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 |
|---|---|---|---|---|
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $141.35 – $343.16 | 7 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $353.54 – $799.27 | 10 |
| Double transfer toe-hand CPT 26554 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $5.38 – $11.02 | 6 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $158.46 – $2,119.46 | 13 |
| Dpyd gene common variants CPT 81232 | $175.00 | $350.00 | $137.90 – $794.66 | 18 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $34.79 – $108.12 | 7 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $800.00 | $1,600.00 | $630.40 – $1,408.20 | 13 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $1,063.48 – $6,071.00 | 8 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $2,449.01 – $6,181.00 | 8 |
| Drainage external ear simple 69000 CPT 69000 | $800.00 | $1,600.00 | $630.40 – $1,408.20 | 13 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $4,326.01 – $12,362.00 | 8 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $351.00 – $6,291.00 | 8 |
| Drainage of abdomen CPT 48000 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $2,449.01 – $6,181.00 | 8 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Drainage of bone lesion CPT 26992 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Drainage of bone lesion CPT 27303 | not published | not published | $9,155.00 – $18,102.00 | 4 |
| Drainage of eye CPT 65800 | $2,360.00 | $4,720.00 | $1,859.68 – $4,564.76 | 13 |
| Drainage of eye CPT 65810 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Drainage of eye CPT 65815 | not published | not published | $3,447.34 – $12,362.00 | 8 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Drainage of kidney lesion CPT 50390 | $1,120.00 | $2,240.00 | $591.00 – $6,071.00 | 18 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $351.00 – $6,291.00 | 8 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $3,126.00 – $6,490.83 | 8 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $769.74 – $6,291.00 | 8 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $769.74 – $6,291.00 | 8 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,126.00 – $6,490.83 | 8 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $351.00 – $6,291.00 | 8 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $769.74 – $6,291.00 | 8 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Drainage of salivary gland CPT 42305 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Drainage of salivary gland CPT 42320 | not published | not published | $769.74 – $6,291.00 | 8 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drainage of throat abscess CPT 42725 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $3,096.34 – $12,362.00 | 8 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $1,008.89 – $12,362.00 | 8 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $3,096.34 – $12,362.00 | 8 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $1,537.79 – $6,181.00 | 8 |
| Drain blood from under nail 11740 CPT 11740 | $145.00 | $290.00 | $84.00 – $257.99 | 17 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,345.00 | $4,690.00 | $1,847.86 – $6,181.00 | 18 |
| Drain cath image guided visceral pq CPT 49405 | $1,975.00 | $3,950.00 | $1,556.30 – $6,181.00 | 18 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $700.00 | $1,400.00 | $551.60 – $6,071.00 | 18 |
| Drain chest lesion CPT 21502 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $154.00 – $376.07 | 7 |
| Drain finger abscess;simple 26010 CPT 26010 | $240.00 | $480.00 | $189.12 – $397.69 | 13 |
| Drain lower leg bursa CPT 27604 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Drain lower leg lesion 27603 CPT 27603 | $3,035.00 | $6,070.00 | $2,391.58 – $5,728.24 | 13 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $4,326.01 – $12,362.00 | 8 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $5.48 – $14.10 | 7 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Drain ovary abscess open CPT 58820 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drain penis lesion CPT 54015 | not published | not published | $2,449.01 – $6,181.00 | 8 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $4,326.01 – $12,362.00 | 8 |
| Drain shoulder lesion CPT 23030 | not published | not published | $4,326.01 – $12,362.00 | 8 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $4,326.01 – $12,362.00 | 8 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $442.50 | $885.00 | $84.00 – $708.00 | 17 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $337.50 | $675.00 | $84.00 – $540.00 | 17 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $515.00 | $1,030.00 | $84.00 – $824.00 | 17 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $925.24 – $6,291.00 | 8 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $85.67 – $175.49 | 9 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,850.00 | $3,700.00 | $1,457.80 – $2,960.00 | 9 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $157,654.47 – $384,106.28 | 7 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,126.00 – $6,493.91 | 8 |
| Drng of eyelid abscess 67700 CPT 67700 | $287.50 | $575.00 | $226.55 – $598.29 | 13 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,790.00 | $3,580.00 | $1,410.52 – $3,242.82 | 13 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $1,063.48 – $6,071.00 | 8 |
| Drng of mouth lesion 40801 CPT 40801 | $800.00 | $1,600.00 | $630.40 – $1,280.00 | 13 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,126.00 – $6,493.91 | 8 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,126.00 – $6,493.91 | 8 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,800.00 | $3,600.00 | $1,418.40 – $3,242.82 | 13 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $8,821.00 – $17,439.00 | 4 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $3,181.00 – $6,291.00 | 4 |
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.