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 |
|---|---|---|---|---|
| Cast sup sht arm adult fbrgl HCPCS Q4010 | not published | not published | $35.25 – $84.62 | 7 |
| Cast sup sht arm adult plstr HCPCS Q4009 | not published | not published | $15.67 – $37.62 | 7 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | not published | not published | $17.68 – $42.31 | 7 |
| Cast sup sht arm ped plaster HCPCS Q4011 | not published | not published | $7.82 – $18.81 | 7 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | not published | not published | $22.04 – $51.72 | 7 |
| Cast sup sht arm splint plst HCPCS Q4021 | not published | not published | $12.21 – $28.21 | 7 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | not published | not published | $11.03 – $23.51 | 7 |
| Cast sup sht arm splnt ped p HCPCS Q4023 | not published | not published | $6.13 – $14.10 | 7 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | not published | not published | $33.81 – $79.91 | 7 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | not published | not published | $16.92 – $37.62 | 7 |
| Cast sup sht leg splnt ped p HCPCS Q4047 | not published | not published | $10.47 – $23.51 | 7 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | not published | not published | $21.03 – $47.01 | 7 |
| Cataract Surgery CPT 66984 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $27.30 – $123.51 | 14 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $309.13 | $618.25 | $124.29 – $297.70 | 13 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | not published | not published | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $1,238.68 | $2,477.36 | $13.08 – $29.98 | 14 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $5,526.43 | $11,052.85 | $2,024.41 – $4,640.48 | 14 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $26,580.00 | $53,160.00 | $112.75 – $258.46 | 14 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $457.59 | $915.17 | $235.46 – $539.74 | 14 |
| Cath bi-dir df smarttouch HCPCS C1732 | $1,297.50 | $2,595.00 | $543.39 – $1,245.60 | 14 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $2,132.06 | $4,264.12 | $369.47 – $846.93 | 14 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $4,065.00 | $8,130.00 | $3,203.22 – $18,102.00 | 18 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $27.85 – $65.81 | 7 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $11,072.79 | $22,145.57 | $2.44 – $5.58 | 14 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,686.75 | $3,373.50 | $77.30 – $177.20 | 14 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $19.21 – $25.44 | 4 |
| Catheter declot mechanical CPT 36596 | $1,635.00 | $3,270.00 | $1,288.38 – $6,071.00 | 18 |
| Catheter insert artery CPT 36625 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $87.50 | $175.00 | $3.00 – $140.00 | 18 |
| Catheter stripping venous CPT 36595 | $3,150.00 | $6,300.00 | $2,482.20 – $17,439.00 | 18 |
| Catheter w/bag 3-way HCPCS A4313 | not published | not published | $37.53 – $89.31 | 7 |
| Catheter without bag 2-way latex HCPCS A4311 | not published | not published | $30.02 – $75.21 | 7 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $4.07 – $9.40 | 7 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $11.05 – $28.21 | 7 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $576.09 | $1,152.18 | $303.93 – $727.98 | 14 |
| Cath hawkone s directional HCPCS C1714 | $6,633.93 | $13,267.85 | $4,630.48 – $10,614.28 | 14 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $1,643.50 | $3,287.00 | $845.28 – $1,937.60 | 14 |
| Cath impl vasc access portal HCPCS A4300 | not published | not published | $619.54 – $705.13 | 3 |
| Cath indw foley 3 way HCPCS A4346 | not published | not published | $39.67 – $98.72 | 7 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $3.67 – $4.86 | 4 |
| Cath insertion tray w/bag HCPCS A4354 | not published | not published | $23.93 – $56.41 | 7 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $367.61 – $486.77 | 4 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Cath left heart/lv gram CPT 93452 | $5,685.00 | $11,370.00 | $4,479.78 – $18,102.00 | 18 |
| Cath left heart transseptal punc CPT 93462 | $3,120.00 | $6,240.00 | $2,458.56 – $6,291.00 | 14 |
