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 |
|---|---|---|---|---|
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $85.00 | $170.00 | $14.78 – $136.00 | 18 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $335.00 | $670.00 | $45.37 – $116.13 | 14 |
| Mayo alpha 1 antitrypsin CPT 82103 | $85.00 | $170.00 | $13.44 – $136.00 | 18 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $132.50 | $265.00 | $15.08 – $212.00 | 18 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $332.50 | $665.00 | $74.35 – $532.00 | 14 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $237.50 | $475.00 | $165.78 – $380.00 | 14 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $497.50 | $995.00 | $121.63 – $796.00 | 18 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $530.00 | $1,060.00 | $91.66 – $768.00 | 18 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $302.50 | $605.00 | $19.70 – $622.03 | 18 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,985.00 | $3,970.00 | $1,160.00 – $5,272.41 | 18 |
| Mayo androstenedione CPT 82157 | $100.00 | $200.00 | $29.28 – $160.00 | 18 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $90.00 | $180.00 | $14.60 – $136.00 | 18 |
| Mayo antithrombin iii antigen CPT 85301 | $75.00 | $150.00 | $10.81 – $120.00 | 18 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $82.50 | $165.00 | $15.05 – $128.00 | 18 |
| Mayo avwpr vw factor activity CPT 85397 | $170.00 | $340.00 | $30.86 – $272.00 | 18 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $187.50 | $375.00 | $35.09 – $300.00 | 18 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $350.00 | $700.00 | $45.37 – $104.00 | 14 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $57.50 | $115.00 | $10.18 – $92.00 | 18 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $144.84 – $657.75 | 10 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $974.72 | 10 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $70.00 | $140.00 | $12.90 – $108.00 | 18 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $330.00 | $660.00 | $55.84 – $128.00 | 14 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $80.00 | $160.00 | $13.19 – $116.00 | 18 |
| Mayo brcmg brucella antibody igm CPT 86622 | $60.00 | $120.00 | $8.93 – $96.00 | 18 |
| Mayo c1 esterase inhibitor CPT 83883 | $85.00 | $170.00 | $13.60 – $136.00 | 18 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $320.00 | $640.00 | $223.36 – $512.00 | 14 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $105.00 | $210.00 | $16.87 – $168.00 | 18 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $117.50 | $235.00 | $26.78 – $188.00 | 18 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $407.50 | $815.00 | $122.22 – $652.00 | 18 |
| Mayo ceruloplasmin CPT 82390 | $67.50 | $135.00 | $10.74 – $108.00 | 18 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $225.00 | $450.00 | $14.12 – $100.00 | 18 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $82.50 | $165.00 | $12.88 – $132.00 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $67.50 | $135.00 | $11.82 – $100.00 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $70.00 | $140.00 | $12.68 – $112.00 | 18 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $650.00 | $1,300.00 | $116.49 – $1,040.00 | 18 |
| Mayo chromium CPT 82495 | $112.50 | $225.00 | $20.28 – $180.00 | 18 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $280.00 | $560.00 | $74.35 – $448.00 | 14 |
| Mayo coccidioides antibody CPT 86635 | $65.00 | $130.00 | $11.47 – $104.00 | 18 |
| Mayo cocou cortisone urine CPT 82542 | $1,505.00 | $3,010.00 | $19.70 – $110.12 | 18 |
| Mayo cortisol free CPT 82530 | $100.00 | $200.00 | $16.71 – $160.00 | 18 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $67.50 | $135.00 | $42.13 – $191.97 | 18 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $72.50 | $145.00 | $12.12 – $116.00 | 18 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $257.50 | $515.00 | $57.82 – $412.00 | 14 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $300.00 | $600.00 | $99.13 – $480.00 | 14 |
| Mayo cyanide CPT 82600 | $102.50 | $205.00 | $19.40 – $164.00 | 18 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $780.00 | $1,560.00 | $143.50 – $2,342.18 | 18 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $77.50 | $155.00 | $13.25 – $124.00 | 18 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $125.00 | $250.00 | $25.27 – $200.00 | 18 |
