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 |
|---|---|---|---|---|
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $76.96 | 6 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.42 – $1.42 | 1 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $58.12 – $336.80 | 6 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $70.88 – $391.20 | 6 |
| Lumbar diskogram s&i CPT 72295 | $3,572.40 | $5,954.00 | $59.29 – $7,324.02 | 6 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $71.23 – $381.36 | 6 |
| Lumbar sling HCPCS L1090 | not published | not published | $83.63 – $432.81 | 6 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,777.33 – $65,763.48 | 8 |
| Lumizyme injection HCPCS J0221 | not published | not published | $163.37 – $726.29 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $22.08 – $221.26 | 6 |
| Lung Function Test (Spirometry) CPT 94010 | $294.60 | $491.00 | $27.04 – $809.86 | 6 |
| Lung perfusion imaging CPT 78580 | $1,646.40 | $2,744.00 | $206.94 – $1,499.41 | 6 |
| Lung transplant double CPT 32853 | not published | not published | $5,223.72 – $5,543.00 | 3 |
| Lung transplant single CPT 32851 | not published | not published | $3,723.13 – $5,543.00 | 3 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,050.64 – $5,543.00 | 3 |
| Lung transplant with bypass CPT 32854 | not published | not published | $5,243.00 – $5,543.00 | 3 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,647.69 – $5,543.00 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $212.10 – $742.35 | 6 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $42.75 – $149.62 | 6 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $319.94 – $1,119.80 | 6 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $259.60 – $908.59 | 6 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $446.52 – $2,200.94 | 6 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $30.99 – $1,468.00 | 8 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $248.42 – $1,217.06 | 6 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $70.18 | 6 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $785.31 – $30,655.64 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $1,726.20 | $2,877.00 | $305.22 – $2,036.50 | 6 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $127.96 | 6 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $171.60 | 6 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $186.41 – $663.28 | 6 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $166.56 | 6 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $223.17 – $2,352.80 | 6 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $214.56 – $5,904.13 | 6 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $236.50 – $11,842.65 | 6 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $230.37 – $11,842.65 | 6 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $288.30 – $2,022.84 | 8 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $162.54 – $12,141.37 | 8 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $277.56 – $7,840.33 | 8 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.85 – $6.85 | 1 |
| Macroscopic exam arthropod CPT 87168 | $118.20 | $197.00 | $4.27 – $14.94 | 6 |
| Macroscopic exam parasite CPT 87169 | $98.40 | $164.00 | $4.31 – $15.08 | 6 |
| Magnesium CPT 83735 | $190.80 | $318.00 | $6.70 – $23.45 | 6 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.71 – $0.71 | 1 |
| Magnetic image bone marrow CPT 77084 | $3,091.80 | $5,153.00 | $255.69 – $894.92 | 6 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $22.80 – $22.80 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $46.16 | 6 |
| Male sling procedure CPT 53440 | not published | not published | $829.96 – $49,484.24 | 8 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,416.71 – $5,543.00 | 3 |
| Manipulate finger w/anesth CPT 26340 | $507.60 | $846.00 | $356.90 – $6,031.04 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | $613.80 | $1,023.00 | $446.72 – $6,031.04 | 8 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $120.00 | $200.00 | $32.83 – $499.02 | 6 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $120.00 | $200.00 | $25.38 – $499.02 | 6 |
| Manipulation of hip joint CPT 27275 | $410.40 | $684.00 | $198.80 – $6,031.04 | 8 |
| Manipulation of spine CPT 22505 | not published | not published | $144.39 – $6,031.04 | 8 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $107.51 – $1,468.00 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $3.90 – $3.90 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $0.70 – $0.70 | 1 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $61.66 – $317.45 | 6 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.96 – $17.74 | 6 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $89.06 – $89.06 | 1 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $156.14 – $1,468.00 | 3 |
| Map tachycard site(s) CPT 93609 | $2,626.80 | $4,378.00 | $113.42 – $1,468.00 | 3 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $53.27 – $186.45 | 6 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,357.60 | $5,596.00 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,254.00 – $4,389.00 | 6 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,266.07 – $5,543.00 | 3 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $83.99 – $83.99 | 1 |
| Mastectomy form HCPCS L8020 | not published | not published | $195.27 – $974.40 | 6 |
| Mastectomy partial CPT 19301 | not published | not published | $726.64 – $14,685.48 | 8 |
| Mast mod rad CPT 19307 | not published | not published | $1,331.83 – $24,905.04 | 8 |
| Mastoidectomy CPT 69501 | not published | not published | $774.22 – $22,203.30 | 8 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,028.88 – $22,203.30 | 8 |
| Mastoids complete CPT 70130 | $834.00 | $1,390.00 | $39.80 – $392.12 | 6 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,340.50 – $22,203.30 | 8 |
| Mastopexy CPT 19316 | not published | not published | $842.60 – $24,905.04 | 8 |
| Mast radical CPT 19305 | not published | not published | $1,260.79 – $5,543.00 | 3 |
| Mast rad urban type CPT 19306 | not published | not published | $1,334.11 – $5,543.00 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $1,067.81 – $24,905.04 | 8 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $122.82 | 6 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $26.93 – $95.52 | 6 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $149.94 | 6 |
| Maxillofacial fixation CPT 21100 | not published | not published | $728.56 – $22,203.30 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $201.00 | $335.00 | $14.46 – $50.61 | 6 |
| Mayo aathr protein s free CPT 85306 | $265.20 | $442.00 | $15.32 – $53.62 | 6 |
| Mayo activated protein c resistance assay CPT 85307 | $501.60 | $836.00 | $15.32 – $53.62 | 6 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $698.40 | $1,164.00 | $38.57 – $135.00 | 5 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $196.80 | $328.00 | $13.10 – $13.10 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $292.80 | $488.00 | $23.74 – $23.74 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $129.00 | $215.00 | $14.78 – $51.73 | 6 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $135.00 | $225.00 | $23.74 – $23.74 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $186.60 | $311.00 | $13.44 – $47.04 | 6 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $188.40 | $314.00 | $15.08 – $52.78 | 6 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $45.60 | $76.00 | $12.74 – $12.74 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $178.20 | $297.00 | $23.74 – $23.74 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,389.60 | $2,316.00 | $121.63 – $425.70 | 6 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,188.00 | $1,980.00 | $91.66 – $320.81 | 6 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $1,678.20 | $2,797.00 | $134.67 – $479.50 | 6 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $5,700.60 | $9,501.00 | $1,140.76 – $4,060.00 | 6 |
| Mayo androstenedione CPT 82157 | $229.80 | $383.00 | $29.28 – $102.48 | 6 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $265.20 | $442.00 | $14.60 – $51.10 | 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.