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 |
|---|---|---|---|---|
| C-peptide CPT 84681 | $100.00 | $200.00 | $20.81 – $160.00 | 18 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $975.00 | $1,950.00 | $140.00 – $1,835.75 | 18 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Cptrized corneal topography CPT 92025 | not published | not published | $89.78 – $206.84 | 7 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $89.78 – $277.35 | 7 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $470.68 – $623.25 | 4 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $709.07 – $1,452.52 | 6 |
| Cranial cervical orthosis HCPCS L0112 | not published | not published | $2,445.18 – $5,956.04 | 7 |
| Cranial cervical torticollis HCPCS L0113 | not published | not published | $498.22 – $659.71 | 4 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniectomy f/osteomyelitis CPT 61501 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniofacial approach skull CPT 61580 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniofacial approach skull CPT 61581 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniofacial approach skull CPT 61582 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Craniofacial approach skull CPT 61583 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,660.00 | $3,320.00 | $813.60 – $3,966.00 | 18 |
| C-reactive protein CPT 86140 | $37.50 | $75.00 | $5.18 – $60.00 | 18 |
| C-reactive protein high sensitivity CPT 86141 | $85.00 | $170.00 | $12.95 – $136.00 | 18 |
| C-reactive protein, quantitative CPT 86406 | $62.50 | $125.00 | $10.64 – $100.00 | 18 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Create eardrum opening CPT 69436 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Create passage to kidney CPT 52334 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Create tear duct drain CPT 68745 | not published | not published | $5,699.90 – $17,439.00 | 8 |
| Create tear duct drain CPT 68750 | not published | not published | $5,699.90 – $17,439.00 | 8 |
| Create tear sac drain CPT 68720 | not published | not published | $5,699.90 – $17,439.00 | 8 |
| Creatine isoforms CPT 82554 | not published | not published | $11.87 – $65.81 | 14 |
| Creatine kinase CPT 82550 | $55.00 | $110.00 | $6.51 – $88.00 | 18 |
| Creatine kinase isoenzymes CPT 82552 | not published | not published | $13.39 – $75.21 | 14 |
| Creatine kinase mb CPT 82553 | not published | not published | $11.55 – $62.58 | 14 |
| Creatine - sendout CPT 82540 | not published | not published | $4.64 – $25.13 | 14 |
| Creatinine CPT 82565 | $42.50 | $85.00 | $5.12 – $52.00 | 18 |
| Creatinine 24 hour urine CPT 82570 | $82.50 | $165.00 | $5.18 – $60.00 | 18 |
| Creatinine clearance urine CPT 82575 | $87.50 | $175.00 | $9.46 – $140.00 | 18 |
| #creutz-prot.,western blot CPT 84182 | $400.00 | $800.00 | $29.21 – $151.87 | 18 |
| Crh stimulation panel CPT 80412 | not published | not published | $801.62 – $3,642.92 | 14 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Cricotracheal resection CPT 31592 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Crisis psychotherapy 90839 CPT 90839 | $295.00 | $590.00 | $205.91 – $472.00 | 18 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $147.50 | $295.00 | $102.96 – $236.00 | 14 |
| Critical care each additional 30 minutes CPT 99292 | $785.00 | $1,570.00 | $586.49 – $11,010.00 | 14 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $2,380.00 | $4,760.00 | $1,273.61 – $11,010.00 | 18 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $187.89 – $430.58 | 10 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crnec sopl xpl/dcmpr crl nrv CPT 61458 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crnec stpl sctj cmprn/dcmprn CPT 61450 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.84 – $4.71 | 9 |
| Cross-over vein graft CPT 34520 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $2,698.64 – $6,402.23 | 10 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $1,215.00 | $2,430.00 | $957.42 – $6,291.00 | 14 |
| Cryoablate prostate CPT 55873 | not published | not published | $13,977.15 – $47,462.00 | 8 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $459.79 – $6,291.00 | 8 |
| Cryo fib comp path redu each HCPCS P9026 | $550.00 | $1,100.00 | $383.90 – $880.00 | 18 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $52.50 | $105.00 | $14.14 – $84.00 | 18 |
| Cryoprecipitate each unit HCPCS P9012 | $150.00 | $300.00 | $92.18 – $240.00 | 18 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $628.20 – $3,232.50 | 11 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $143.50 – $462.26 | 10 |
| Cryopreservation sperm CPT 89259 | not published | not published | $143.50 – $818.90 | 11 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $660.80 – $6,291.00 | 8 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $49.47 – $146.66 | 10 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $5,787.99 – $17,439.00 | 8 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $300.34 – $6,291.00 | 8 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $89.78 – $6,291.00 | 8 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $14.41 – $79.91 | 14 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $11.98 – $65.81 | 14 |
| Crystal identification light microscopy CPT 89060 | $52.50 | $105.00 | $7.33 – $84.00 | 18 |
| Csf leakage imaging CPT 78650 | not published | not published | $1,017.07 – $2,612.85 | 8 |
| Csf shunt reprogram 62252 CPT 62252 | $337.50 | $675.00 | $265.95 – $600.25 | 13 |
| Csf ventriculography CPT 78635 | not published | not published | $719.04 – $1,819.25 | 8 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $137.00 – $622.03 | 10 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $274.83 – $1,248.53 | 10 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $185.20 – $842.28 | 10 |
| CT 3d report other modality w/workstation CPT 76377 | $460.00 | $920.00 | $214.00 – $1,080.61 | 14 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,150.00 | $4,300.00 | $269.08 – $2,752.00 | 18 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,580.00 | $5,160.00 | $539.81 – $4,128.00 | 18 |
| CT Angiogram of the Abdomen CPT 74175 | $1,720.00 | $3,440.00 | $269.08 – $2,752.00 | 18 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,720.00 | $3,440.00 | $269.08 – $2,752.00 | 18 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,720.00 | $3,440.00 | $269.08 – $2,752.00 | 18 |
| CT Angiogram of the Head CPT 70496 | $1,720.00 | $3,440.00 | $269.08 – $2,752.00 | 18 |
| CT Angiogram of the Neck CPT 70498 | $1,720.00 | $3,440.00 | $269.08 – $2,752.00 | 18 |
| CT angio hrt w/3d image CPT 75574 | $1,700.00 | $3,400.00 | $539.81 – $2,720.00 | 18 |
| CT angio pelvis CPT 72191 | $1,720.00 | $3,440.00 | $269.08 – $2,752.00 | 18 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,150.00 | $4,300.00 | $269.08 – $2,752.00 | 18 |
| CT bone density axial CPT 77078 | not published | not published | $133.09 – $1,100.02 | 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.