Endo outlet restrict w/tube cost in Illinois

Endo outlet restrict w/tube · HCPCS C9785

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $4,150.00 – $18,453.63 7
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon not published $11,391.13 – $11,960.68 3
Uchicago Medicine Adventhealth La Grange La Grange not published $4,150.00 – $18,453.63 8
UnityPoint Health - Trinity Moline Rock Island not published $10,201.69 – $17,364.58 12
Advocate Good Samaritan Hospital Downers Grove not published $12,700.00 – $25,111.00 8
Advocate Condell Medical Center Libertyville not published $11,784.00 – $20,837.50 8
Advocate Christ Medical Center Oak Lawn not published $12,700.00 – $25,111.00 8
Uchicago Medicine Adventhealth Hinsdale Hinsdale not published $4,150.00 – $18,453.63 8
SSM Health St. Mary's Hospital - Centralia Centralia not published $11,391.13 – $11,960.68 3
MercyOne Genesis Aledo Medical Center Aledo not published $9,910.72 – $11,278.92 3
MercyOne Genesis Silvis Medical Center Silvis not published $3,659.45 – $16,279.30 3
Uchicago Medicine Adventhealth Glenoaks Glendale Heights not published $4,150.00 – $18,453.63 7
Advocate Trinity Hospital Chicago not published $12,700.00 – $25,111.00 8
Advocate South Suburban Hospital Hazel Crest not published $12,700.00 – $25,111.00 8
Advocate Sherman Hospital Elgin not published $11,146.00 – $20,837.50 8
Advocate Childrens Hospital - Park Ridge Park Ridge not published $12,700.00 – $25,111.00 8
Advocate Illinois Masonic Medical Center Chicago not published $12,700.00 – $25,111.00 8