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 |
|---|---|---|---|---|
| Endo bk ultra-light material HCPCS L5940 | not published | not published | $872.97 – $2,124.80 | 7 |
| Endo cath bile duct s&i CPT 74328 | $540.00 | $1,080.00 | $220.00 – $1,009.43 | 14 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $321.44 – $662.83 | 4 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $459.79 – $6,291.00 | 8 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $1,316.13 – $6,071.00 | 8 |
| Endo cholangiopancreatograph CPT 43261 | $4,450.00 | $8,900.00 | $3,506.60 – $12,362.00 | 18 |
| Endo cholangiopancreatograph CPT 43262 | $4,450.00 | $8,900.00 | $3,506.60 – $12,362.00 | 18 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $15,736.65 – $47,462.00 | 8 |
| Endo hip ultra-light materia HCPCS L5960 | not published | not published | $2,024.58 – $4,931.25 | 7 |
| Endo knee-shin fluid swg/sta HCPCS L5828 | not published | not published | $5,158.14 – $12,565.52 | 7 |
| Endo knee-shin fluid swing p HCPCS L5824 | not published | not published | $2,898.23 – $7,060.75 | 7 |
| Endo knee-shin frct swg & st HCPCS L5812 | not published | not published | $1,033.92 – $2,519.68 | 7 |
| Endo knee-shin frct swg & st HCPCS L5818 | not published | not published | $1,671.30 – $4,070.98 | 7 |
| Endo knee-shin hydral swg ph HCPCS L5814 | not published | not published | $6,501.00 – $15,837.35 | 7 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | not published | not published | $1,373.90 – $3,347.04 | 7 |
| Endo knee-shin pneum swg frc HCPCS L5822 | not published | not published | $3,065.97 – $7,469.74 | 7 |
| Endo knee-shin pneum/swg pha HCPCS L5830 | not published | not published | $3,477.97 – $8,475.73 | 7 |
| Endo knee-shin polyc mch sta HCPCS L5816 | not published | not published | $1,480.07 – $3,605.60 | 7 |
| Endoluminal bx biliary tree CPT 47543 | $4,090.00 | $8,180.00 | $3,181.00 – $6,544.00 | 14 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $770.00 | $1,540.00 | $606.76 – $6,291.00 | 14 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,550.00 | $5,100.00 | $1,817.32 – $6,291.00 | 14 |
| Endoluminl ivus oct c ea CPT 92979 | $1,720.00 | $3,440.00 | $1,111.03 – $6,291.00 | 14 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $7,461.49 – $17,439.00 | 8 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $7,461.49 – $18,102.00 | 8 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $12,700.00 – $25,111.00 | 8 |
| Endo poly hip, pneu/hyd/rot HCPCS L5961 | not published | not published | $8,355.42 – $11,063.73 | 4 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $5,213.15 – $17,439.00 | 8 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $2,867.32 – $6,181.00 | 8 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $1,378.06 – $6,181.00 | 8 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $6,296.00 – $13,854.95 | 8 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $1,378.06 – $6,181.00 | 8 |
| Endoscopy of ureter CPT 50951 | not published | not published | $3,070.00 – $6,902.93 | 8 |
| Endoscopy of ureter CPT 50953 | not published | not published | $3,126.00 – $6,902.93 | 8 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $218.90 – $249.15 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | $457.50 | $915.00 | $238.00 – $933.51 | 18 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $1,920.00 | $3,840.00 | $1,512.96 – $3,451.43 | 13 |
| Endoskeletal axial rotation HCPCS L5984 | not published | not published | $1,125.52 – $2,740.62 | 7 |
| Endoskel knee-shin mnl lock HCPCS L5810 | not published | not published | $995.57 – $2,425.67 | 7 |
| Endoskel posit rotat unit HCPCS L5926 | not published | not published | $1,125.52 – $1,490.34 | 4 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $12,700.00 – $25,111.00 | 8 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $4,460.00 | $8,920.00 | $3,181.00 – $7,136.00 | 14 |
| Endovasc tempory vessel occl CPT 61623 | $14,385.00 | $28,770.00 | $11,335.38 – $47,462.00 | 18 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Endovenous laser vein addon 36479 CPT 36479 | $1,490.00 | $2,980.00 | $1,174.12 – $6,291.00 | 14 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $4,757.47 – $17,439.00 | 8 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $4,150.00 | $8,300.00 | $3,270.20 – $25,111.00 | 18 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $2,075.00 | $4,150.00 | $1,635.10 – $6,291.00 | 14 |
| Energy storing foot HCPCS L5976 | not published | not published | $1,028.70 – $2,505.58 | 7 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $53.16 – $122.09 | 10 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $1.32 – $159.84 | 9 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $22.33 | $44.66 | $0.96 – $33.22 | 14 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.98 – $65.81 | 14 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $16.00 – $72.92 | 14 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $3,126.00 – $6,181.00 | 4 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.42 – $65.81 | 14 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $495.63 – $564.10 | 3 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $44.03 – $199.41 | 11 |
| Enzyme histochemistry CPT 88319 | $665.00 | $1,330.00 | $496.95 – $1,634.98 | 18 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $795.17 – $1,052.91 | 4 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $227.03 – $554.71 | 7 |
| Ep & ablate supravent arrhyt CPT 93653 | $28,635.00 | $57,270.00 | $11,288.04 – $91,059.00 | 18 |
| Ep & ablate ventric tachy CPT 93654 | $31,500.00 | $63,000.00 | $11,796.06 – $91,059.00 | 18 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $80.70 – $184.01 | 10 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $420.00 | $840.00 | $330.96 – $6,291.00 | 14 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Epiglottidectomy CPT 31420 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Epikeratoplasty CPT 65767 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $11,128.17 | 10 |
| Ep induct arrhy by elect pacing CPT 93618 | $1,805.00 | $3,610.00 | $1,422.34 – $6,181.00 | 18 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $4,904.26 – $18,102.00 | 8 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $4,904.26 – $18,102.00 | 8 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $2.46 – $122.04 | 9 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,105.00 | $6,210.00 | $2,167.29 – $6,363.66 | 18 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $1.34 – $4.71 | 9 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $32.69 | $65.37 | $10.97 – $44.86 | 18 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $11.13 – $56.41 | 13 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.78 – $3.65 | 6 |
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.