Breast prosthesis bra & form cost in Illinois

Breast prosthesis bra & form · HCPCS L8001

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $75.17 – $242.34 14
Advocate Good Samaritan Hospital Downers Grove not published $219.62 – $535.91 7
Advocate Condell Medical Center Libertyville not published $219.62 – $330.13 7
Advocate Christ Medical Center Oak Lawn not published $219.62 – $523.52 7
MercyOne Genesis Aledo Medical Center Aledo not published $177.79 – $177.79 1
Advocate Trinity Hospital Chicago not published $219.62 – $535.91 7
Advocate South Suburban Hospital Hazel Crest not published $219.62 – $537.85 7
Advocate Sherman Hospital Elgin not published $219.62 – $290.80 7
Advocate Childrens Hospital - Park Ridge Park Ridge not published $219.62 – $530.88 7
Advocate Illinois Masonic Medical Center Chicago not published $219.62 – $539.40 7