| Cath lt/rt pulm art CPT 36014 | $1,575.00 | $3,150.00 | $1,241.10 – $6,291.00 | 14 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,389.88 | $2,779.76 | $10.71 – $24.56 | 14 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $21,113.38 | $42,226.76 | $12,576.77 – $30,124.00 | 14 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $54.68 – $72.40 | 4 |
| Cath place 1st order venous 36011 CPT 36011 | $1,290.00 | $2,580.00 | $1,008.64 – $6,291.00 | 14 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $1,069.74 – $6,291.00 | 7 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $6,920.00 | $13,840.00 | $4,861.63 – $18,102.00 | 18 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $7,150.00 | $14,300.00 | $4,861.63 – $18,102.00 | 18 |
| Cath plc art/grft/angio right hrt CPT 93457 | $7,255.00 | $14,510.00 | $4,861.63 – $18,102.00 | 18 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $12,514.75 | $25,029.50 | $8,735.30 – $20,023.60 | 14 |
| Cath right heart w/o2 sat & card CPT 93451 | $4,065.00 | $8,130.00 | $3,203.22 – $18,102.00 | 18 |
| Cath right hrt mnpul art CPT 36013 | $1,310.00 | $2,620.00 | $1,032.28 – $6,291.00 | 14 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $310.00 | $620.00 | $244.28 – $6,291.00 | 14 |
| Cath segmntl pulm art CPT 36015 | $1,465.00 | $2,930.00 | $1,154.42 – $6,291.00 | 14 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $956.62 | $1,913.24 | $55.04 – $352.85 | 14 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,522.00 | $5,044.00 | $619.01 – $1,418.94 | 14 |
| Cath stripping venous s&i CPT 75901 | $775.00 | $1,550.00 | $220.00 – $1,240.00 | 14 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $152.75 | $305.49 | $12.35 – $28.32 | 14 |
| Cath w/drainage 2-way latex HCPCS A4314 | not published | not published | $51.21 – $126.93 | 7 |
| Cath w/drainage 2-way silcne HCPCS A4315 | not published | not published | $53.43 – $70.75 | 4 |
| Cath without bag 2-way silicone HCPCS A4312 | not published | not published | $36.54 – $89.31 | 7 |
| Cauterization chemical granulation tissue CPT 17250 | $272.50 | $545.00 | $214.73 – $6,291.00 | 18 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $7.77 – $42.31 | 13 |
| CBC without platelet HCPCS G0307 | not published | not published | $6.47 – $37.62 | 13 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $18.00 – $98.72 | 14 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $53.41 – $109.41 | 6 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $56.38 – $115.49 | 6 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $941.98 | 10 |
| Cdna analysis for variants CPT 81403 | $620.00 | $1,240.00 | $185.20 – $842.28 | 18 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $194.83 – $686.33 | 7 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $194.83 – $686.33 | 7 |
| Cebpa gene full sequence CPT 81218 | $660.00 | $1,320.00 | $241.90 – $1,099.72 | 18 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $28.54 | $57.07 | $1.35 – $18.10 | 14 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $32.69 | $65.37 | $2.11 – $28.75 | 14 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $9.97 – $23.51 | 9 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $24.70 – $32.91 | 5 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $7.39 – $56.41 | 9 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $6.15 – $13.62 | 10 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $18.63 | $37.25 | $2.67 – $29.80 | 14 |
| Ceftazidime and avibactam HCPCS J0714 | $308.31 | $616.61 | $152.18 – $493.29 | 18 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $10.48 – $32.91 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $15.33 | $30.66 | $0.76 – $12.56 | 14 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $3.09 – $6.32 | 6 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $430.07 | 10 |
| #celiac hla-dq8 CPT 81383 | $287.50 | $575.00 | $109.13 – $495.54 | 18 |
| Cell count body fluid CPT 89050 | $47.50 | $95.00 | $4.72 – $76.00 | 18 |
| Cell count w differential body fluid CPT 89051 | $82.50 | $165.00 | $5.60 – $132.00 | 18 |
| Cell cryopreserve/storage CPT 88240 | $100.00 | $200.00 | $13.07 – $160.00 | 18 |
| Cell enumeration & id CPT 86152 | $575.00 | $1,150.00 | $250.78 – $1,139.90 | 18 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $1,030.16 – $2,110.27 | 6 |
| Cell function assay w/stim CPT 86352 | $545.00 | $1,090.00 | $135.86 – $617.57 | 18 |
| Cell marker study CPT 88182 | $212.50 | $425.00 | $49.47 – $587.60 | 18 |
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.