Foam drg > 48 sq in w/border cost in Illinois

Foam drg > 48 sq in w/border · HCPCS A6214

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $7.18 – $23.02 14
Advocate Good Samaritan Hospital Downers Grove not published $20.87 – $51.72 7
Advocate Condell Medical Center Libertyville not published $20.87 – $31.86 7
Advocate Christ Medical Center Oak Lawn not published $20.87 – $50.52 7
MercyOne Genesis Aledo Medical Center Aledo not published $18.14 – $18.14 1
Advocate Trinity Hospital Chicago not published $20.87 – $51.72 7
Advocate South Suburban Hospital Hazel Crest not published $20.87 – $51.91 7
Advocate Sherman Hospital Elgin not published $20.87 – $27.63 7
Advocate Childrens Hospital - Park Ridge Park Ridge not published $20.87 – $51.23 7
Advocate Illinois Masonic Medical Center Chicago not published $20.87 – $52.06 7