Breast prosthes without adhesive cost in Illinois

Breast prosthes w/o adhesive · HCPCS L8030

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $213.52 – $675.12 14
Advocate Good Samaritan Hospital Downers Grove not published $611.83 – $1,490.19 7
Advocate Condell Medical Center Libertyville not published $611.83 – $918.00 7
Advocate Christ Medical Center Oak Lawn not published $611.83 – $1,455.74 7
MercyOne Genesis Aledo Medical Center Aledo not published $505.08 – $505.08 1
Advocate Trinity Hospital Chicago not published $611.83 – $1,490.19 7
Advocate South Suburban Hospital Hazel Crest not published $611.83 – $1,495.58 7
Advocate Sherman Hospital Elgin not published $611.83 – $810.14 7
Advocate Childrens Hospital - Park Ridge Park Ridge not published $611.83 – $1,476.20 7
Advocate Illinois Masonic Medical Center Chicago not published $611.83 – $1,499.88 7