Derma-gide, 1 sq cm cost in Illinois

Derma-gide, 1 sq cm · HCPCS Q4203

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $231.29 – $339.83 7
Advocate Good Samaritan Hospital Downers Grove not published $577.72 – $1,194.15 6
Advocate Condell Medical Center Libertyville not published $577.72 – $936.25 6
Advocate Christ Medical Center Oak Lawn not published $577.72 – $1,194.15 6
Advocate Trinity Hospital Chicago not published $577.72 – $1,194.15 6
Advocate South Suburban Hospital Hazel Crest not published $577.72 – $1,194.15 6
Advocate Sherman Hospital Elgin not published $577.72 – $830.26 6
Advocate Childrens Hospital - Park Ridge Park Ridge not published $577.72 – $1,194.15 6
Advocate Illinois Masonic Medical Center Chicago not published $577.72 – $1,194.15 6