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 |
|---|---|---|---|---|
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $362.58 – $6,291.00 | 8 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,790.00 | $3,580.00 | $1,410.52 – $3,203.13 | 13 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,790.00 | $3,580.00 | $1,410.52 – $3,203.13 | 13 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $270.00 | $540.00 | $212.76 – $480.11 | 13 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $270.00 | $540.00 | $212.76 – $480.11 | 13 |
| Ghs community re-entry 15 minutes CPT 97537 | $85.00 | $170.00 | $47.13 – $469.00 | 18 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $385.00 | $770.00 | $303.38 – $798.66 | 13 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $187.50 | $375.00 | $84.00 – $300.00 | 17 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $417.50 | $835.00 | $84.00 – $798.66 | 17 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $265.00 | $530.00 | $84.00 – $424.00 | 17 |
| Ghs cricothyroidotomy CPT 31605 | $307.50 | $615.00 | $242.31 – $492.00 | 13 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $603.15 – $6,291.00 | 8 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $194.83 – $6,291.00 | 8 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $84.62 | 14 |
| Ghs dislocation elbow closed treatment CPT 24600 | $270.00 | $540.00 | $212.76 – $480.11 | 13 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,985.00 | $3,970.00 | $1,417.13 – $6,181.00 | 18 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $225.00 | $450.00 | $177.30 – $6,291.00 | 18 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $755.00 | $1,510.00 | $594.94 – $6,071.00 | 18 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $445.00 | $890.00 | $236.49 – $1,434.00 | 18 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $177.60 – $313.15 | 7 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $236.49 – $578.21 | 7 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $45.44 – $51.72 | 3 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $603.89 – $6,291.00 | 8 |
| Ghs excision ingrown nail CPT 11765 | $485.00 | $970.00 | $84.00 – $799.64 | 17 |
| Ghs eye exam CPT 92002 | not published | not published | $194.79 – $437.18 | 7 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $447.50 | $895.00 | $352.63 – $716.00 | 13 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $22.32 | 14 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $2,449.01 – $6,181.00 | 8 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,035.00 | $6,070.00 | $2,391.58 – $5,728.24 | 13 |
| Ghs fb removal - incisional CPT 10121 | $1,735.00 | $3,470.00 | $84.00 – $3,242.82 | 17 |
| Ghs fb removal - non-incisional CPT 20520 | $940.00 | $1,880.00 | $84.00 – $3,242.82 | 17 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.98 – $37.84 | 11 |
| Ghs fish cytogen CPT 88271 | $1,080.00 | $2,160.00 | $21.42 – $224.00 | 18 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $225.00 | $450.00 | $51.19 – $360.00 | 18 |
| Ghs flow volume loop CPT 94375 | not published | not published | $251.96 – $623.25 | 7 |
| Ghs gastric intub aspiration lavage CPT 43753 | $340.00 | $680.00 | $267.92 – $623.25 | 13 |
| Ghs hcv amplificaiton CPT 87521 | $180.00 | $360.00 | $35.09 – $288.00 | 18 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $16.53 – $104.17 | 14 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $84.62 | 14 |
| Ghs hgb stability-thal CPT 83068 | $247.50 | $495.00 | $9.47 – $396.00 | 18 |
| Ghs histoplasma antigen CPT 87385 | $210.00 | $420.00 | $13.25 – $184.00 | 18 |
| Ghs HIV antibody CPT 86703 | $82.50 | $165.00 | $13.71 – $132.00 | 18 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $482.15 | 14 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $3,096.34 – $12,362.00 | 8 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,330.00 | $2,660.00 | $1,048.04 – $2,359.87 | 13 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $800.00 | $1,600.00 | $630.40 – $1,408.20 | 13 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $570.00 | $1,140.00 | $84.00 – $1,408.20 | 17 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $135.42 | 14 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $470.00 | $940.00 | $84.00 – $752.00 | 17 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $215.00 | $430.00 | $169.42 – $388.56 | 13 |
| Ghs inf midline insertion CPT 36140 | $1,070.00 | $2,140.00 | $843.16 – $6,291.00 | 14 |
| Ghs inhibitor screen CPT 85335 | $132.50 | $265.00 | $12.87 – $172.00 | 18 |
| Ghs init tx 1st degree burn CPT 16000 | $295.00 | $590.00 | $84.00 – $472.00 | 17 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,135.00 | $2,270.00 | $894.38 – $6,071.00 | 18 |
| Ghs inj tendon origin/insertion CPT 20551 | $412.50 | $825.00 | $325.05 – $6,291.00 | 18 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $472.50 | $945.00 | $372.33 – $6,291.00 | 14 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,360.00 | $2,720.00 | $1,071.68 – $6,071.00 | 18 |
| Ghs insertion of needle - bone CPT 36680 | $350.00 | $700.00 | $275.80 – $798.66 | 13 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $800.00 | $1,600.00 | $603.89 – $1,280.00 | 13 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $865.00 | $1,730.00 | $681.62 – $1,384.00 | 13 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $925.00 | $1,850.00 | $728.90 – $3,661.11 | 13 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $140.00 | $280.00 | $105.00 – $6,291.00 | 14 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $455.00 | $910.00 | $358.54 – $6,291.00 | 18 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $90.00 | $180.00 | $69.74 – $1,270.00 | 18 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $410.00 | $820.00 | $323.08 – $663.86 | 13 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $350.00 | $700.00 | $275.80 – $798.66 | 13 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $620.00 | $1,240.00 | $488.56 – $992.00 | 13 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $620.00 | $1,240.00 | $488.56 – $992.00 | 13 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $620.00 | $1,240.00 | $488.56 – $992.00 | 13 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $675.00 | $1,350.00 | $531.90 – $1,080.00 | 13 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $675.00 | $1,350.00 | $531.90 – $1,080.00 | 13 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $705.00 | $1,410.00 | $555.54 – $1,128.00 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $740.00 | $1,480.00 | $583.12 – $1,184.00 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $740.00 | $1,480.00 | $583.12 – $1,225.15 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $740.00 | $1,480.00 | $583.12 – $1,184.00 | 13 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $925.24 – $6,291.00 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $800.00 | $1,600.00 | $603.89 – $1,280.00 | 13 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $925.24 – $6,071.00 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $603.89 – $6,291.00 | 8 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $603.89 – $6,291.00 | 8 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $47.01 | 14 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $33.19 – $33.19 | 1 |
| Ghs mbp CPT 83873 | not published | not published | $17.20 – $89.31 | 14 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $320.00 | $640.00 | $198.24 – $512.00 | 14 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $492.50 | $985.00 | $169.34 – $788.00 | 14 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $447.50 | $895.00 | $119.78 – $716.00 | 14 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $195.00 | $390.00 | $99.13 – $312.00 | 14 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $337.50 | $675.00 | $99.13 – $540.00 | 14 |
| Ghs musc test done w/n test comp CPT 95886 | $332.50 | $665.00 | $262.01 – $1,679.00 | 14 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $250.00 | $500.00 | $197.00 – $1,679.00 | 14 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $125.00 | $250.00 | $98.50 – $1,679.00 | 14 |
| Ghs myocardial strain img spckl track CPT 93356 | $510.00 | $1,020.00 | $311.26 – $703.80 | 14 |
| Ghs nailbed repair/nail removal CPT 11760 | $625.00 | $1,250.00 | $84.00 – $1,225.15 | 17 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $1,046.75 – $6,071.00 | 8 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $1,345.68 – $6,071.00 | 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.