Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm cost in Illinois
GRAFT SFT TISS GRAFIX AMNIO PRIME 3X4CM 12SQCM-Q4133-COST PER SQ CM · HCPCS Q4133
$155.93
lowest in Illinois
$237.81
state median
$6,142.80
highest in Illinois
$765.06
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $155.93 | $277.50 – $277.50 | 1 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $237.81 | $130.56 – $216.04 | 8 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $237.81 | $133.36 – $216.04 | 7 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | $237.81 | $133.36 – $216.04 | 7 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $237.81 | $130.56 – $216.04 | 8 |
| UnityPoint Health - Trinity Moline | Rock Island | $277.60 | $63.31 – $162.14 | 10 |
| MercyOne Genesis Silvis Medical Center | Silvis | $6,142.80 | $342.72 – $931.77 | 4 |
| MercyOne Genesis Aledo Medical Center | Aledo | $6,142.80 | $1,561.50 – $1,630.90 | 4 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $233.74 – $478.81 | 6 |
| Advocate Condell Medical Center | Libertyville | not published | $273.92 – $375.40 | 6 |
| Advocate Christ Medical Center | Oak Lawn | not published | $233.74 – $478.81 | 6 |
| Advocate Trinity Hospital | Chicago | not published | $233.74 – $478.81 | 6 |
| Advocate South Suburban Hospital | Hazel Crest | not published | $233.74 – $478.81 | 6 |
| Advocate Sherman Hospital | Elgin | not published | $273.92 – $332.90 | 6 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | not published | $233.74 – $478.81 | 6 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $233.74 – $478.81 | 6 |