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 |
|---|---|---|---|---|
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $809.55 – $11,842.65 | 8 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $832.49 – $11,842.65 | 8 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $800.46 – $11,842.65 | 8 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,243.53 – $5,543.00 | 3 |
| Ligation/major artery/extremity 37618 CPT 37618 | $685.20 | $1,142.00 | $427.27 – $5,543.00 | 3 |
| Ligation major artery neck CPT 37615 | not published | not published | $582.11 – $11,842.65 | 8 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $620.96 – $11,842.65 | 8 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,509.35 – $20,870.52 | 8 |
| Ligation of femoral vein CPT 37650 | not published | not published | $516.74 – $11,842.65 | 8 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,947.52 – $20,870.52 | 8 |
| Ligation of neck artery CPT 37606 | not published | not published | $786.76 – $11,842.65 | 8 |
| Ligation of salivary duct CPT 42665 | not published | not published | $346.28 – $12,435.18 | 8 |
| Ligation of shunt CPT 49428 | not published | not published | $483.29 – $4,932.00 | 3 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $904.21 – $11,842.65 | 8 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $379.06 – $11,842.65 | 8 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $419.14 – $11,842.65 | 8 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $655.72 – $11,842.65 | 8 |
| Limb exercise test CPT 95875 | not published | not published | $73.11 – $482.61 | 6 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $244.38 – $1,468.00 | 3 |
| Limited ankle motion ea jnt HCPCS L2200 | $585.60 | $976.00 | $43.23 – $216.12 | 6 |
| Limited autopsy CPT 88036 | not published | not published | $103.83 – $103.83 | 1 |
| Limited autopsy CPT 88037 | not published | not published | $92.49 – $92.49 | 1 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $113.05 – $498.22 | 6 |
| Limited visual field xm CPT 92081 | not published | not published | $17.83 – $221.26 | 6 |
| Lincomycin injection HCPCS J2010 | not published | not published | $13.11 – $13.11 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $8.51 – $8.51 | 1 |
| Lipase CPT 83690 | $232.20 | $387.00 | $6.89 – $24.12 | 6 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $518.24 – $12,435.18 | 8 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.31 – $118.51 | 6 |
| Lipoprotein blood quant CPT 83704 | $281.40 | $469.00 | $34.19 – $119.66 | 6 |
| Lipoprotein direct measurement hdl CPT 83718 | $106.20 | $177.00 | $8.19 – $28.66 | 6 |
| Lipoprotein direct measurement ldl CPT 83721 | $94.20 | $157.00 | $10.28 – $36.75 | 6 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $119.66 | 6 |
| Lip surgery procedure CPT 40799 | not published | not published | $253.81 – $5,538.00 | 8 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $562,260.84 – $1,967,912.93 | 6 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $46.16 | 6 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $141.04 – $695.00 | 6 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $56.70 – $278.78 | 6 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $441.21 – $2,175.11 | 6 |
| Lithium therapeutic drug level CPT 80178 | $145.20 | $242.00 | $6.61 – $23.14 | 6 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $4,942.20 | $8,237.00 | not published | 0 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $5,243.00 – $5,543.00 | 2 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $5,243.00 – $5,543.00 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $945.60 | $1,576.00 | $1,357.22 – $5,543.00 | 3 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $612.00 | $1,020.00 | $176.19 – $616.66 | 5 |
| Liver elastography 91200 CPT 91200 | not published | not published | $24.92 – $482.61 | 6 |
| Liver Function Test CPT 80076 | $211.20 | $352.00 | $8.17 – $28.60 | 6 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,629.71 – $5,543.00 | 3 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $300.26 – $300.26 | 1 |
| Liver imaging CPT 78201 | not published | not published | $173.63 – $2,036.50 | 6 |
| Liver imaging (3d) CPT 78205 | not published | not published | $182.13 – $182.13 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $182.84 – $2,036.50 | 6 |
| Liver/spleen imag static only CPT 78215 | $1,749.00 | $2,915.00 | $174.69 – $1,499.41 | 6 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $103.10 – $1,499.41 | 6 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $77.30 – $8,917.15 | 8 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $1,108.80 | $1,848.00 | $705.34 – $12,272.18 | 8 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $2,481.04 – $12,235.48 | 6 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.06 – $1.06 | 1 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $20.20 – $20.20 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $221.49 – $775.23 | 6 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $107.38 – $578.24 | 6 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $0.71 – $0.71 | 1 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $51.40 – $179.90 | 6 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $85.20 | $142.00 | $68.04 – $335.27 | 6 |
| Loudness balance test CPT 92562 | not published | not published | $45.47 – $809.86 | 6 |
| Low back disk surgery CPT 63030 | not published | not published | $1,086.22 – $27,215.63 | 8 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $693.00 – $5,538.00 | 3 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $4,157.00 – $5,538.00 | 3 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $693.00 – $5,538.00 | 3 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $693.00 – $5,538.00 | 3 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $693.00 – $5,538.00 | 3 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $693.00 – $5,538.00 | 3 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $693.00 – $5,538.00 | 3 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $693.00 – $5,538.00 | 3 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,964.00 | $4,940.00 | $187.96 – $657.87 | 6 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,376.00 | $3,960.00 | $165.61 – $1,308.51 | 6 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,022.00 | $3,370.00 | $112.03 – $392.12 | 6 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,525.00 | $5,875.00 | $257.15 – $1,308.51 | 6 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,343.80 | $5,573.00 | $225.97 – $1,308.51 | 6 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,091.80 | $5,153.00 | $145.76 – $894.92 | 6 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $489.60 | $816.00 | $25.27 – $392.12 | 6 |
| Lower jaw bone graft CPT 21215 | not published | not published | $4,126.29 – $22,203.30 | 8 |
| Low frequency non-thermal Ultrasound CPT 97610 | $278.40 | $464.00 | $215.00 – $752.51 | 6 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $775.05 – $39,868.95 | 8 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $895.91 – $39,868.95 | 8 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $888.53 – $39,868.95 | 8 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $975.09 – $39,868.95 | 8 |
| Lso corset front HCPCS L0972 | not published | not published | $93.91 – $418.39 | 6 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $55.32 – $193.62 | 6 |
| Lso full corset HCPCS L0976 | not published | not published | $146.01 – $643.12 | 6 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $141.40 – $696.68 | 6 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,150.33 – $5,673.18 | 6 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $783.31 – $2,741.58 | 6 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $106.80 – $373.80 | 6 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $873.91 – $4,298.07 | 6 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,293.50 – $5,831.77 | 6 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $250.19 – $1,233.44 | 6 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $189.11 – $661.88 | 6 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $912.54 – $4,500.90 | 6 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,023.81 – $5,572.46 | 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.