Replace non-molded calf lace cost in Illinois
Replace non-molded calf lace · HCPCS L4055
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | not published | $160.65 – $481.87 | 14 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $436.70 – $1,062.40 | 7 |
| Advocate Condell Medical Center | Libertyville | not published | $436.70 – $654.47 | 7 |
| Advocate Christ Medical Center | Oak Lawn | not published | $436.70 – $1,037.84 | 7 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $380.00 – $380.00 | 1 |
| Advocate Trinity Hospital | Chicago | not published | $436.70 – $1,062.40 | 7 |
| Advocate South Suburban Hospital | Hazel Crest | not published | $436.70 – $1,066.24 | 7 |
| Advocate Sherman Hospital | Elgin | not published | $436.70 – $578.25 | 7 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | not published | $436.70 – $1,052.42 | 7 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $436.70 – $1,069.31 | 7 |