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 |
|---|---|---|---|---|
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $13.47 – $110.13 | 7 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $1.06 – $1.06 | 1 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $28.71 – $77.86 | 2 |
| Penile injection CPT 54235 | not published | not published | $95.89 – $1,468.00 | 8 |
| Penile vascular study CPT 93980 | $1,167.60 | $1,946.00 | $62.84 – $392.12 | 6 |
| Penile vascular study CPT 93981 | $587.40 | $979.00 | $54.33 – $392.12 | 6 |
| Penile venous occlusion CPT 37790 | not published | not published | $536.02 – $13,221.02 | 8 |
| Penis plastic surgery CPT 54360 | not published | not published | $793.94 – $13,221.02 | 8 |
| Penis study CPT 54240 | not published | not published | $36.97 – $1,468.00 | 8 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $107.73 – $107.73 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $106.67 – $106.67 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $36.84 – $128.93 | 6 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $1,983.84 – $9,192.15 | 7 |
| Perc cryo ablate renal tum CPT 50593 | $12,571.80 | $20,953.00 | $4,483.59 – $39,868.95 | 8 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $693.00 – $1,468.00 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $9,598.00 – $68,755.83 | 7 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $693.00 – $1,468.00 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $9,598.00 – $43,298.39 | 7 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $693.00 – $1,468.00 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $9,598.00 – $68,755.83 | 7 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $693.00 – $1,468.00 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $9,598.00 – $43,298.39 | 7 |
| Perc rf ablate renal tumor CPT 50592 | $7,491.60 | $12,486.00 | $3,300.96 – $22,674.75 | 8 |
| Percut ablate liver rf CPT 47382 | not published | not published | $3,625.00 – $22,674.75 | 8 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $2,143.10 – $2,143.10 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $47.84 – $47.84 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $5,243.00 – $5,543.00 | 2 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,792.11 – $5,543.00 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,682.60 | $4,471.00 | $1,686.89 – $5,904.13 | 7 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $1,228.80 | $2,048.00 | $984.01 – $5,543.00 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $853.05 – $14,685.48 | 8 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $284.74 – $12,141.37 | 8 |
| Peripheral vascular rehab CPT 93668 | $138.00 | $230.00 | $18.05 – $221.26 | 6 |
| Peri-proc device eval icd CPT 93287 | $83.40 | $139.00 | $19.95 – $19.95 | 1 |
| Peri-proc device eval pm CPT 93286 | $83.40 | $139.00 | $19.95 – $19.95 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | $8,059.80 | $13,433.00 | $490.82 – $20,870.52 | 8 |
| Peritoneogram rs&i CPT 74190 | $1,157.40 | $1,929.00 | $35.64 – $2,049.42 | 6 |
| Perit-vens shunt pat tst CPT 78291 | $1,623.60 | $2,706.00 | $219.35 – $1,499.41 | 6 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $28.35 – $28.35 | 1 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $15.95 – $73.46 | 6 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,398.75 – $6,803.02 | 6 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.71 – $0.71 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $11,503.20 | $19,172.00 | $949.52 – $5,543.00 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $49,757.40 | $82,929.00 | $894.94 – $5,543.00 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | $7,224.00 | $12,040.00 | $758.85 – $2,933.00 | 8 |
| Perq dev breast 1st strtctc CPT 19283 | $2,411.40 | $4,019.00 | $282.53 – $2,933.00 | 8 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,412.29 – $35,505.53 | 8 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $959.83 – $35,505.53 | 8 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $9,598.00 – $43,298.39 | 7 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $9,598.00 – $68,755.83 | 7 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $9,598.00 – $43,298.39 | 7 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $9,598.00 – $43,298.39 | 7 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $693.00 – $1,468.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | $8,864.40 | $14,774.00 | $4,335.91 – $22,674.75 | 8 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $4,823.39 – $22,674.75 | 8 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $4,906.35 – $22,674.75 | 8 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $634.20 | $1,057.00 | $267.74 – $1,468.00 | 8 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $571.95 – $12,272.18 | 8 |
| Perq skel fix ulnar styld fx CPT 25651 | $744.00 | $1,240.00 | $524.00 – $12,272.18 | 8 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $402.06 – $402.06 | 1 |
| Perq transcath closure each CPT 93592 | $35,366.40 | $58,944.00 | $434.87 – $1,468.00 | 3 |
| Perq transcath closure pda CPT 93582 | not published | not published | $759.20 – $68,755.83 | 8 |
| Perq transcath cls aortic CPT 93591 | $35,366.40 | $58,944.00 | $980.82 – $68,755.83 | 8 |
| Perq transcath cls mitral CPT 93590 | $35,660.40 | $59,434.00 | $1,190.40 – $68,755.83 | 8 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $844.83 – $5,543.00 | 3 |
| Perq trluml angp nt/recr coa CPT 33897 | $27,233.40 | $45,389.00 | $5,243.00 – $5,543.00 | 2 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $363.00 | $605.00 | $482.23 – $12,272.18 | 8 |
| Perq tx malar fracture CPT 21355 | not published | not published | $453.03 – $12,435.18 | 8 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $691.42 – $22,203.30 | 8 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $810.53 – $12,435.18 | 8 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $41.93 | 6 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $12.05 – $59.56 | 7 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $60.22 – $210.79 | 6 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $51.39 – $51.39 | 1 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $20.55 – $20.55 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,617.60 | $12,696.00 | $892.34 – $5,363.26 | 6 |
| Pet CT whole body initial CPT 78816 | $8,328.00 | $13,880.00 | $902.72 – $5,363.26 | 6 |
| Pet fdg brain metoblic eval sb CPT 78608 | $6,528.60 | $10,881.00 | $538.52 – $5,363.26 | 6 |
| Pet image full body CPT 78813 | not published | not published | $718.14 – $5,363.26 | 6 |
| Pet image ltd area CPT 78811 | not published | not published | $564.72 – $4,855.79 | 6 |
| Pet image skull-thigh CPT 78812 | not published | not published | $694.31 – $5,363.26 | 6 |
| Pet image w/ct lmtd CPT 78814 | $6,527.40 | $10,879.00 | $797.33 – $5,363.26 | 6 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $428.40 – $1,499.41 | 5 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $84.60 | $141.00 | $21.04 – $73.64 | 6 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $126.00 | $210.00 | $29.14 – $101.99 | 6 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $43.80 | $73.00 | $10.56 – $36.96 | 6 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $451.68 – $12,272.18 | 8 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $28.06 – $28.06 | 1 |
| Ph body fluid CPT 83986 | $85.80 | $143.00 | $3.58 – $12.53 | 6 |
| Phencyclidine (pcp) CPT 83992 | $375.60 | $626.00 | $42.53 – $42.53 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $38.63 – $38.63 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $189.00 | $315.00 | $14.88 – $53.55 | 6 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $53.87 – $901.07 | 7 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $1.06 – $1.06 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $249.00 | $415.00 | $13.25 – $46.38 | 6 |
| Phlebotomy therapeutic CPT 99195 | $324.60 | $541.00 | $102.02 – $499.02 | 6 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $5,832.60 | $9,721.00 | $697.90 – $11,842.65 | 8 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $6,219.00 | $10,365.00 | $831.90 – $11,842.65 | 8 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $28.83 – $28.83 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $42.48 – $42.48 | 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.