Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in Illinois
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | not published | $33.51 – $160.14 | 7 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $61.96 – $167.41 | 9 |
| Advocate Condell Medical Center | Libertyville | not published | $38.18 – $131.25 | 9 |
| Advocate Christ Medical Center | Oak Lawn | not published | $60.53 – $167.41 | 9 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $21.90 – $21.90 | 1 |
| Advocate Trinity Hospital | Chicago | not published | $61.96 – $167.41 | 9 |
| Advocate South Suburban Hospital | Hazel Crest | not published | $62.21 – $167.41 | 9 |
| Advocate Sherman Hospital | Elgin | not published | $29.17 – $116.40 | 9 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | not published | $61.39 – $167.41 | 9 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $62.36 – $167.41 | 9 |