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 |
|---|---|---|---|---|
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.50 – $2.90 | 6 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.65 – $12.79 | 6 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.05 – $0.05 | 1 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.09 – $10.83 | 6 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,321,376.38 – $11,624,817.33 | 6 |
| Inj disk cerv-thor ea lev CPT 62291 | $2,110.80 | $3,518.00 | $340.74 – $1,468.00 | 3 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.14 – $14.49 | 6 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $89.83 – $1,468.00 | 8 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.73 – $23.56 | 6 |
| Inj dx for sinogram CPT 20501 | $1,052.40 | $1,754.00 | $131.44 – $1,468.00 | 3 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $693.00 – $5,538.00 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $2,675.40 | $4,459.00 | $756.44 – $2,933.00 | 7 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $685.20 | $1,142.00 | $208.33 – $1,468.00 | 3 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $37.56 – $185.89 | 7 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $498.72 – $1,745.51 | 6 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $20.02 – $70.08 | 6 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $1,249.80 | $2,083.00 | $82.68 – $1,468.00 | 8 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $2.13 – $2.13 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $51.39 – $247.71 | 7 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.35 – $0.35 | 1 |
| Injection during cath supravalvular aortography CPT 93567 | $2,235.00 | $3,725.00 | $136.96 – $1,468.00 | 3 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $15.18 – $53.12 | 6 |
| Injection epidural blood patch or clot CPT 62273 | $1,921.80 | $3,203.00 | $183.54 – $2,933.00 | 8 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.35 – $0.35 | 1 |
| Injection eye drug CPT 67028 | not published | not published | $108.14 – $1,468.00 | 8 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $1.77 – $1.77 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $790.80 | $1,318.00 | $179.03 – $1,468.00 | 3 |
| Injection for bladder x-ray CPT 51600 | $883.80 | $1,473.00 | $201.14 – $1,468.00 | 3 |
| Injection for hip x-ray CPT 27095 | $859.20 | $1,432.00 | $277.07 – $1,468.00 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $841.80 | $1,403.00 | $144.82 – $1,468.00 | 3 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $146.89 – $1,468.00 | 3 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $66.71 – $1,468.00 | 3 |
| Injection for ureter x-ray CPT 50684 | $731.40 | $1,219.00 | $113.12 – $1,468.00 | 3 |
| Injection for ureter x-ray CPT 50690 | $399.00 | $665.00 | $106.56 – $1,468.00 | 3 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $139.27 – $139.27 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $11.39 – $96.04 | 2 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $267.60 – $1,701.04 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.61 – $44.14 | 6 |
| Injection into brain canal CPT 61026 | $2,229.60 | $3,716.00 | $116.93 – $2,933.00 | 8 |
| Injection into brain canal CPT 61055 | $828.00 | $1,380.00 | $139.75 – $1,468.00 | 8 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $300.21 – $3,487.96 | 8 |
| Injection into spinal artery CPT 62294 | not published | not published | $947.82 – $3,317.36 | 8 |
| Injection into vocal cord CPT 31513 | not published | not published | $143.26 – $1,468.00 | 8 |
| Injection intraop add-on CPT 48400 | not published | not published | $119.57 – $5,543.00 | 3 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.01 – $3.52 | 6 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $184.12 – $1,468.00 | 3 |
| Injection jugular CPT 36299 | not published | not published | $693.00 – $5,538.00 | 3 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.67 – $20.06 | 7 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $77.16 – $270.05 | 5 |
| Injection of sinus tract CPT 20500 | $1,526.40 | $2,544.00 | $114.95 – $5,819.47 | 8 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.02 – $22.79 | 7 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $54.22 – $54.22 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $5.87 | 6 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $1.42 – $1.42 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $115.73 – $1,468.00 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $568.80 | $948.00 | $85.85 – $1,499.41 | 8 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.80 – $93.81 | 7 |
| Injection, ruconest HCPCS J0596 | not published | not published | $26.93 – $128.36 | 7 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $756.44 – $5,538.00 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,220.40 | $2,034.00 | $128.64 – $2,933.00 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,453.20 | $2,422.00 | $80.73 – $2,933.00 | 8 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,803.80 | $4,673.00 | $235.83 – $3,317.36 | 8 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,255.80 | $2,093.00 | $99.71 – $1,468.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $3,517.20 | $5,862.00 | $198.48 – $3,317.36 | 8 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,091.40 | $1,819.00 | $92.37 – $1,468.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,058.80 | $5,098.00 | $180.20 – $3,317.36 | 8 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $5,189.40 | $8,649.00 | $262.68 – $2,933.00 | 8 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $4,966.20 | $8,277.00 | $259.37 – $2,933.00 | 8 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $174.08 – $609.26 | 6 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $672.00 | $1,120.00 | $56.86 – $1,468.00 | 8 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $628.80 | $1,048.00 | $58.48 – $1,468.00 | 8 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $912.60 | $1,521.00 | $67.38 – $1,468.00 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $273.00 | $455.00 | $17.08 – $175.63 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $273.00 | $455.00 | $10.67 – $10.67 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $273.00 | $455.00 | $39.77 – $797.78 | 6 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $406.20 | $677.00 | $17.30 – $270.05 | 6 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $11.34 – $11.34 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $198.89 – $8,655.87 | 8 |
| Injection treatment of eye CPT 66030 | not published | not published | $177.76 – $8,655.87 | 8 |
| Injection treatment of nerve CPT 64605 | not published | not published | $627.79 – $7,324.02 | 8 |
| Injection treatment of nerve CPT 64610 | not published | not published | $832.51 – $7,324.02 | 8 |
| Injection treatment of nerve CPT 64681 | $3,690.00 | $6,150.00 | $606.54 – $3,317.36 | 8 |
| Injection treatment of nose CPT 30200 | not published | not published | $116.36 – $2,022.84 | 8 |
| Inject sacroiliac joint CPT 27096 | $2,338.80 | $3,898.00 | $167.56 – $1,468.00 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $76.27 – $1,468.00 | 8 |
| Inject/treat eye socket CPT 67505 | not published | not published | $89.03 – $1,468.00 | 8 |
| Inject/treat eye socket CPT 67515 | not published | not published | $82.28 – $1,468.00 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.33 – $120.14 | 6 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $37.31 – $136.34 | 6 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.14 – $1,344.47 | 6 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $47.84 – $194.74 | 7 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $3,734.40 | $6,224.00 | $173.26 – $2,933.00 | 8 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $3,106.80 | $5,178.00 | $160.91 – $3,317.36 | 8 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $14.49 – $50.72 | 6 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $691.72 | 6 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $19.43 – $68.00 | 6 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,332,000.00 – $8,162,000.00 | 6 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.95 – $34.84 | 6 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.87 – $115.03 | 6 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $21.93 – $76.76 | 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.