Revitalon 1 square cm cost in Illinois

Revitalon 1 square cm · HCPCS Q4157

Hospital City Cash price Negotiated range Payers
OSF Saint Anthony's Health Center Alton not published $133.36 – $136.02 3
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $133.36 – $216.04 7
UnityPoint Health - Trinity Moline Rock Island not published $49.54 – $202.90 6
Advocate Good Samaritan Hospital Downers Grove not published $334.79 – $685.80 6
Advocate Condell Medical Center Libertyville not published $356.26 – $537.69 6
Advocate Christ Medical Center Oak Lawn not published $334.79 – $685.80 6
Advocate Trinity Hospital Chicago not published $334.79 – $685.80 6
Advocate South Suburban Hospital Hazel Crest not published $334.79 – $685.80 6
Advocate Sherman Hospital Elgin not published $356.26 – $476.82 6
Advocate Childrens Hospital - Park Ridge Park Ridge not published $334.79 – $685.80 6
Advocate Illinois Masonic Medical Center Chicago not published $334.79 – $685.80 6