Infect ag phenotype na hiv-1 ea addl drg cost in Illinois

HC INFECT AG PHENOTYPE NA HIV-1 EA ADDL DRG · CPT 87904

$30.03

lowest in Illinois

$127.86

state median

$140.00

highest in Illinois

$77.00

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network)	Chicago	$30.03	$19.55 – $108.97	23
Uchicago Medicine Adventhealth La Grange	La Grange	$43.75	$25.52 – $42.23	8
Uchicago Medicine Adventhealth Bolingbrook	Bolingbrook	$43.75	$26.07 – $42.23	7
Uchicago Medicine Adventhealth Glenoaks	Glendale Heights	$43.75	$26.07 – $42.23	7
Uchicago Medicine Adventhealth Hinsdale	Hinsdale	$43.75	$25.52 – $42.23	8
MercyOne Genesis Silvis Medical Center	Silvis	$99.00	$35.34 – $128.80	4
MercyOne Genesis Aledo Medical Center	Aledo	$99.00	$29.98 – $68.15	4
UnityPoint Health - Trinity Moline	Rock Island	$127.86	$3.50 – $70.48	16
Advocate Illinois Masonic Medical Center	Chicago	$140.00	$26.07 – $227.92	18
Advocate Childrens Hospital - Park Ridge	Park Ridge	$140.00	$26.07 – $224.00	18
Advocate Sherman Hospital	Elgin	$140.00	$26.07 – $252.00	18
Advocate South Suburban Hospital	Hazel Crest	$140.00	$26.07 – $272.72	18
Advocate Trinity Hospital	Chicago	$140.00	$26.07 – $224.00	18
Advocate Christ Medical Center	Oak Lawn	$140.00	$26.07 – $224.00	18
Advocate Condell Medical Center	Libertyville	$140.00	$26.07 – $224.00	18
Advocate Good Samaritan Hospital	Downers Grove	$140.00	$26.07 – $224.00	18
SSM Health St. Mary's Hospital - Centralia	Centralia	not published	$26.07 – $27.37	3
SSM Health Good Samaritan Hospital - Mt. Vernon	Mount Vernon	not published	$26.07 – $27.37	3
Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center)	Hoffman Estates	not published	$19.55 – $115.49	27
Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center)	Elk Grove Village	not published	$19.55 – $115.49	26
Ascension Alexian Brothers Behavioral Health Hospital	Hoffman Estates	not published	$19.55 – $61.00	6