99461 | $168.60 | $281.00 | $96.26 – $96.26 | 1 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $175.33 – $175.33 | 1 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.02 – $21.08 | 6 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $5.32 – $25.45 | 7 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.36 | 6 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $151.35 – $151.35 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $17.34 – $17.34 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $64,282.30 – $224,988.05 | 6 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $9.87 – $9.87 | 1 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.58 – $124.52 | 6 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $821.40 – $2,874.89 | 6 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $301.18 – $1,054.12 | 6 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.57 – $5.50 | 6 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.81 – $13.33 | 6 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.12 – $430.94 | 6 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $51.59 – $180.56 | 6 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.56 – $33.46 | 6 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.16 – $459.07 | 6 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $18.31 – $64.07 | 6 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $3.07 – $3.07 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.25 – $11.38 | 6 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $51.83 – $181.40 | 6 |
| Inj. asceniv HCPCS J1554 | not published | not published | $500.93 – $1,753.24 | 6 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $56.29 – $197.00 | 6 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $31.95 – $111.81 | 6 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $103.40 – $361.90 | 6 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $81.20 – $284.21 | 6 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $163.36 – $571.75 | 7 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,938,320.00 – $10,284,120.00 | 6 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.34 – $139.39 | 7 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $214.02 – $749.07 | 6 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $25.41 – $88.94 | 6 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.46 – $12.11 | 6 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.97 – $27.23 | 6 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $417.21 – $1,460.24 | 6 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,668.84 – $5,840.94 | 6 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $353.07 – $1,235.74 | 6 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $626.20 – $626.20 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.41 – $4.93 | 5 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.83 – $0.83 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $70.90 – $248.16 | 6 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $0.35 – $0.35 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $428.51 – $428.51 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.62 – $1.62 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.60 – $1.60 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.42 – $8.47 | 6 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $5.32 – $30.93 | 7 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.92 – $59.23 | 6 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $83.48 – $292.17 | 6 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $92.40 – $323.39 | 6 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $4.54 – $4.54 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $995.40 | $1,659.00 | $147.29 – $1,468.00 | 3 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $147.11 – $147.11 | 1 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,721.86 – $1,721.86 | 1 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $1,930.29 | 6 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $13.47 – $61.53 | 7 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $9.10 – $31.86 | 6 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.52 – $1.82 | 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.