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 repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $385.80 | $643.00 | $114.41 – $1,468.00 | 8 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $582.00 | $970.00 | $120.17 – $1,468.00 | 8 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $562.20 | $937.00 | $93.51 – $1,468.00 | 8 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $630.00 | $1,050.00 | $114.38 – $1,468.00 | 8 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $5,538.00 – $5,538.00 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $7,324.80 | $12,208.00 | $922.95 – $7,738.67 | 8 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $71.40 | $119.00 | $45.46 – $45.46 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $677.41 – $12,272.18 | 8 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $647.16 – $27,215.63 | 8 |
| Prtl exchange transfuse nb CPT 36456 | $700.80 | $1,168.00 | $116.63 – $1,654.70 | 8 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $722.01 – $27,215.63 | 8 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $717.06 – $27,215.63 | 8 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,117.20 | $1,862.00 | $175.60 – $5,904.13 | 8 |
| PSA (Prostate) Test CPT 84153 | $243.00 | $405.00 | $18.39 – $64.37 | 6 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $2.24 – $108.48 | 6 |
| Psychoanalysis CPT 90845 | not published | not published | $103.13 – $665.73 | 6 |
| Psychophysiological therapy CPT 90875 | not published | not published | $68.32 – $68.32 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $115.25 – $115.25 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $29.00 – $381.03 | 6 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $169.20 | $282.00 | $72.58 – $665.73 | 6 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $201.00 | $335.00 | $96.69 – $665.73 | 6 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $252.00 | $420.00 | $145.26 – $665.73 | 6 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $126.06 – $809.86 | 6 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $95.85 – $95.85 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | $251.40 | $419.00 | $38.38 – $1,675.51 | 6 |
| Psy evaluation of records CPT 90885 | not published | not published | $53.67 – $53.67 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $49.19 – $499.02 | 6 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $45.25 – $45.25 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $38.38 – $38.38 | 1 |
| Psytx complex interactive CPT 90785 | not published | not published | $16.03 – $16.03 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $112.80 | $188.00 | $75.28 – $75.28 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $143.40 | $239.00 | $95.07 – $95.07 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | $271.20 | $452.00 | $125.63 – $125.63 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $86.40 | $144.00 | $15.18 – $53.13 | 6 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $6.68 – $6.68 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $86.40 | $144.00 | $18.35 – $64.23 | 6 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $80.40 | $134.00 | $13.94 – $48.79 | 6 |
| Pt application of modality traction mechanical CPT 97012 | $80.40 | $134.00 | $14.22 – $49.77 | 6 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $52.67 – $52.67 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $294.85 – $1,050.00 | 6 |
| Pten gene full sequence CPT 81321 | $4,087.20 | $6,812.00 | $590.05 – $2,100.00 | 6 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $163.10 | 6 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $828.45 – $22,203.30 | 8 |
| Pt evaluation high complexity patient/family CPT 97163 | $278.40 | $464.00 | $89.36 – $329.14 | 6 |
| Pt evaluation low complexity patient/family CPT 97161 | $231.60 | $386.00 | $89.36 – $346.12 | 6 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $247.20 | $412.00 | $89.36 – $349.06 | 6 |
| Pt-focused hlth risk assmt CPT 96160 | $30.60 | $51.00 | $3.19 – $140.53 | 6 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $25.74 – $90.09 | 6 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,049.33 – $4,915.33 | 6 |
| Pt re-evaluation patient/family CPT 97164 | $160.80 | $268.00 | $60.44 – $241.15 | 6 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $118.20 | $197.00 | $30.03 – $105.10 | 6 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.33 – $43.16 | 6 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $105.00 | $175.00 | $28.06 – $98.21 | 6 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $29.91 – $106.89 | 6 |
| Pt wheelchair management each 15 minutes CPT 97542 | $108.00 | $180.00 | $31.68 – $110.88 | 6 |
| Pul art balloon repr percut CPT 92997 | $6,879.60 | $11,466.00 | $745.59 – $43,298.39 | 8 |
| Pul art balloon repr percut CPT 92998 | $7,455.00 | $12,425.00 | $368.85 – $17,033.00 | 3 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $18,933.60 | 5 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $4,813.96 – $5,543.00 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | $2,014.80 | $3,358.00 | $1,111.15 – $5,543.00 | 3 |
| Pulmonary vent imaging CPT 78579 | $1,776.00 | $2,960.00 | $166.08 – $1,499.41 | 6 |
| Pulse ox continuous overnight monitoring CPT 94762 | $427.20 | $712.00 | $25.27 – $482.61 | 6 |
| Pulse ox multiple CPT 94761 | $354.00 | $590.00 | $4.36 – $4.36 | 1 |
| Pulse ox single CPT 94760 | $39.60 | $66.00 | $2.59 – $2.59 | 1 |
| Punc of shunt for asp or inj CPT 61070 | $1,442.40 | $2,404.00 | $62.57 – $2,933.00 | 8 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $145.20 | $242.00 | $32.17 – $1,468.00 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $850.20 | $1,417.00 | $136.70 – $1,524.70 | 8 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $89.10 – $12,435.18 | 8 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,236.00 | $2,060.00 | $155.83 – $2,933.00 | 8 |
| Puraply 1 sq cm HCPCS Q4195 | $307.20 | $512.00 | $74.77 – $466.75 | 6 |
| Puraply xt 1 sq cm HCPCS Q4197 | $307.20 | $512.00 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $82.40 – $1,468.00 | 3 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $189.40 – $2,933.00 | 8 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $147.36 – $2,933.00 | 8 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $599.62 – $2,957.36 | 6 |
| Pwr pck base combo vad, rep HCPCS Q0489 | $20,627.40 | $34,379.00 | $14,208.29 – $70,054.11 | 6 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,240.40 – $1,240.40 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,085.13 – $5,543.00 | 3 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,047.95 – $5,543.00 | 3 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,140.28 – $5,543.00 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,045.02 – $5,543.00 | 3 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $9.92 – $9.92 | 1 |
| Pyruvate CPT 84210 | $152.40 | $254.00 | $14.18 – $50.68 | 6 |
| Pyruvate kinase CPT 84220 | $152.40 | $254.00 | $9.44 – $33.04 | 6 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $273.23 – $1,204.52 | 6 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $142.58 – $499.02 | 5 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,386.20 | $3,977.00 | $270.84 – $2,036.50 | 6 |
| Quant diff pulm perf w/imaging CPT 78597 | $2,305.20 | $3,842.00 | $169.62 – $1,499.41 | 6 |
| Quest t3 uptake CPT 84479 | $123.60 | $206.00 | $6.47 – $22.64 | 6 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $466.01 – $2,453.01 | 6 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $7.03 – $410.73 | 2 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $306.90 – $1,233.54 | 7 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $242.18 – $847.62 | 6 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $275.18 – $963.13 | 7 |
| Rabies vaccine id CPT 90676 | not published | not published | $236.86 – $5,538.00 | 7 |
| Radial keratotomy CPT 65771 | not published | not published | $696.31 – $5,543.00 | 3 |
| Radiation handling CPT 77790 | $497.40 | $829.00 | $6.02 – $6.02 | 1 |
| Radiation physics consult CPT 77336 | $995.40 | $1,659.00 | $80.76 – $504.12 | 6 |
| Radiation therapy dose plan CPT 77300 | $604.80 | $1,008.00 | $34.13 – $504.12 | 6 |
| Radiation therapy management CPT 77431 | $739.80 | $1,233.00 | $112.00 – $112.00 | 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.