Amnio-maxx or lite per sq cm cost in Illinois

Amnio-maxx or lite per sq cm · HCPCS Q4239

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $133.36 – $216.04 7
Uchicago Medicine Adventhealth La Grange La Grange not published $130.56 – $216.04 8
UnityPoint Health - Trinity Moline Rock Island not published $178.56 – $2,385.00 6
Advocate Good Samaritan Hospital Downers Grove not published $3,935.25 – $8,061.30 6
Advocate Condell Medical Center Libertyville not published $4,929.40 – $6,320.25 6
Advocate Christ Medical Center Oak Lawn not published $3,935.25 – $8,061.30 6
Uchicago Medicine Adventhealth Hinsdale Hinsdale not published $130.56 – $216.04 8
Uchicago Medicine Adventhealth Glenoaks Glendale Heights not published $133.36 – $216.04 7
Advocate Trinity Hospital Chicago not published $3,935.25 – $8,061.30 6
Advocate South Suburban Hospital Hazel Crest not published $3,935.25 – $8,061.30 6
Advocate Sherman Hospital Elgin not published $4,929.40 – $5,604.75 6
Advocate Childrens Hospital - Park Ridge Park Ridge not published $3,935.25 – $8,061.30 6
Advocate Illinois Masonic Medical Center Chicago not published $3,935.25 – $8,061.30 6