Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm cost in Illinois

DRSG OASIS BURN WOUND MATRIX 3X3.5CM 10.5SQCM-Q4103-COST PER SQ CM · HCPCS Q4103

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $8.64 – $43.51 7
Advocate Good Samaritan Hospital Downers Grove not published $20.39 – $41.78 9
Advocate Condell Medical Center Libertyville not published $12.73 – $32.75 9
Advocate Christ Medical Center Oak Lawn not published $20.18 – $41.78 9
MercyOne Genesis Aledo Medical Center Aledo not published $2.32 – $2.32 1
Advocate Trinity Hospital Chicago not published $20.39 – $41.78 9
Advocate South Suburban Hospital Hazel Crest not published $20.39 – $41.78 9
Advocate Sherman Hospital Elgin not published $9.72 – $29.05 9
Advocate Childrens Hospital - Park Ridge Park Ridge not published $20.39 – $41.78 9
Advocate Illinois Masonic Medical Center Chicago not published $20.39 – $41.78 9