Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm cost in Illinois

INTEGRA MATRIX WND INJ FLOWABLE 3CC-Q4114-COST PER SQ CM · HCPCS Q4114

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $2,392.05 – $3,129.71 2
Uchicago Medicine Adventhealth La Grange La Grange not published $3,129.71 – $3,129.71 1
UnityPoint Health - Trinity Moline Rock Island not published $1,424.44 – $1,959.10 8
Advocate Good Samaritan Hospital Downers Grove not published $2,556.44 – $5,391.94 9
Advocate Condell Medical Center Libertyville not published $2,919.88 – $4,105.80 9
Advocate Christ Medical Center Oak Lawn not published $2,556.44 – $5,267.27 9
Uchicago Medicine Adventhealth Hinsdale Hinsdale not published $3,129.71 – $3,129.71 1
MercyOne Genesis Aledo Medical Center Aledo not published $1,251.33 – $1,251.33 1
Uchicago Medicine Adventhealth Glenoaks Glendale Heights not published $3,129.71 – $3,129.71 1
Advocate Trinity Hospital Chicago not published $2,556.44 – $5,391.94 9
Advocate South Suburban Hospital Hazel Crest not published $2,556.44 – $5,411.42 9
Advocate Sherman Hospital Elgin not published $2,230.43 – $3,641.00 9
Advocate Childrens Hospital - Park Ridge Park Ridge not published $2,556.44 – $5,341.29 9
Advocate Illinois Masonic Medical Center Chicago not published $2,556.44 – $5,427.00 9