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 |
|---|---|---|---|---|
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $144.02 – $144.02 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $503.06 – $503.06 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $896.34 – $896.34 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $231.39 – $809.86 | 5 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $399.88 – $1,399.59 | 5 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $399.88 – $1,399.59 | 5 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $1,965.41 – $9,764.72 | 6 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $2,338.22 – $12,635.74 | 6 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,890.28 – $10,061.17 | 6 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $2,294.28 – $12,119.48 | 6 |
| Preparation for bladder xray CPT 51605 | not published | not published | $42.12 – $1,468.00 | 3 |
| Preparation palate mold CPT 42280 | not published | not published | $188.71 – $2,022.84 | 8 |
| Prepare donor heart CPT 33944 | not published | not published | $345.89 – $5,543.00 | 3 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $426.90 – $5,543.00 | 3 |
| Prepare donor intestine CPT 44715 | not published | not published | $380.49 – $5,543.00 | 3 |
| Prepare donor lung double CPT 32856 | not published | not published | $368.70 – $5,543.00 | 3 |
| Prepare donor lung single CPT 32855 | not published | not published | $300.22 – $5,543.00 | 3 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $55.84 – $195.45 | 5 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $121.73 – $121.73 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,987.70 – $5,543.00 | 3 |
| Prepare penis study CPT 54230 | not published | not published | $105.79 – $1,468.00 | 3 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $207.35 – $1,468.00 | 3 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,760.22 – $8,829.87 | 6 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,649.30 – $8,336.79 | 6 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,416.12 – $7,589.47 | 6 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,679.78 – $8,943.02 | 6 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $226.45 – $5,543.00 | 3 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $138.09 – $1,468.00 | 3 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $436.54 – $5,543.00 | 3 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $312.25 – $5,543.00 | 3 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $488.15 – $5,543.00 | 3 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $433.75 – $5,543.00 | 3 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $502.62 – $5,543.00 | 3 |
| Prep donor liver/venous CPT 47146 | not published | not published | $367.86 – $5,543.00 | 3 |
| Prep donor liver whole CPT 47143 | not published | not published | $382.82 – $5,543.00 | 3 |
| Prep donor pancreas CPT 48551 | not published | not published | $258.74 – $258.74 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $268.48 – $268.48 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $208.16 – $5,543.00 | 3 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $7,391.00 – $26,617.67 | 7 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $182.53 – $1,468.00 | 3 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $920.24 – $3,220.85 | 5 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $214.89 – $5,543.00 | 3 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $204.15 – $5,543.00 | 3 |
| Prep renal graft/venous CPT 50327 | not published | not published | $245.32 – $5,543.00 | 3 |
| Prep skin to 100cm2 other CPT 15004 | $1,116.60 | $1,861.00 | $424.50 – $1,524.70 | 8 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,268.40 | $2,114.00 | $370.68 – $4,932.00 | 8 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $79.06 – $1,468.00 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $137.89 – $5,538.00 | 6 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $237.61 – $5,543.00 | 3 |
| Pressure velocity wire add ves CPT 93572 | $1,731.60 | $2,886.00 | $73.40 – $1,468.00 | 3 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $407.90 – $1,797.53 | 6 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $174.60 | $291.00 | $35.79 – $639.00 | 6 |
| Pretreat rbc absorption reference CPT 86978 | $223.20 | $372.00 | $35.79 – $221.26 | 6 |
| Pretreat rbc density gradient separation reference CPT 86972 | $108.00 | $180.00 | $41.82 – $639.00 | 6 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $136.20 | $227.00 | $30.12 – $221.26 | 6 |
| Pretreat rbc w enzyme reference CPT 86971 | $209.40 | $349.00 | $24.10 – $639.00 | 6 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $257.40 | $429.00 | $166.80 – $665.73 | 6 |
| Preventive counseling group CPT 99411 | not published | not published | $20.07 – $20.07 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $25.34 – $25.34 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $52.20 | $87.00 | $40.82 – $40.82 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $84.00 | $140.00 | $67.87 – $67.87 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $94.51 – $94.51 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $121.19 – $121.19 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $142.67 – $499.35 | 6 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $3,177.00 | $5,295.00 | $129.54 – $6,194.59 | 8 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $233.14 – $6,194.59 | 8 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,326.60 | $2,211.00 | $162.56 – $1,524.70 | 8 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,528.62 – $14,460.59 | 8 |
| Prgrmg dev eval impltbl sys CPT 93260 | $97.20 | $162.00 | $25.28 – $139.98 | 6 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $126.60 | $211.00 | $22.79 – $139.98 | 6 |
| Prgrmg dev eval scrms ip CPT 93285 | $137.40 | $229.00 | $22.08 – $139.98 | 6 |
| Prgrmg eval implantable dfb CPT 93282 | $208.20 | $347.00 | $24.56 – $139.98 | 6 |
| Prgrmg eval implantable dfb CPT 93283 | $225.60 | $376.00 | $26.69 – $139.98 | 6 |
| Prgrmg eval implantable dfb CPT 93284 | $225.60 | $376.00 | $28.46 – $139.98 | 6 |
| Prgr stim/pace a/iv drug CPT 93623 | $2,626.80 | $4,378.00 | $55.47 – $1,468.00 | 3 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $414.00 | $690.00 | $217.18 – $217.18 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $348.60 | $581.00 | $147.28 – $147.28 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $255.60 | $426.00 | $109.47 – $109.47 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $245.40 | $409.00 | $111.64 – $111.64 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $176.40 | $294.00 | $78.10 – $78.10 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $132.00 | $220.00 | $42.38 – $42.38 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $11,874.00 | $19,790.00 | $2,180.35 – $68,755.83 | 8 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $4,389.60 | $7,316.00 | $675.34 – $1,468.00 | 3 |
| Prin care mgmt staff 1st 30 CPT 99426 | $196.20 | $327.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,434.00 | $2,390.00 | $219.02 – $1,524.70 | 8 |
| Pr incision & drainage abscess simple/single CPT 10060 | $799.80 | $1,333.00 | $124.69 – $1,468.00 | 8 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $652.20 | $1,087.00 | $121.95 – $1,468.00 | 8 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $916.20 | $1,527.00 | $158.46 – $1,524.70 | 8 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $273.00 | $455.00 | $142.67 – $499.35 | 6 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $187.80 | $313.00 | $142.67 – $499.35 | 6 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $615.00 | $1,025.00 | $52.03 – $52.03 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $1,748.40 | $2,914.00 | $642.26 – $7,324.02 | 8 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $164.45 – $1,468.00 | 8 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $144.14 – $8,917.15 | 8 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $408.04 – $8,917.15 | 8 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $734.83 – $8,917.15 | 8 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $75.84 – $751.84 | 7 |
| Procalcitonin CPT 84145 | $336.00 | $560.00 | $27.22 – $95.27 | 6 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $40.75 – $40.75 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $9.92 – $9.92 | 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.