Adhesive, liquid or equal cost in Illinois

Adhesive, liquid or equal · HCPCS A4364

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $2.05 – $5.58 14
Advocate Good Samaritan Hospital Downers Grove not published $5.06 – $14.10 7
Advocate Condell Medical Center Libertyville not published $5.06 – $8.68 7
Advocate Christ Medical Center Oak Lawn not published $5.06 – $13.78 7
MercyOne Genesis Aledo Medical Center Aledo not published $11.43 – $11.43 1
Advocate Trinity Hospital Chicago not published $5.06 – $14.10 7
Advocate South Suburban Hospital Hazel Crest not published $5.06 – $14.15 7
Advocate Sherman Hospital Elgin not published $5.06 – $6.70 7
Advocate Childrens Hospital - Park Ridge Park Ridge not published $5.06 – $13.97 7
Advocate Illinois Masonic Medical Center Chicago not published $5.06 – $14.19 7