Optx palatal/max fx comp cost in Illinois

OPTX PALATAL/MAX FX COMP · CPT 21423

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 $712.47 – $1,899.76 14
Advocate Good Samaritan Hospital Downers Grove not published $9,155.00 – $18,102.00 4
Advocate Condell Medical Center Libertyville not published $8,116.00 – $11,479.00 4
Advocate Christ Medical Center Oak Lawn not published $9,155.00 – $18,102.00 4
Uchicago Medicine Adventhealth Hinsdale Hinsdale not published $4,750.00 – $10,276.96 8
Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) Hoffman Estates not published $2,080.11 – $2,080.11 2
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago not published $2,080.11 – $2,080.11 1
Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) Elk Grove Village not published $2,080.11 – $2,080.11 1
Ascension Alexian Brothers Behavioral Health Hospital Hoffman Estates not published $2,080.11 – $2,080.11 1
MercyOne Genesis Aledo Medical Center Aledo not published $1,918.68 – $13,337.84 2
MercyOne Genesis Silvis Medical Center Silvis not published $4,924.88 – $4,924.88 1
Uchicago Medicine Adventhealth Glenoaks Glendale Heights not published $4,750.00 – $10,276.96 7
Advocate Trinity Hospital Chicago not published $9,155.00 – $18,102.00 4
Advocate South Suburban Hospital Hazel Crest not published $9,155.00 – $18,102.00 4
Advocate Sherman Hospital Elgin not published $7,860.00 – $9,925.00 4
Advocate Childrens Hospital - Park Ridge Park Ridge not published $9,155.00 – $18,102.00 4
Advocate Illinois Masonic Medical Center Chicago not published $9,155.00 – $18,102.00 4