Inj, hemgenix, per tx dose cost in Illinois

Inj, hemgenix, per tx dose · HCPCS J1411

Hospital City Cash price Negotiated range Payers
OSF St Mary Medical Center Galesburg not published $3,691,450.00 – $6,930,000.00 4
OSF St Joseph Medical Center Bloomington not published $3,691,450.00 – $10,033,138.52 4
OSF Saint Francis Medical Center Peoria not published $3,691,450.00 – $12,549,529.44 5
OSF Saint Elizabeth Medical Center Ottawa not published $3,691,450.00 – $3,765,279.00 3
OSF Saint Anthony Medical Center Rockford not published $3,691,450.00 – $12,920,075.00 6
UnityPoint Health - Trinity Moline Rock Island not published $3,464,150.67 – $5,896,426.67 11
Advocate Good Samaritan Hospital Downers Grove not published $5,343,636.67 – $12,539,800.00 8
Advocate Condell Medical Center Libertyville not published $5,343,636.67 – $9,831,500.00 8
Advocate Christ Medical Center Oak Lawn not published $5,343,636.67 – $12,539,800.00 8
OSF Little Company of Mary Medical Center Evergreen Park not published $3,685,266.67 – $6,866,097.00 7
OSF Sacred Heart Medical Center – Urbana Danville not published $3,691,450.00 – $4,496,025.34 4
MercyOne Genesis Aledo Medical Center Aledo not published $63,940.38 – $4,202,502.50 3
MercyOne Genesis Silvis Medical Center Silvis not published $23,609.42 – $5,762,393.52 3
Advocate Trinity Hospital Chicago not published $5,343,636.67 – $12,539,800.00 8
Advocate South Suburban Hospital Hazel Crest not published $5,343,636.67 – $12,539,800.00 8
Advocate Sherman Hospital Elgin not published $5,343,636.67 – $8,718,500.00 8
Advocate Childrens Hospital - Park Ridge Park Ridge not published $5,343,636.67 – $12,539,800.00 8
Advocate Illinois Masonic Medical Center Chicago not published $5,343,636.67 – $12,539,800.00 8