Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm cost in Illinois

MEMBRANE PLACENTA TISS ENVERSE SHEET 2X3CM-COST PER SQ CM · HCPCS Q4258

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $133.36 – $216.04 7
Uchicago Medicine Adventhealth La Grange La Grange not published $130.56 – $216.04 8
UnityPoint Health - Trinity Moline Rock Island not published $63.68 – $95.74 7
Advocate Good Samaritan Hospital Downers Grove not published $126.18 – $258.47 6
Advocate Condell Medical Center Libertyville not published $135.34 – $202.65 6
Advocate Christ Medical Center Oak Lawn not published $126.18 – $258.47 6
Uchicago Medicine Adventhealth Hinsdale Hinsdale not published $130.56 – $216.04 8
Uchicago Medicine Adventhealth Glenoaks Glendale Heights not published $133.36 – $216.04 7
Advocate Trinity Hospital Chicago not published $126.18 – $258.47 6
Advocate South Suburban Hospital Hazel Crest not published $126.18 – $258.47 6
Advocate Sherman Hospital Elgin not published $135.34 – $179.70 6
Advocate Childrens Hospital - Park Ridge Park Ridge not published $126.18 – $258.47 6
Advocate Illinois Masonic Medical Center Chicago not published $126.18 – $258.47 6