Bladder calculi irrig sol cost in Illinois

Bladder calculi irrig sol · HCPCS Q2004

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $133.98 – $133.98 1
UnityPoint Health - Trinity Moline Rock Island not published $33.44 – $286.28 7
Advocate Good Samaritan Hospital Downers Grove not published $242.42 – $496.59 4
Advocate Condell Medical Center Libertyville not published $315.88 – $389.34 4
Advocate Christ Medical Center Oak Lawn not published $242.42 – $496.59 4
MercyOne Genesis Aledo Medical Center Aledo not published $49.16 – $168.96 2
Advocate Trinity Hospital Chicago not published $242.42 – $496.59 4
Advocate South Suburban Hospital Hazel Crest not published $242.42 – $496.59 4
Advocate Sherman Hospital Elgin not published $315.88 – $345.26 4
Advocate Childrens Hospital - Park Ridge Park Ridge not published $242.42 – $496.59 4
Advocate Illinois Masonic Medical Center Chicago not published $242.42 – $496.59 4