Oncology tissue of origin cost in Illinois

ONCOLOGY TISSUE OF ORIGIN · CPT 81504

Hospital City Cash price Negotiated range Payers
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon not published $520.00 – $546.00 3
Uchicago Medicine Adventhealth La Grange La Grange not published $509.08 – $842.40 8
UnityPoint Health - Trinity Moline Rock Island not published $3.50 – $832.00 14
Advocate Good Samaritan Hospital Downers Grove not published $520.00 – $2,363.14 10
Advocate Condell Medical Center Libertyville not published $520.00 – $2,363.14 10
Advocate Christ Medical Center Oak Lawn not published $520.00 – $2,363.14 10
Uchicago Medicine Adventhealth Hinsdale Hinsdale not published $509.08 – $842.40 8
MercyOne Genesis Aledo Medical Center Aledo not published $520.00 – $784.35 3
MercyOne Genesis Silvis Medical Center Silvis not published $289.62 – $289.62 1