Fluorodopa f-18 diag per mci cost in Illinois

Fluorodopa f-18 diag per mci · HCPCS A9602

Hospital City Cash price Negotiated range Payers
OSF St Mary Medical Center Galesburg not published $685.61 – $872.66 4
OSF St Joseph Medical Center Bloomington not published $855.55 – $1,357.49 4
OSF Saint Francis Medical Center Peoria not published $822.72 – $2,908.55 5
OSF Saint Elizabeth Medical Center Ottawa not published $855.55 – $872.66 3
OSF Saint Anthony Medical Center Rockford not published $822.72 – $2,994.42 6
UnityPoint Health - Trinity Moline Rock Island not published $468.71 – $797.80 12
Advocate Good Samaritan Hospital Downers Grove not published $723.00 – $1,510.45 10
Advocate Condell Medical Center Libertyville not published $723.00 – $1,184.23 10
Advocate Christ Medical Center Oak Lawn not published $723.00 – $1,510.45 10
OSF Little Company of Mary Medical Center Evergreen Park not published $498.62 – $1,591.32 7
OSF Sacred Heart Medical Center – Urbana Danville not published $608.32 – $872.66 4
MercyOne Genesis Aledo Medical Center Aledo not published $498.62 – $513.91 2
MercyOne Genesis Silvis Medical Center Silvis not published $519.77 – $779.66 3
Advocate Trinity Hospital Chicago not published $723.00 – $1,510.45 10
Advocate South Suburban Hospital Hazel Crest not published $723.00 – $1,510.45 10
Advocate Sherman Hospital Elgin not published $723.00 – $1,050.17 10
Advocate Childrens Hospital - Park Ridge Park Ridge not published $723.00 – $1,510.45 10
Advocate Illinois Masonic Medical Center Chicago not published $723.00 – $1,510.45 10