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 |
|---|---|---|---|---|
| Colostomy with biopsies CPT 44322 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $7,461.49 – $17,439.00 | 8 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $3,105.00 | $6,210.00 | $2,446.74 – $6,363.66 | 13 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $1,316.13 – $6,071.00 | 8 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $304.07 – $6,291.00 | 8 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $304.07 – $6,291.00 | 8 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $459.79 – $6,291.00 | 8 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $459.79 – $6,291.00 | 8 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $3,378.37 – $8,231.28 | 7 |
| Combo ankle/foot prosthesis HCPCS L5975 | not published | not published | $811.52 – $1,979.09 | 7 |
| Comm hlth intg svs sdoh 60mn HCPCS G0019 | not published | not published | $139.81 – $185.13 | 4 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $222.50 | $445.00 | $112.75 – $356.00 | 18 |
| Compatibility test each unit electronic CPT 86923 | $95.00 | $190.00 | $74.86 – $342.97 | 18 |
| Compatibility test each unit immediate spin technique CPT 86920 | $137.50 | $275.00 | $108.35 – $342.97 | 18 |
| Compatibility test incubate CPT 86921 | $122.50 | $245.00 | $96.53 – $342.97 | 18 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $1,008.89 – $6,071.00 | 8 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $1,008.89 – $6,071.00 | 8 |
| Complement antigen each component c3 CPT 86160 | $155.00 | $310.00 | $12.00 – $65.08 | 18 |
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $56.41 | 14 |
| Complete removal of vulva CPT 56625 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Complex body section x-ray CPT 76101 | not published | not published | $1,028.43 – $1,170.52 | 3 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $367.61 – $6,291.00 | 8 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $820.00 | $1,640.00 | $646.16 – $1,312.00 | 13 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $820.00 | $1,640.00 | $646.16 – $1,312.00 | 13 |
| Complex simulation w/pet-ct HCPCS G0562 | not published | not published | $2,948.20 – $3,903.82 | 4 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $470.68 – $6,291.00 | 8 |
| Compl oph exam general anes CPT 92018 | not published | not published | $726.92 – $12,362.00 | 11 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $820.00 | $1,640.00 | $646.16 – $1,312.00 | 13 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $945.00 | $1,890.00 | $744.66 – $1,512.00 | 13 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $820.00 | $1,640.00 | $603.89 – $1,312.00 | 13 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $945.00 | $1,890.00 | $744.66 – $1,512.00 | 13 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $410.00 | $820.00 | $323.08 – $656.00 | 9 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $410.00 | $820.00 | $323.08 – $656.00 | 9 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $925.24 – $6,291.00 | 8 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $1,209.20 – $2,947.46 | 7 |
| Composite byp grft 2 veins CPT 35682 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Composite byp grft pros&vein CPT 35681 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Composite drsg >16<=48 sq in HCPCS A6204 | not published | not published | $12.60 – $32.91 | 7 |
| Composite drsg <= 16 sq in HCPCS A6203 | not published | not published | $6.83 – $18.81 | 7 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Comprehensive hearing test CPT 92557 | not published | not published | $236.49 – $343.16 | 7 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $194.79 – $672.22 | 7 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $194.79 – $817.96 | 7 |
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $55.16 – $329.06 | 7 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Concentration infection agents any type CPT 87015 | $37.50 | $75.00 | $6.68 – $60.00 | 18 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $236.49 – $313.15 | 7 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $1,221.82 | $2,443.63 | $354.52 – $1,954.90 | 14 |
| Condylomata destruction 56420 CPT 56420 | $472.50 | $945.00 | $304.07 – $756.00 | 13 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | not published | not published | $0.57 – $2.35 | 7 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | not published | not published | $0.78 – $2.35 | 7 |
| Conform band s w >=5"/yd HCPCS A6447 | not published | not published | $1.38 – $4.71 | 7 |
| Congo red blood test HCPCS P2029 | not published | not published | $4.95 – $9.50 | 8 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $77.95 – $159.67 | 6 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Conization of cervix CPT 57520 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $413.03 – $1,298.02 | 13 |
| Connect omega .5mm HCPCS L8613 | not published | not published | $594.86 – $1,447.89 | 7 |
| Connector tis 2x10mm HCPCS C9352 | not published | not published | $2,055.82 – $2,055.82 | 2 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Construct bladder opening CPT 51980 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Construct bowel bladder CPT 50820 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Construct bowel bladder CPT 50825 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Construction of absent anus CPT 46730 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Construction of absent anus CPT 46735 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Construction of absent anus CPT 46740 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Construction of vagina CPT 57291 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Construct thumb replacement CPT 26550 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Construct vagina with graft CPT 57292 | not published | not published | $7,461.49 – $17,439.00 | 8 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $33.43 – $305.56 | 14 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $262.50 | $525.00 | $120.25 – $1,634.98 | 18 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $187.50 | $375.00 | $23.10 – $300.00 | 14 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $200.00 | $400.00 | $120.25 – $342.97 | 18 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $370.00 | $740.00 | $49.47 – $592.00 | 18 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $33.43 – $540.62 | 14 |
| Consultation with family CPT 90887 | not published | not published | $470.86 – $535.91 | 3 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $49.47 – $1,170.52 | 14 |
| Contact layer >16<= 48 sq in HCPCS A6207 | not published | not published | $14.88 – $19.70 | 4 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $487.37 – $798.66 | 7 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $194.83 – $629.93 | 7 |
| Contact lens fitting for tx CPT 92071 | not published | not published | $346.95 – $394.88 | 3 |
| Contact lens fitting ou CPT 92310 | not published | not published | $503.89 – $573.50 | 3 |
| Contact lens gas permeable HCPCS V2531 | not published | not published | $947.78 – $3,464.57 | 7 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $223.04 – $253.85 | 3 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $6,296.00 – $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.