Add ue prost s/d ultlite mat cost in Illinois

Add UE prost s/d ultlite mat · HCPCS L7402

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $222.08 – $715.71 14
Advocate Good Samaritan Hospital Downers Grove not published $648.61 – $1,579.50 7
Advocate Condell Medical Center Libertyville not published $648.61 – $973.02 7
Advocate Christ Medical Center Oak Lawn not published $648.61 – $1,542.98 7
Advocate Trinity Hospital Chicago not published $648.61 – $1,579.50 7
Advocate South Suburban Hospital Hazel Crest not published $648.61 – $1,585.21 7
Advocate Sherman Hospital Elgin not published $648.61 – $858.85 7
Advocate Childrens Hospital - Park Ridge Park Ridge not published $648.61 – $1,564.67 7
Advocate Illinois Masonic Medical Center Chicago not published $648.61 – $1,589.78 7