Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost in Illinois
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
$1,866.60
lowest in Illinois
$1,866.60
state median
$1,866.60
highest in Illinois
$234.08
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,866.60 | $676.80 – $1,840.05 | 4 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | not published | $37.53 – $216.04 | 7 |
| Uchicago Medicine Adventhealth La Grange | La Grange | not published | $50.84 – $216.04 | 8 |
| UnityPoint Health - Trinity Moline | Rock Island | not published | $22.17 – $35.34 | 8 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $41.53 – $85.07 | 9 |
| Advocate Condell Medical Center | Libertyville | not published | $38.18 – $69.36 | 9 |
| Advocate Christ Medical Center | Oak Lawn | not published | $41.53 – $85.07 | 9 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $50.84 – $216.04 | 8 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $21.90 – $21.90 | 1 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | not published | $50.84 – $216.04 | 7 |
| Advocate Trinity Hospital | Chicago | not published | $41.53 – $85.07 | 9 |
| Advocate South Suburban Hospital | Hazel Crest | not published | $41.53 – $85.07 | 9 |
| Advocate Sherman Hospital | Elgin | not published | $29.17 – $69.36 | 9 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | not published | $41.53 – $85.07 | 9 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $41.53 – $85.07 | 9 |