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 |
|---|---|---|---|---|
| Optx medial ankle fx CPT 27766 | $1,162.20 | $1,937.00 | $659.76 – $27,215.63 | 8 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $982.18 – $22,203.30 | 8 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,152.25 – $22,203.30 | 8 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $592.95 – $22,203.30 | 8 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $820.11 – $22,203.30 | 8 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $715.25 – $22,203.30 | 8 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $840.61 – $22,203.30 | 8 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,195.53 – $48,153.59 | 8 |
| Optx post ankle fx CPT 27769 | $1,439.40 | $2,399.00 | $798.87 – $27,215.63 | 8 |
| Optx prox humrl fx w/int fix CPT 23615 | $1,791.60 | $2,986.00 | $967.54 – $48,153.59 | 8 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,363.49 – $65,763.48 | 8 |
| Optx radial shaft fracture CPT 25515 | $1,326.60 | $2,211.00 | $728.51 – $27,215.63 | 8 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $683.89 – $27,215.63 | 8 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $964.20 | $1,607.00 | $658.50 – $27,215.63 | 8 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $7,275.00 | $12,125.00 | $859.89 – $27,215.63 | 8 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $7,275.00 | $12,125.00 | $1,043.76 – $27,215.63 | 8 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $1,596.60 | $2,661.00 | $985.11 – $27,215.63 | 8 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $1,079.40 | $1,799.00 | $733.92 – $27,215.63 | 8 |
| Optx scapular fx w/int fixj CPT 23585 | $10,110.60 | $16,851.00 | $1,074.92 – $27,215.63 | 8 |
| Optx sho dislc fx CPT 23670 | $1,539.60 | $2,566.00 | $958.50 – $27,215.63 | 8 |
| Optx sho dislc neck fx fixj CPT 23680 | $1,828.80 | $3,048.00 | $1,017.34 – $48,153.59 | 8 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $672.44 – $27,215.63 | 8 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $619.33 – $27,215.63 | 8 |
| Optx thigh fx CPT 27269 | $2,270.40 | $3,784.00 | $1,370.35 – $27,215.63 | 8 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $970.77 – $12,435.18 | 8 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $804.37 – $27,215.63 | 8 |
| Optx ulnar shft fx int fixj CPT 25545 | $1,641.60 | $2,736.00 | $676.33 – $27,215.63 | 8 |
| Optx ulnar styloid fracture CPT 25652 | $984.60 | $1,641.00 | $677.15 – $27,215.63 | 8 |
| Oral aprepitant HCPCS J8501 | not published | not published | $5.67 – $5.67 | 1 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $138.95 | 7 |
| Oral everolimus HCPCS J7527 | not published | not published | $8.51 – $8.51 | 1 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $41.93 | 6 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.71 – $65.48 | 6 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $22.30 – $78.04 | 6 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $278.19 – $1,392.28 | 7 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $3,248.59 – $5,543.00 | 3 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $3,707.05 – $5,543.00 | 3 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $3,597.41 – $5,543.00 | 3 |
| Orchiectomy partial CPT 54522 | not published | not published | $648.72 – $13,221.02 | 8 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $782.71 – $13,428.88 | 8 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $525.20 – $13,428.88 | 8 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.03 – $82.60 | 6 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $43.72 – $153.02 | 6 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $23.39 – $99.98 | 7 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $166.31 – $5,819.47 | 8 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $5.67 – $5.67 | 1 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $163.80 | $273.00 | $229.29 – $1,130.40 | 6 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $265.20 | $442.00 | $396.91 – $1,957.76 | 6 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,017.79 – $5,019.53 | 6 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $396.60 | $661.00 | $584.38 – $2,929.46 | 6 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $157.80 | $263.00 | $215.11 – $1,060.15 | 6 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $176.40 | $294.00 | $254.80 – $1,257.48 | 6 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $585.60 | $976.00 | $83.99 – $413.38 | 6 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $148.20 | $247.00 | $215.11 – $1,060.15 | 6 |
| Orthopantogram CPT 70355 | $1,518.60 | $2,531.00 | $8.97 – $326.40 | 6 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $25.52 – $125.76 | 6 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $35.55 – $35.55 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $63.22 – $221.26 | 5 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $44.30 – $218.82 | 6 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $27.64 – $136.78 | 6 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $25.52 – $125.76 | 6 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $36.50 – $180.39 | 6 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $113.76 – $560.38 | 6 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $369.27 – $1,741.46 | 6 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $109.09 – $381.83 | 7 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $204.60 | $341.00 | $295.91 – $1,394.50 | 6 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $538.80 | $898.00 | $787.09 – $3,882.06 | 6 |
| Oscillation chest wall mechanical per session CPT 94669 | $89.40 | $149.00 | $32.23 – $821.31 | 6 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $27.64 – $136.78 | 6 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $19.85 – $98.38 | 6 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $74.42 – $366.59 | 6 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $56.70 – $278.95 | 6 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $7.80 – $38.47 | 6 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $46.42 – $229.81 | 6 |
| Osmolality blood CPT 83930 | $137.40 | $229.00 | $6.61 – $23.14 | 6 |
| Osmolality urine CPT 83935 | $118.80 | $198.00 | $6.82 – $23.87 | 6 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $766.80 | $1,278.00 | $523.09 – $12,272.18 | 8 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $621.86 – $12,272.18 | 8 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $693.00 – $1,468.00 | 3 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,485.52 – $48,153.59 | 8 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $808.00 – $27,215.63 | 8 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $808.00 – $27,215.63 | 8 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $23.14 – $80.99 | 6 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $23.14 – $80.99 | 6 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $23.14 – $91.81 | 6 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,084.49 – $27,215.63 | 8 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,815.12 – $27,215.63 | 8 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $412.27 – $1,468.00 | 3 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,761.26 – $27,215.63 | 8 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,940.16 – $27,215.63 | 8 |
| Osteot humerus w/wo int fixj CPT 24400 | $1,323.00 | $2,205.00 | $900.84 – $27,215.63 | 8 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,203.69 – $48,153.59 | 8 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $721.38 – $27,215.63 | 8 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.13 – $2.13 | 1 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $47.13 – $47.13 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $2.48 – $2.48 | 1 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.54 – $3.54 | 1 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $4.61 – $4.61 | 1 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.77 – $1.77 | 1 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $8.86 – $8.86 | 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.