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 |
|---|---|---|---|---|
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $273.13 – $13,983.78 | 8 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $157.55 – $13,983.78 | 8 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $176.44 – $13,983.78 | 8 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,086.20 | $3,477.00 | $264.55 – $6,675.80 | 8 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $213.09 – $13,983.78 | 8 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $194.11 – $1,468.00 | 8 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $206.96 – $13,983.78 | 8 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $230.82 – $13,983.78 | 8 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $264.32 – $13,983.78 | 8 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $232.33 – $13,983.78 | 8 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $218.37 – $6,675.80 | 8 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $276.01 – $6,675.80 | 8 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $221.99 – $13,983.78 | 8 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $666.00 | $1,110.00 | $213.37 – $1,468.00 | 8 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $376.19 – $26,470.17 | 8 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $288.92 – $13,983.78 | 8 |
| Laser surgery eye strands CPT 67031 | not published | not published | $411.36 – $2,933.00 | 8 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $172.92 – $12,141.37 | 8 |
| Laser surgery of prostate CPT 52647 | not published | not published | $1,689.67 – $12,241.00 | 3 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,744.71 – $20,110.30 | 8 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $146.39 – $7,738.67 | 8 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,024.00 – $15,503.08 | 8 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,107.38 – $15,503.08 | 8 |
| Lateral canthopexy CPT 21282 | not published | not published | $409.09 – $12,435.18 | 8 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $238.85 – $1,052.38 | 6 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $71.59 – $334.22 | 6 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $63.08 – $278.39 | 6 |
| Lat retinacular release open CPT 27425 | $753.00 | $1,255.00 | $487.31 – $12,272.18 | 8 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $188.86 – $1,468.00 | 8 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,215.45 – $39,868.95 | 8 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $948.94 – $10,894.61 | 8 |
| Lead capillary CPT 83655 | $283.20 | $472.00 | $12.11 – $42.38 | 6 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $298.39 – $1,471.08 | 6 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,496.75 – $22,203.30 | 8 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,539.28 – $22,203.30 | 8 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,934.62 – $22,203.30 | 8 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,605.40 – $22,203.30 | 8 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $808.00 – $22,203.30 | 8 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $1.77 – $1.77 | 1 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.06 – $1.06 | 1 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $1.77 – $1.77 | 1 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $1,631.94 – $8,521.76 | 6 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,202.78 – $6,345.29 | 6 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,033.38 – $5,356.82 | 6 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,445.53 – $7,701.57 | 6 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $70.18 | 6 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $146.16 | 6 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,394.14 – $6,692.14 | 6 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,010.33 – $11,842.65 | 8 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,484.40 | $2,474.00 | $161.12 – $894.92 | 6 |
| Leishmania antibody CPT 86717 | not published | not published | $12.25 – $42.88 | 6 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $647.24 – $12,272.18 | 8 |
| Lengthening of palate CPT 42227 | not published | not published | $891.84 – $22,203.30 | 8 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $944.56 – $22,203.30 | 8 |
| Lengthening of thigh bone CPT 27466 | $2,587.20 | $4,312.00 | $1,297.74 – $27,215.63 | 8 |
| Lengthening of thigh tendon CPT 27393 | $4,874.40 | $8,124.00 | $555.53 – $27,215.63 | 8 |
| Lengthening of thigh tendons CPT 27394 | $5,353.80 | $8,923.00 | $699.34 – $27,215.63 | 8 |
| Lengthening of thigh tendons CPT 27395 | $7,153.20 | $11,922.00 | $960.15 – $12,272.18 | 8 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,177.52 – $48,153.59 | 8 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $947.84 – $27,215.63 | 8 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,094.60 – $48,153.59 | 8 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,229.44 – $27,215.63 | 8 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | not published | $98.52 – $98.52 | 1 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $98.52 – $98.52 | 1 |
| Lepirudin HCPCS J1945 | not published | not published | $159.12 – $159.12 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $3.19 – $3.19 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $77.96 – $639.00 | 6 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.28 – $36.36 | 6 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $176.20 – $616.70 | 7 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,169.11 – $6,179.51 | 7 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $4,687.79 – $4,687.79 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $20.20 – $20.20 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $364.22 – $2,427.45 | 6 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $39.95 – $139.81 | 6 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $2.13 – $2.13 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.35 – $0.35 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.35 – $0.35 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.35 – $0.35 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $221.40 | $369.00 | $13.25 – $46.38 | 6 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.42 – $1.42 | 1 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $411.79 – $411.79 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $8,941.80 | $14,903.00 | $3,474.11 – $12,241.00 | 7 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.35 – $0.35 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.02 – $0.02 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $179.40 | $299.00 | $14.69 – $51.42 | 6 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $171.17 – $889.91 | 6 |
| Lift heel adj small gl60404sm HCPCS L3332 | $85.20 | $142.00 | $64.50 – $317.28 | 6 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $33.31 – $164.04 | 6 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $493.66 – $2,434.28 | 6 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,717.07 – $17,033.00 | 3 |
| Ligate leg veins open CPT 37761 | not published | not published | $605.75 – $11,842.65 | 8 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $701.81 – $11,842.65 | 8 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $83.32 – $5,543.00 | 3 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,628.60 – $5,543.00 | 3 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $532.88 – $11,842.65 | 8 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $481.75 – $11,842.65 | 8 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $392.23 – $12,141.37 | 8 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $3,949.20 | $6,582.00 | $330.66 – $6,194.59 | 8 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,477.68 – $5,543.00 | 3 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $272.18 – $11,842.65 | 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.