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 |
|---|---|---|---|---|
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $5.40 | $9.00 | $0.35 – $0.35 | 1 |
| Io radiation tx management CPT 77469 | not published | not published | $341.59 – $341.59 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $148.49 – $655.08 | 7 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $463.80 | $773.00 | $123.83 – $123.83 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $571.80 | $953.00 | $179.77 – $179.77 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $687.00 | $1,145.00 | $216.46 – $216.46 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $349.20 | $582.00 | $80.46 – $80.46 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.35 – $0.35 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $2.84 – $2.84 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $45.01 – $232.31 | 7 |
| Iron CPT 83540 | $90.60 | $151.00 | $6.47 – $22.64 | 6 |
| Iron binding capacity CPT 83550 | $107.40 | $179.00 | $8.74 – $30.59 | 6 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $13.47 – $63.37 | 7 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $24.08 | 6 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.35 – $0.35 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $30.12 – $140.09 | 6 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $350.40 | $584.00 | $27.64 – $221.26 | 6 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $199.47 – $5,819.47 | 8 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.84 – $2.84 | 1 |
| Irrigation tray HCPCS A4320 | not published | not published | $5.32 – $5.32 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $51.14 – $1,468.00 | 8 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $83.58 – $292.52 | 6 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,078.72 – $7,738.67 | 8 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $682.31 – $2,388.08 | 5 |
| Ivc venogram s&i CPT 75825 | $2,933.40 | $4,889.00 | $74.53 – $11,842.65 | 6 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $388.80 | $648.00 | $32.00 – $270.05 | 6 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $388.80 | $648.00 | $21.55 – $21.55 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $217.20 | $362.00 | $22.29 – $175.63 | 6 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $388.80 | $648.00 | $72.69 – $797.78 | 6 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $40.48 – $1,499.41 | 6 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $119.74 – $1,675.51 | 8 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $119.54 – $657.87 | 6 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,143.00 | $1,905.00 | $94.38 – $657.87 | 6 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $75.48 – $489.12 | 7 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $648.20 | 5 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $575.87 – $12,272.18 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $697.55 – $12,272.18 | 8 |
| Jejunstmy tube plcmt CPT 44372 | $3,132.60 | $5,221.00 | $268.89 – $7,197.18 | 8 |
| John cunningham antibody CPT 86711 | not published | not published | $16.66 – $59.12 | 6 |
| J-tube placement CPT 44015 | $828.00 | $1,380.00 | $161.45 – $5,543.00 | 3 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,065.98 – $4,740.16 | 6 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $924.94 – $4,659.16 | 6 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,565.31 – $6,896.54 | 6 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $882.77 – $4,956.84 | 6 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,093.27 – $5,492.34 | 6 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,079.45 – $5,424.51 | 6 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $736.41 – $4,186.07 | 6 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,787.15 – $8,738.06 | 6 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,520.66 – $7,133.07 | 6 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $152.03 – $745.18 | 6 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $926.00 – $4,811.84 | 6 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $3,575.02 – $17,625.76 | 6 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $844.14 – $3,753.19 | 6 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,305.19 – $5,750.29 | 6 |
| Keratomileusis CPT 65760 | not published | not published | $1,266.32 – $5,543.00 | 3 |
| Keratophakia CPT 65765 | not published | not published | $1,836.33 – $5,543.00 | 3 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,481.46 – $54,407.54 | 8 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $23.74 – $23.74 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $54.14 | 6 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $126.60 | $211.00 | $8.17 – $28.60 | 6 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.34 – $1.19 | 6 |
| Kidney endoscopy CPT 50551 | not published | not published | $394.10 – $20,110.30 | 8 |
| Kidney endoscopy CPT 50553 | not published | not published | $420.82 – $20,110.30 | 8 |
| Kidney endoscopy CPT 50570 | not published | not published | $545.76 – $13,221.02 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $793.63 – $20,110.30 | 8 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $450.46 – $35,505.53 | 8 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $628.43 – $13,221.02 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $458.29 – $35,505.53 | 8 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $519.03 – $20,110.30 | 8 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $626.92 – $35,505.53 | 8 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $674.83 – $20,110.30 | 8 |
| Kidney function study CPT 78725 | not published | not published | $92.12 – $1,499.41 | 6 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $153.79 – $153.79 | 1 |
| Kidney imaging morphology CPT 78700 | $1,440.60 | $2,401.00 | $152.72 – $1,499.41 | 6 |
| Kidney imag w/bld flow multi CPT 78709 | $1,797.60 | $2,996.00 | $307.35 – $2,036.50 | 6 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,949.40 | $3,249.00 | $190.64 – $2,036.50 | 6 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $3,540.60 | $5,901.00 | $75.59 – $392.12 | 6 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $35.44 – $35.44 | 1 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $6.73 – $6.73 | 1 |
| Kit gene analys d816 variant CPT 81273 | $1,480.20 | $2,467.00 | $122.62 – $437.04 | 6 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $13.47 – $13.47 | 1 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $37.56 – $466.75 | 6 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,505.42 – $7,422.03 | 6 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $15.95 – $15.95 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $1,767.00 | $2,945.00 | $677.97 – $12,272.18 | 8 |
| Knee arthroscopy/drainage CPT 29871 | $4,620.00 | $7,700.00 | $561.03 – $12,272.18 | 8 |
| Knee arthroscopy dx CPT 29870 | $1,147.20 | $1,912.00 | $609.83 – $12,272.18 | 8 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $1,216.80 | $2,028.00 | $588.89 – $12,272.18 | 8 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $679.41 – $6,223.00 | 8 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,019.32 – $12,241.00 | 8 |
| Knee arthroscopy/surgery CPT 29873 | $4,720.80 | $7,868.00 | $569.96 – $12,272.18 | 8 |
| Knee arthroscopy/surgery CPT 29874 | $4,620.00 | $7,700.00 | $585.12 – $12,272.18 | 8 |
| Knee arthroscopy/surgery CPT 29875 | $1,450.20 | $2,417.00 | $539.65 – $12,272.18 | 8 |
| Knee arthroscopy/surgery CPT 29876 | $2,308.20 | $3,847.00 | $717.79 – $12,272.18 | 8 |
| Knee arthroscopy/surgery CPT 29879 | $4,620.00 | $7,700.00 | $723.04 – $12,272.18 | 8 |
| Knee arthroscopy/surgery CPT 29880 | $1,269.00 | $2,115.00 | $611.59 – $12,272.18 | 8 |
| Knee arthroscopy/surgery CPT 29882 | $1,555.20 | $2,592.00 | $763.80 – $12,272.18 | 8 |
| Knee arthroscopy/surgery CPT 29883 | $2,032.20 | $3,387.00 | $926.81 – $12,272.18 | 8 |
| Knee arthroscopy/surgery CPT 29884 | $1,770.60 | $2,951.00 | $667.40 – $12,272.18 | 8 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $696.91 – $12,272.18 | 8 |
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.