Silicon gel insert w/wo lock cost in Illinois

Silicon gel insert w/wo lock · HCPCS L6692

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $338.84 – $1,235.34 14
Advocate Good Samaritan Hospital Downers Grove not published $1,119.53 – $2,726.52 7
Advocate Condell Medical Center Libertyville not published $1,119.53 – $1,679.61 7
Advocate Christ Medical Center Oak Lawn not published $1,119.53 – $2,663.48 7
MercyOne Genesis Aledo Medical Center Aledo not published $801.49 – $801.49 1
Advocate Trinity Hospital Chicago not published $1,119.53 – $2,726.52 7
Advocate South Suburban Hospital Hazel Crest not published $1,119.53 – $2,736.37 7
Advocate Sherman Hospital Elgin not published $1,119.53 – $1,482.41 7
Advocate Childrens Hospital - Park Ridge Park Ridge not published $1,119.53 – $2,700.91 7
Advocate Illinois Masonic Medical Center Chicago not published $1,119.53 – $2,744.25 7