| Mayo dihydrotestosterone CPT 82642 | $147.50 | $295.00 | $29.28 – $236.00 | 18 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $1,130.00 | $2,260.00 | $9.64 – $912.00 | 18 |
| Mayo efpo chloride stool CPT 82438 | $47.50 | $95.00 | $5.00 – $76.00 | 18 |
| Mayo estriol CPT 82677 | $102.50 | $205.00 | $24.18 – $164.00 | 18 |
| Mayo estrone CPT 82679 | $72.50 | $145.00 | $24.95 – $116.00 | 18 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $85.00 | $170.00 | $16.34 – $136.00 | 18 |
| Mayo everolimus therapeutic drug level CPT 80169 | $87.50 | $175.00 | $13.73 – $140.00 | 18 |
| Mayo factor ii CPT 85210 | $147.50 | $295.00 | $12.98 – $236.00 | 18 |
| Mayo factor v CPT 85220 | $150.00 | $300.00 | $17.65 – $240.00 | 18 |
| Mayo factor vii CPT 85230 | $155.00 | $310.00 | $17.90 – $248.00 | 18 |
| Mayo factor viii vw factor antigen CPT 85246 | $100.00 | $200.00 | $22.94 – $160.00 | 18 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $125.00 | $250.00 | $22.94 – $200.00 | 18 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $170.00 | $340.00 | $22.94 – $272.00 | 18 |
| Mayo factor x CPT 85260 | $155.00 | $310.00 | $17.90 – $248.00 | 18 |
| Mayo factor xi CPT 85270 | $117.50 | $235.00 | $17.90 – $188.00 | 18 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $16.80 – $75.89 | 11 |
| Mayo fbl culture fungi blood CPT 87103 | $60.00 | $120.00 | $20.46 – $96.00 | 18 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $33.05 – $366.08 | 14 |
| Mayo ffspg allergen clam igg CPT 86001 | $27.50 | $55.00 | $7.82 – $44.00 | 18 |
| Mayo fibrinogen antigen CPT 85385 | $52.50 | $105.00 | $14.46 – $84.00 | 18 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $80.00 | $160.00 | $21.67 – $128.00 | 18 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $3,285.00 | $6,570.00 | $17.45 – $310.27 | 14 |
| Mayo hemosiderin qualitative urine CPT 83070 | $65.00 | $130.00 | $4.75 – $104.00 | 18 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $180.00 | $360.00 | $35.09 – $288.00 | 18 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $192.74 | 14 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $65.00 | $130.00 | $13.79 – $104.00 | 18 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.81 – $141.03 | 14 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $55.00 | $110.00 | $8.89 – $88.00 | 18 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $80.00 | $160.00 | $13.52 – $128.00 | 18 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $117.50 | $235.00 | $19.70 – $147.23 | 18 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $330.00 | $660.00 | $17.27 – $128.00 | 18 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $100.00 | $200.00 | $14.99 – $120.00 | 18 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $112.50 | $225.00 | $20.81 – $176.00 | 18 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $105.00 | $210.00 | $20.81 – $152.00 | 18 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $625.00 | $1,250.00 | $50.88 – $1,000.00 | 18 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $70.00 | $140.00 | $16.07 – $112.00 | 18 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $85.00 | $170.00 | $11.98 – $136.00 | 18 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $195.00 | $390.00 | $35.09 – $312.00 | 18 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $190.00 | $380.00 | $35.09 – $304.00 | 18 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $155.00 | $310.00 | $35.09 – $248.00 | 18 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $50.88 – $67.37 | 4 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $240.00 | $480.00 | $42.84 – $384.00 | 18 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $400.00 | $800.00 | $72.19 – $640.00 | 18 |
| Mayo infliximab therapeutic drug level CPT 80230 | $307.50 | $615.00 | $38.57 – $492.00 | 18 |
| Mayo inhab inhibin a CPT 86336 | $110.00 | $220.00 | $15.59 – $176.00 | 18 |
| Mayo insft insulin free CPT 83527 | $77.50 | $155.00 | $12.95 – $124.00 | 18 |
| Mayo insulin antibodies CPT 86337 | $105.00 | $210.00 | $21.41 – $116.07 | 18 |
| Mayo iodine CPT 83789 | $1,180.00 | $2,360.00 | $24.11 – $240.00 | 18 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $100.00 | $200.00 | $27.11 – $160.00 | 18 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $185.00 | $370.00 | $27.11 – $296.00 | 18 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $87.50 | $175.00 | $13.25 – $140.00 | 18 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $12.79 – $62.28 | 14 |
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.