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 |
|---|---|---|---|---|
| Anast cavopulm sec sup v/c CPT 33768 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Anastomosis/artery-aorta CPT 33606 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Anastrozole 1 mg HCPCS S0170 | not published | not published | $0.98 – $61.10 | 5 |
| Anca screen with reflex to titer -quest CPT 86021 | $90.00 | $180.00 | $15.05 – $144.00 | 18 |
| An cholangiogram percutaneous compl CPT 47531 | $2,855.00 | $5,710.00 | $2,249.74 – $17,439.00 | 18 |
| Androstanediol CPT 82154 | not published | not published | $28.83 – $156.28 | 11 |
| An fluoro guide for cvp CPT 77001 | $332.50 | $665.00 | $220.00 – $634.24 | 14 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $5,935.00 | $11,870.00 | $3,181.00 – $9,496.00 | 14 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $7,785.00 | $15,570.00 | $6,134.58 – $25,111.00 | 18 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $6,255.00 | $12,510.00 | $4,928.94 – $25,111.00 | 18 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $3,135.00 | $6,270.00 | $2,470.38 – $25,111.00 | 14 |
| Angioscopy CPT 35400 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $112.82 | 14 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | not published | not published | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $8,955.00 | $17,910.00 | $7,056.54 – $25,111.00 | 18 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $3,105.00 | $6,210.00 | $2,446.74 – $6,291.00 | 14 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $8,135.00 | $16,270.00 | $6,410.38 – $25,111.00 | 18 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $2,160.00 | $4,320.00 | $1,702.08 – $6,291.00 | 14 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $7,530.00 | $15,060.00 | $5,933.64 – $25,111.00 | 18 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.87 – $1.79 | 6 |
| Ank-foot sys dors-plant flex HCPCS L5973 | not published | not published | $30,904.21 – $40,921.44 | 4 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $4,904.26 – $25,111.00 | 8 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Ankle X-ray CPT 73610 | $345.00 | $690.00 | $101.97 – $634.00 | 18 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $275.00 | $550.00 | $91.46 – $634.00 | 18 |
| Ank symes mold sckt sach ft HCPCS L5050 | not published | not published | $4,796.37 – $11,686.45 | 7 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $453.32 – $6,291.00 | 8 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $45.03 – $59.62 | 4 |
| Annual nursing fac assessmnt CPT 99318 | not published | not published | $487.37 – $554.71 | 3 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $574.11 – $653.43 | 3 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $627.80 – $714.53 | 3 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $660.85 – $752.15 | 3 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $772.37 – $879.08 | 3 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $10.50 – $32.91 | 8 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $304.07 – $817.96 | 7 |
| Anora (draw only) CPT 99001 | not published | not published | $6.14 – $42.31 | 7 |
| Anorectal myomectomy CPT 45108 | not published | not published | $4,145.15 – $12,362.00 | 8 |
| Anoscopy CPT 46611 | not published | not published | $1,378.06 – $6,181.00 | 8 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $4,145.15 – $12,362.00 | 8 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $1,378.06 – $6,181.00 | 8 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $4,145.15 – $12,362.00 | 8 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $4,145.15 – $12,362.00 | 8 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $470.68 – $623.25 | 4 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $7,461.49 – $17,439.00 | 8 |
| Anterior asis pad HCPCS L1250 | not published | not published | $138.17 – $338.46 | 7 |
| Anterior swing band HCPCS L2335 | not published | not published | $491.10 – $1,198.74 | 7 |
| Anterior thoracic derotation HCPCS L1260 | not published | not published | $164.78 – $399.59 | 7 |
| Anterior thoracic extension HCPCS L1220 | not published | not published | $416.03 – $1,015.40 | 7 |
| Anthrax vaccine sc or im CPT 90581 | not published | not published | $191.50 – $392.28 | 6 |
| Antibody CPT 86744 | not published | not published | $15.99 – $72.92 | 14 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $117.50 | $235.00 | $12.88 – $108.00 | 18 |
| Antibody elution rbc reference CPT 86860 | $185.00 | $370.00 | $89.56 – $342.97 | 18 |
| Antibody htlv/hiv confirm test CPT 86689 | $130.00 | $260.00 | $19.35 – $208.00 | 18 |
| Antibody htlv-i CPT 86687 | not published | not published | $9.09 – $47.01 | 14 |
| Antibody htlv-ii CPT 86688 | not published | not published | $14.00 – $75.90 | 14 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $180.00 | $360.00 | $18.37 – $288.00 | 18 |
| Antibody id rbc panel CPT 86870 | $250.00 | $500.00 | $139.30 – $719.96 | 18 |
| Antibody influenza virus CPT 86710 | not published | not published | $13.55 – $84.62 | 14 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $12.87 – $70.51 | 14 |
| Antibody screen rbc CPT 86850 | $135.00 | $270.00 | $9.77 – $216.00 | 18 |
| Antibody tetanus CPT 86774 | not published | not published | $14.80 – $80.21 | 14 |
| Anticoag mgmt pt warfarin CPT 93793 | not published | not published | $243.69 – $277.35 | 3 |
| Antidepressant not specified CPT 80338 | $50.00 | $100.00 | $34.90 – $80.00 | 14 |
| Antidepressant tricyclic 3-5 CPT 80336 | not published | not published | $82.60 – $94.02 | 3 |
| Antiepileptics nos 4-6 CPT 80340 | not published | not published | $70.21 – $79.91 | 3 |
| Antiepileptics nos 7/more CPT 80341 | not published | not published | $70.21 – $79.91 | 3 |
| Antigen therapy services CPT 95145 | not published | not published | $69.74 – $98.72 | 7 |
| Antigen therapy services CPT 95146 | not published | not published | $69.74 – $159.84 | 7 |
| Antigen therapy services CPT 95147 | not published | not published | $107.57 – $155.13 | 7 |
| Antigen therapy services CPT 95148 | not published | not published | $107.57 – $220.94 | 7 |
| Antigen therapy services CPT 95149 | not published | not published | $107.57 – $286.76 | 7 |
| Antigen therapy services CPT 95165 | not published | not published | $66.08 – $92.35 | 7 |
| Antigen therapy services CPT 95170 | not published | not published | $53.69 – $92.35 | 7 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $2.16 – $4.73 | 13 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.78 – $4.71 | 13 |
| Anti-inhibitor HCPCS J7198 | $4.68 | $9.36 | $3.55 – $7.98 | 18 |
| Anti mog serum - sendout CPT 86362 | $200.00 | $400.00 | $12.05 – $320.00 | 18 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $80.00 | $160.00 | $12.05 – $128.00 | 18 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $80.00 | $160.00 | $12.05 – $128.00 | 18 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Antinuclear antibodies CPT 86038 | $90.00 | $180.00 | $12.09 – $144.00 | 18 |
| Antinuclear antibodies titer CPT 86039 | $60.00 | $120.00 | $11.16 – $96.00 | 18 |
| Antiphosphatidylserine antibody CPT 86148 | $130.00 | $260.00 | $16.07 – $208.00 | 18 |
| Antipsychotics nos 1-3 CPT 80342 | $345.00 | $690.00 | $74.35 – $228.00 | 14 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $74.35 – $84.62 | 3 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $74.35 – $84.62 | 3 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.77 – $32.91 | 14 |
| Antistreptolysin o titer CPT 86060 | $50.00 | $100.00 | $7.30 – $80.00 | 18 |
| Antithrombin iii activity CPT 85300 | $82.50 | $165.00 | $11.85 – $132.00 | 18 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $5.92 – $13.15 | 13 |
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.