Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $19.02 – $46.00 | 10 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $40.68 – $100.28 | 10 |
| Benign lesion paring 2-4 CPT 11056 | $257.50 | $515.00 | $202.91 – $6,291.00 | 18 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $300.34 – $6,291.00 | 8 |
| #_benzodiazconfur CPT 80346 | $317.50 | $635.00 | $57.82 – $152.00 | 14 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $93.35 | $186.70 | $26.88 – $178.66 | 14 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $130.00 | $260.00 | $25.45 – $208.00 | 18 |
| Beta-2 microglobulin CPT 82232 | $92.50 | $185.00 | $16.18 – $148.00 | 18 |
| Beta-amyloid 1-40 CPT 82233 | $320.00 | $640.00 | $223.36 – $512.00 | 14 |
| Beta-amyloid 1-42 CPT 82234 | $312.50 | $625.00 | $218.13 – $500.00 | 14 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | not published | not published | $12.01 – $37.62 | 9 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $8.98 – $89.31 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $105.92 – $343.16 | 13 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $41.83 – $89.91 | 10 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $34.60 – $70.88 | 10 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $2.65 – $6.12 | 10 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $116.35 – $587.62 | 7 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $47.57 – $326.46 | 7 |
| B-hexosaminidase ea assay CPT 83080 | $292.50 | $585.00 | $16.87 – $468.00 | 18 |
| Bhv id assmt by phys/qhp CPT 97151 | not published | not published | $139.81 – $185.13 | 4 |
| Bhv id suprt assmt by 1 tech CPT 97152 | not published | not published | $139.81 – $185.13 | 4 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $8,821.00 – $17,439.00 | 4 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Bilateral n block inj occipital 64405 CPT 64405 | $815.00 | $1,630.00 | $429.46 – $6,291.00 | 18 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $825.00 | $1,650.00 | $342.78 – $6,291.00 | 18 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $120.54 | 14 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Bile duct revision CPT 47701 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $9,431.44 – $25,111.00 | 8 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $12,700.00 – $25,111.00 | 8 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $5,334.21 – $17,439.00 | 8 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $12,700.00 – $25,111.00 | 8 |
| Bilicheck CPT 88720 | $15.00 | $30.00 | $5.02 – $26.80 | 18 |
| Bilirubin direct CPT 82248 | $30.00 | $60.00 | $5.02 – $48.00 | 18 |
| Bilirubin total CPT 82247 | $30.00 | $60.00 | $5.02 – $48.00 | 18 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $51.29 – $352.57 | 7 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $3,711.80 – $9,842.80 | 6 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $480.08 – $480.08 | 2 |
| Biofeedback, pt CPT 90901 | $75.00 | $150.00 | $59.10 – $469.00 | 18 |
| Biopsy abdominal mass CPT 49180 | $1,990.00 | $3,980.00 | $1,568.12 – $6,181.00 | 18 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $4,326.01 – $12,362.00 | 8 |
| Biopsy bone trocar/needle superficial CPT 20220 | $810.00 | $1,620.00 | $638.28 – $6,071.00 | 18 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $1,316.13 – $6,071.00 | 8 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $3,070.00 – $6,071.00 | 8 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $5,787.99 – $12,362.00 | 8 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $351.00 – $6,291.00 | 8 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $451.84 – $6,291.00 | 8 |
| Biopsy eye muscle CPT 67346 | not published | not published | $5,699.90 – $17,439.00 | 8 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $3,126.00 – $6,493.91 | 8 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $2,419.03 – $6,181.00 | 8 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $4,326.01 – $12,362.00 | 8 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $3,126.00 – $6,493.91 | 8 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,740.00 | $3,480.00 | $1,371.12 – $6,181.00 | 18 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $2,449.01 – $6,071.00 | 8 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,665.00 | $3,330.00 | $1,312.02 – $6,181.00 | 18 |
| Biopsy needle liver percutaneous CPT 47000 | $1,760.00 | $3,520.00 | $1,386.88 – $6,181.00 | 18 |
| Biopsy needle lymph node superficial CPT 38505 | $1,230.00 | $2,460.00 | $969.24 – $6,181.00 | 18 |
| Biopsy of cornea CPT 65410 | not published | not published | $3,070.00 – $6,071.00 | 8 |
| Biopsy of epididymis CPT 54800 | not published | not published | $2,449.01 – $6,071.00 | 8 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Biopsy of heart lining CPT 93505 | $3,390.00 | $6,780.00 | $2,671.32 – $17,439.00 | 18 |
| Biopsy of hip joint CPT 27052 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $1,417.13 – $6,181.00 | 8 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $351.00 – $6,291.00 | 8 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $1,063.48 – $6,071.00 | 8 |
| Biopsy of nerve CPT 64795 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Biopsy of ovary(s) 58900 CPT 58900 | $3,200.00 | $6,400.00 | $2,521.60 – $12,362.00 | 18 |
| Biopsy of pancreas open CPT 48100 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Biopsy of penis CPT 54105 | not published | not published | $4,326.01 – $12,362.00 | 8 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $2,449.01 – $6,181.00 | 8 |
| Biopsy of prostate CPT 55700 | $2,110.00 | $4,220.00 | $1,662.68 – $6,181.00 | 18 |
| Biopsy of prostate CPT 55705 | not published | not published | $3,126.00 – $6,902.93 | 8 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Biopsy of salivary gland 42400 CPT 42400 | $735.00 | $1,470.00 | $579.18 – $6,071.00 | 18 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Biopsy of stomach CPT 43605 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Biopsy of tear gland CPT 68510 | not published | not published | $3,526.29 – $12,362.00 | 8 |
| Biopsy of tear sac CPT 68525 | not published | not published | $3,526.29 – $12,362.00 | 8 |
| Biopsy of testis CPT 54500 | $3,805.00 | $7,610.00 | $2,998.34 – $6,181.00 | 18 |
| Biopsy of testis CPT 54505 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $3,126.00 – $6,490.83 | 8 |
| Biopsy of urethra CPT 53200 | not published | not published | $3,096.34 – $12,362.00 | 8 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $143.50 – $3,232.50 | 11 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $143.50 – $2,155.00 | 11 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $5,787.99 – $12,362.00 | 8 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $5,787.99 – $12,362.00 | 8 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,505.00 | $3,010.00 | $1,185.94 – $6,181.00 | 18 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Biopsy skin incisional single lesion CPT 11106 | $382.50 | $765.00 | $301.41 – $6,071.00 | 18 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,975.00 | $3,950.00 | $1,556.30 – $6,181.00 | 18 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $4,326.01 – $12,362.00 | 8 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.