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 |
|---|---|---|---|---|
| Egfr gene com variants CPT 81235 | $590.00 | $1,180.00 | $324.58 – $1,474.73 | 18 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $112.50 | $225.00 | $35.09 – $180.00 | 18 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.57 – $89.29 | 10 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $136.30 – $155.13 | 3 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $132.17 – $150.43 | 3 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $49.56 – $56.41 | 3 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $37.02 – $49.02 | 4 |
| EKG (Tracing Only) CPT 93005 | $232.50 | $465.00 | $78.47 – $372.00 | 18 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $6,225.27 – $15,165.12 | 7 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $4,403.26 – $10,727.47 | 7 |
| Elbow arthroscopy CPT 29830 | not published | not published | $4,904.26 – $25,111.00 | 8 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $4,904.26 – $25,111.00 | 8 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $5,633.29 – $13,726.65 | 7 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $5,268.62 – $12,838.18 | 7 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $5,725.91 – $13,952.30 | 7 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $4,658.36 – $11,347.98 | 7 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $1,146.49 – $2,792.34 | 7 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $1,375.82 – $3,351.74 | 7 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $5,558.50 – $13,543.31 | 7 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $285.00 | $570.00 | $94.95 – $634.00 | 18 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $360.00 | $720.00 | $111.57 – $634.00 | 18 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $453.32 – $6,291.00 | 8 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $41,822.84 – $55,379.21 | 4 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $42,021.26 – $102,381.01 | 7 |
| Elec stim unattend for press HCPCS G0281 | $75.00 | $150.00 | $17.13 – $469.00 | 18 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $453.32 – $6,291.00 | 8 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $453.32 – $6,291.00 | 8 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $131.75 – $6,291.00 | 8 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $75.00 | $150.00 | $21.39 – $469.00 | 18 |
| Electrical stimulation/unattended 97014 CPT 97014 | $62.50 | $125.00 | $49.25 – $469.00 | 14 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $243.19 – $276.79 | 3 |
| Electrocochleography CPT 92584 | not published | not published | $236.49 – $526.50 | 7 |
| Electroconvulsive therapy 90870 CPT 90870 | $795.00 | $1,590.00 | $554.91 – $1,272.00 | 18 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $6,798.42 – $7,737.68 | 3 |
| Electrodes, pair HCPCS A4556 | not published | not published | $20.91 – $51.72 | 7 |
| Electrode stimulation brain CPT 95961 | not published | not published | $1,371.25 – $2,036.25 | 7 |
| Electroejaculation CPT 55870 | not published | not published | $1,316.13 – $6,071.00 | 8 |
| Electrogastrography CPT 91132 | not published | not published | $264.33 – $6,291.00 | 11 |
| Electrogastrography w/test CPT 91133 | not published | not published | $194.83 – $6,291.00 | 11 |
| Electrolyte panel CPT 80051 | $50.00 | $100.00 | $7.01 – $80.00 | 18 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $15.78 – $56.41 | 7 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $18,609.91 – $45,340.24 | 7 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $246.65 – $280.73 | 3 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $138.74 – $320.84 | 7 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $70,137.60 – $170,882.62 | 7 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $68,121.55 – $165,970.17 | 7 |
| Electron microscopy diagnostic CPT 88348 | $1,685.00 | $3,370.00 | $628.20 – $3,273.97 | 18 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $194.83 – $540.62 | 7 |
| Electrophysiologic study CPT 93624 | not published | not published | $2,222.09 – $25,111.00 | 11 |
| Electrophysiology evaluation CPT 93619 | $3,855.00 | $7,710.00 | $3,037.74 – $25,111.00 | 18 |
| Electrophysiology evaluation CPT 93620 | $10,545.00 | $21,090.00 | $5,538.70 – $25,111.00 | 18 |
| Electrophysiology evaluation CPT 93621 | $3,405.00 | $6,810.00 | $1,007.78 – $6,291.00 | 14 |
| Electrophysiology evaluation CPT 93622 | $3,015.00 | $6,030.00 | $1,466.25 – $6,291.00 | 14 |
| Electrophysiology evaluation CPT 93641 | $2,330.00 | $4,660.00 | $1,836.04 – $6,291.00 | 14 |
| Electrophysiology evaluation CPT 93642 | $2,620.00 | $5,240.00 | $1,828.76 – $4,192.00 | 18 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Electrophys map 3d add-on CPT 93613 | $4,025.00 | $8,050.00 | $2,482.29 – $6,440.00 | 14 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $18.29 – $83.33 | 10 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $19.04 – $39.01 | 9 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $444.85 – $975.27 | 10 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $11.42 – $25.59 | 10 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $268.70 – $608.13 | 10 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $2,867.32 – $6,181.00 | 8 |
| Emboli detcj wo IV mbubb njx CPT 93897 | $760.00 | $1,520.00 | $511.00 – $1,216.00 | 14 |
| Embolization s&i CPT 75894 | $3,215.00 | $6,430.00 | $220.00 – $6,003.03 | 14 |
| Embo or occlude vascular arterial s&i CPT 37242 | $11,780.00 | $23,560.00 | $9,282.64 – $47,462.00 | 18 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $16,375.00 | $32,750.00 | $12,903.50 – $47,462.00 | 18 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $12,385.00 | $24,770.00 | $9,759.38 – $47,462.00 | 18 |
| Embo or occlude vascular venous s&i CPT 37241 | $11,955.00 | $23,910.00 | $9,420.54 – $47,462.00 | 18 |
| Embryo hatching CPT 89253 | not published | not published | $143.50 – $1,293.00 | 11 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $1,316.13 – $6,071.00 | 8 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $304.07 – $6,291.00 | 8 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $447.50 | $895.00 | $194.83 – $1,679.00 | 18 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $515.00 | $1,030.00 | $236.49 – $1,679.00 | 18 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $470.68 – $623.25 | 7 |
| Emg needle test 1-extremity CPT 95860 | $297.50 | $595.00 | $194.83 – $1,679.00 | 18 |
| Emg needle test 4-extremities CPT 95864 | $590.00 | $1,180.00 | $236.49 – $1,679.00 | 18 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $280.00 | $560.00 | $220.64 – $1,679.00 | 18 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $375.56 – $916.68 | 7 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $443.85 – $1,081.21 | 7 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $155.90 – $380.78 | 7 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $1,934.89 – $4,715.01 | 7 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $1,230.76 – $2,999.18 | 7 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $13.19 – $71.50 | 14 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $13.19 – $71.50 | 14 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $13.19 – $71.50 | 14 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $5,570.00 | $11,140.00 | $3,419.92 – $17,439.00 | 18 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $4,757.47 – $17,439.00 | 8 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $923.42 – $2,251.73 | 7 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $222.63 – $540.62 | 7 |
| Endo ak ultra-light material HCPCS L5950 | not published | not published | $1,354.01 – $3,300.02 | 7 |
| Endo assay seven anal CPT 81506 | not published | not published | $61.96 – $312.51 | 13 |
| Endo below knee alignable sy HCPCS L5910 | not published | not published | $630.32 – $1,537.19 | 7 |
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.