Optx palatal/max fracture cost in Illinois

OPTX PALATAL/MAX FRACTURE · CPT 21422

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $4,750.00 – $10,276.96 7
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon not published $6,343.80 – $6,660.99 3
Uchicago Medicine Adventhealth La Grange La Grange not published $4,750.00 – $10,276.96 8
UnityPoint Health - Trinity Moline Rock Island not published $572.12 – $4,602.15 15
Advocate Good Samaritan Hospital Downers Grove not published $8,941.57 – $18,102.00 8
Advocate Condell Medical Center Libertyville not published $8,116.00 – $11,839.88 8
Advocate Christ Medical Center Oak Lawn not published $8,941.57 – $18,102.00 8
Uchicago Medicine Adventhealth Hinsdale Hinsdale not published $4,750.00 – $10,276.96 8
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago not published $2,080.11 – $2,080.11 1
MercyOne Genesis Aledo Medical Center Aledo not published $1,625.80 – $13,337.84 3
MercyOne Genesis Silvis Medical Center Silvis not published $4,924.88 – $9,249.90 3
Uchicago Medicine Adventhealth Glenoaks Glendale Heights not published $4,750.00 – $10,276.96 7
Advocate Trinity Hospital Chicago not published $8,941.57 – $18,102.00 8
Advocate South Suburban Hospital Hazel Crest not published $8,941.57 – $18,102.00 8
Advocate Sherman Hospital Elgin not published $7,860.00 – $11,839.88 8
Advocate Childrens Hospital - Park Ridge Park Ridge not published $8,941.57 – $18,102.00 8
Advocate Illinois Masonic Medical Center Chicago not published $8,941.57 – $18,102.00 8