Ampho b cholesteryl sulfate cost in Illinois
Ampho b cholesteryl sulfate · HCPCS J0288
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | not published | $23.63 – $23.63 | 1 |
| UnityPoint Health - Trinity Moline | Rock Island | not published | $16.00 – $89.69 | 6 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $28.00 – $246.40 | 9 |
| Advocate Condell Medical Center | Libertyville | not published | $28.00 – $193.19 | 9 |
| Advocate Christ Medical Center | Oak Lawn | not published | $28.00 – $246.40 | 9 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $20.03 – $284.33 | 2 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $104.99 – $104.99 | 1 |
| Advocate Trinity Hospital | Chicago | not published | $28.00 – $246.40 | 9 |
| Advocate South Suburban Hospital | Hazel Crest | not published | $28.00 – $246.40 | 9 |
| Advocate Sherman Hospital | Elgin | not published | $28.00 – $171.32 | 9 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | not published | $28.00 – $246.40 | 9 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $28.00 – $246.40 | 9 |