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 |
|---|---|---|---|---|
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $8.15 – $8.15 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $278.40 | $464.00 | $95.74 – $358.64 | 6 |
| Ot evaluation low complexity patient/family CPT 97165 | $231.60 | $386.00 | $95.74 – $355.50 | 6 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $247.20 | $412.00 | $95.74 – $337.68 | 6 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,942.35 – $27,215.63 | 8 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $80.96 | 6 |
| Oth resp proc, group HCPCS G0239 | $76.20 | $127.00 | $12.51 – $140.09 | 6 |
| Oth resp proc, indiv HCPCS G0238 | $76.20 | $127.00 | $10.03 – $108.48 | 6 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $108.00 | $180.00 | $50.81 – $177.84 | 6 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $105.00 | $175.00 | $47.25 – $165.38 | 6 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $105.00 | $175.00 | $28.43 – $99.50 | 6 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $30.09 – $30.09 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | $675.08 – $12,435.18 | 8 |
| Ot re-evaluation patient/family CPT 97168 | $160.80 | $268.00 | $65.40 – $242.58 | 6 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $105.00 | $175.00 | $33.81 – $118.34 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $108.00 | $180.00 | $18.55 – $64.92 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $108.00 | $180.00 | $19.66 – $68.81 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $105.00 | $175.00 | $29.67 – $103.84 | 6 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $108.00 | $180.00 | $31.82 – $111.37 | 6 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $105.00 | $175.00 | $31.10 – $108.85 | 6 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,763.38 – $5,543.00 | 3 |
| Out of office emerg med serv CPT 99060 | not published | not published | $25.47 – $25.47 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $50.68 – $225.05 | 6 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $140.69 – $753.44 | 6 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $820.73 – $18,762.51 | 8 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $116.59 – $116.59 | 1 |
| Ovulation tests CPT 84830 | $232.20 | $387.00 | $12.40 – $44.45 | 6 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $1.77 – $1.77 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.35 – $0.35 | 1 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.48 – $2.48 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $3.90 – $3.90 | 1 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $165.85 – $165.85 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $278.24 – $973.84 | 7 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $134.67 – $479.50 | 6 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.77 – $1.77 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.35 – $0.35 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $6.02 – $21.55 | 7 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $2,367.75 | 5 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $1,054.73 | 5 |
| Palifermin injection HCPCS J2425 | not published | not published | $19.85 – $128.52 | 7 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $10.63 – $52.77 | 7 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $436.75 – $5,538.00 | 7 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $14.53 – $14.53 | 1 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $11.69 – $11.69 | 1 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $3,446.21 – $5,543.00 | 3 |
| Pancreatectomy CPT 48146 | not published | not published | $2,108.34 – $5,543.00 | 3 |
| Pancreatectomy CPT 48152 | not published | not published | $3,255.25 – $5,543.00 | 3 |
| Pancreatectomy CPT 48154 | not published | not published | $3,276.27 – $5,543.00 | 3 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $3,500.80 – $5,543.00 | 3 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,762.54 – $5,543.00 | 3 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,506.40 – $5,543.00 | 3 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $112.69 – $610.35 | 7 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $2.84 – $2.84 | 1 |
| Parathormone (pth) intact CPT 83970 | $327.00 | $545.00 | $41.28 – $144.48 | 6 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,544.04 – $5,543.00 | 3 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,417.40 | $4,029.00 | $320.10 – $2,036.50 | 6 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $273.03 – $1,468.00 | 3 |
| Parathyroid planar imaging CPT 78070 | $1,581.60 | $2,636.00 | $266.12 – $1,499.41 | 6 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,962.00 | $3,270.00 | $305.21 – $1,499.41 | 6 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $890.61 – $18,762.51 | 8 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $13.47 – $13.47 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,001.25 – $24,905.04 | 8 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.71 – $0.71 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $250.20 | $417.00 | $57.66 – $1,468.00 | 8 |
| Parotid duct diversion CPT 42507 | not published | not published | $543.05 – $22,203.30 | 8 |
| Parotid duct diversion CPT 42509 | not published | not published | $904.56 – $22,203.30 | 8 |
| Parotid duct diversion CPT 42510 | not published | not published | $669.55 – $12,435.18 | 8 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $949.36 – $27,215.63 | 8 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $203.21 – $12,141.37 | 8 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,404.40 – $5,543.00 | 3 |
| Partial exc bone humerus CPT 24140 | not published | not published | $766.10 – $12,272.18 | 8 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $1,120.80 | $1,868.00 | $640.60 – $12,272.18 | 8 |
| Partial excision of lip CPT 40500 | not published | not published | $540.82 – $12,435.18 | 8 |
| Partial hip replacement CPT 27125 | $2,526.60 | $4,211.00 | $1,248.16 – $48,153.59 | 8 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,047.92 – $6,223.00 | 3 |
| Partial proctectomy CPT 45113 | not published | not published | $2,094.60 – $5,543.00 | 3 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,248.19 – $17,033.00 | 3 |
| Partial removal donor liver CPT 47140 | not published | not published | $4,021.34 – $5,543.00 | 3 |
| Partial removal donor liver CPT 47141 | not published | not published | $4,818.02 – $5,543.00 | 3 |
| Partial removal donor liver CPT 47142 | not published | not published | $5,243.00 – $5,543.00 | 3 |
| Partial removal finger bone CPT 26235 | $2,716.20 | $4,527.00 | $533.71 – $6,031.04 | 8 |
| Partial removal finger bone CPT 26236 | $2,716.20 | $4,527.00 | $477.20 – $6,031.04 | 8 |
| Partial removal foot fascia CPT 28060 | $2,949.60 | $4,916.00 | $555.52 – $12,272.18 | 8 |
| Partial removal leg bone(s) CPT 27360 | $1,692.00 | $2,820.00 | $938.68 – $12,272.18 | 8 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,067.40 – $5,543.00 | 3 |
| Partial removal of esophagus CPT 43116 | not published | not published | $5,243.00 – $5,543.00 | 3 |
| Partial removal of esophagus CPT 43118 | not published | not published | $4,135.42 – $5,543.00 | 3 |
| Partial removal of esophagus CPT 43121 | not published | not published | $3,206.16 – $5,543.00 | 3 |
| Partial removal of esophagus CPT 43123 | not published | not published | $5,076.27 – $5,543.00 | 3 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $3,676.75 – $5,543.00 | 3 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,879.45 – $5,543.00 | 3 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $499.01 – $8,655.87 | 8 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $574.19 – $8,655.87 | 8 |
| Partial removal of fibula CPT 27641 | not published | not published | $724.97 – $12,272.18 | 8 |
| Partial removal of foot bone CPT 28288 | $2,694.60 | $4,491.00 | $649.54 – $12,272.18 | 8 |
| Partial removal of hand bone CPT 26230 | not published | not published | $540.17 – $12,272.18 | 8 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,254.83 – $5,543.00 | 3 |
| Partial removal of larynx CPT 31367 | not published | not published | $2,384.95 – $5,543.00 | 3 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,650.46 – $5,543.00 | 3 |
| Partial removal of larynx CPT 31370 | not published | not published | $2,237.52 – $5,543.00 | 3 |
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.