Inj follitropin alfa 75 iu cost in Illinois

Inj follitropin alfa 75 iu · HCPCS S0126

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $338.38 – $338.38 1
UnityPoint Health - Trinity Moline Rock Island not published $139.13 – $723.02 7
Advocate Good Samaritan Hospital Downers Grove not published $367.80 – $492.68 5
Advocate Condell Medical Center Libertyville not published $226.69 – $492.68 5
Advocate Christ Medical Center Oak Lawn not published $359.33 – $492.68 5
MercyOne Genesis Aledo Medical Center Aledo not published $147.00 – $284.33 2
MercyOne Genesis Silvis Medical Center Silvis not published $104.99 – $104.99 1
Advocate Trinity Hospital Chicago not published $367.80 – $492.68 5
Advocate South Suburban Hospital Hazel Crest not published $369.32 – $492.68 5
Advocate Sherman Hospital Elgin not published $173.18 – $492.68 5
Advocate Childrens Hospital - Park Ridge Park Ridge not published $364.48 – $492.68 5
Advocate Illinois Masonic Medical Center Chicago not published $370.22 – $492.68 5