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 |
|---|---|---|---|---|
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,529.52 – $6,738.30 | 6 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $340.56 – $340.56 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.71 – $0.71 | 1 |
| Methadone injection HCPCS J1230 | not published | not published | $18.07 – $18.07 | 1 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.35 – $0.35 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $18.78 – $18.78 | 1 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.35 – $0.35 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.48 – $2.48 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $238.20 | $397.00 | $38.57 – $135.00 | 5 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $81.53 – $81.53 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $10.28 – $10.28 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $37.80 | $63.00 | $10.29 – $36.00 | 6 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $15.59 – $15.59 | 1 |
| Methylphenidate CPT 80360 | $330.00 | $550.00 | $23.74 – $23.74 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.35 – $0.35 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.18 – $0.18 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.41 – $0.41 | 1 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $1.77 – $1.77 | 1 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $319.06 | 6 |
| Mgmt promoter methylation analysis CPT 81287 | $1,069.20 | $1,782.00 | $122.62 – $436.24 | 6 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $1.06 – $1.06 | 1 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.02 – $21.80 | 6 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $39.34 – $140.60 | 6 |
| Microdissection laser CPT 88380 | not published | not published | $77.83 – $77.83 | 1 |
| Microdissection manual CPT 88381 | $1,176.60 | $1,961.00 | $128.15 – $128.15 | 1 |
| Microfluid analy tears CPT 83861 | not published | not published | $21.97 – $78.68 | 6 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $3,978.31 – $19,615.19 | 6 |
| Microsatellite instability CPT 81301 | $1,014.00 | $1,690.00 | $342.69 – $1,219.96 | 6 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $252.66 – $1,468.00 | 3 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $112.80 – $482.61 | 6 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $7,486.00 – $12,241.00 | 2 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.35 – $0.35 | 1 |
| Middle cerebral artery echo CPT 76821 | $715.20 | $1,192.00 | $56.10 – $392.12 | 6 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $64.14 – $64.14 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.42 – $1.42 | 1 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $518.82 – $2,869.51 | 6 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.66 – $9.32 | 6 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.71 – $0.71 | 1 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $71.13 – $248.95 | 6 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.77 – $1.77 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,268.48 – $11,634.00 | 6 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $28.46 – $122.97 | 7 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $323.17 – $1,131.10 | 6 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.29 – $135.15 | 7 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | $5,464.20 | $9,107.00 | $3,160.65 – $5,543.00 | 3 |
| Mlh1 gene CPT 81288 | not published | not published | $189.24 – $673.12 | 6 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $199.16 – $708.40 | 6 |
| Mlh1 gene full seq CPT 81292 | $1,902.00 | $3,170.00 | $664.11 – $2,363.90 | 6 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $325.32 – $1,158.50 | 6 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.80 – $62.30 | 5 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.31 – $18.58 | 5 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,163.68 – $48,153.59 | 8 |
| Mnl appl strs jt radiography CPT 77071 | $495.00 | $825.00 | $52.74 – $326.40 | 6 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $693.00 – $1,468.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $693.00 – $1,468.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | $193.20 | $322.00 | $693.00 – $1,468.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $666.60 | $1,111.00 | $213.58 – $6,031.04 | 8 |
| Mnpj elbow under anes CPT 24300 | $648.00 | $1,080.00 | $448.61 – $6,031.04 | 8 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $407.66 – $5,819.47 | 8 |
| Mnt subs tx for change dx HCPCS G0270 | $52.20 | $87.00 | $21.65 – $75.77 | 6 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $568.43 – $2,802.28 | 6 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $136.81 – $5,543.00 | 3 |
| Modification of contact lens CPT 92325 | not published | not published | $44.05 – $499.02 | 6 |
| Modified maze/limited 33254 CPT 33254 | $1,938.60 | $3,231.00 | $1,520.40 – $5,543.00 | 3 |
| Modified maze/limited /w other op 33257 CPT 33257 | $823.80 | $1,373.00 | $650.09 – $5,543.00 | 3 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $630.00 | $1,050.00 | $37.73 – $132.05 | 5 |
| Molded inner boot HCPCS L2280 | not published | not published | $413.21 – $2,428.23 | 6 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $2,260.61 – $11,758.46 | 6 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $3,415.55 – $18,448.29 | 6 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,183.99 – $6,901.37 | 6 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $3,715.00 – $20,255.38 | 6 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $19.70 – $19.70 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $39.71 | 6 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $255.86 – $1,260.98 | 6 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $307.25 – $1,515.15 | 6 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $16,389.16 – $80,805.62 | 6 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $655.34 – $2,293.68 | 7 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $142.67 – $499.35 | 5 |
| Mopath procedure level 1 CPT 81400 | $1,503.00 | $2,505.00 | $62.73 – $223.86 | 6 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $147.78 – $526.16 | 6 |
| Mopath procedure level 5 CPT 81404 | $4,504.20 | $7,507.00 | $270.39 – $961.90 | 6 |
| Mopath procedure level 6 CPT 81405 | $3,665.40 | $6,109.00 | $296.26 – $1,054.73 | 6 |
| Mopath procedure level 7 CPT 81406 | $8,856.60 | $14,761.00 | $278.19 – $990.08 | 6 |
| Mopath procedure level 8 CPT 81407 | $5,773.80 | $9,623.00 | $832.09 – $2,961.94 | 6 |
| Mopath procedure level 9 CPT 81408 | $5,424.00 | $9,040.00 | $1,966.83 – $7,000.00 | 6 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $2.84 – $2.84 | 1 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $188.18 – $188.18 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $16.30 – $16.30 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $182.57 – $639.00 | 6 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $523.20 | $872.00 | $85.16 – $1,344.41 | 6 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $389.40 | $649.00 | $84.10 – $639.00 | 6 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $654.54 – $2,290.90 | 6 |
| Motion analysis video/3d CPT 96000 | not published | not published | $103.57 – $1,399.59 | 6 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $140.86 – $3,220.85 | 6 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $61.07 – $1,675.51 | 6 |
| Mouth piece HCPCS A4617 | not published | not published | $2.84 – $2.84 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $410.36 – $12,435.18 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $47.14 – $47.14 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $182.57 – $639.00 | 6 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $78.08 – $78.08 | 1 |
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.