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 |
|---|---|---|---|---|
| Aquaporin-4 antibody cba each CPT 86052 | $97.50 | $195.00 | $12.05 – $144.00 | 18 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $52.08 | 10 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $100.00 | $200.00 | $54.33 – $469.00 | 18 |
| Aquatic exercise - group charge CPT 97150 | not published | not published | $26.16 – $103.41 | 8 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $7,798.95 – $18,102.00 | 8 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $7,798.95 – $18,102.00 | 8 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $242.91 – $497.60 | 6 |
| Arch supp att to shoe long/m HCPCS L3090 | not published | not published | $71.11 – $173.94 | 7 |
| Arch supp att to shoe metata HCPCS L3080 | not published | not published | $55.55 – $136.32 | 7 |
| Arch suprt att to sho longit HCPCS L3070 | not published | not published | $55.55 – $136.32 | 7 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $1.36 – $28.21 | 9 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $6.93 – $14.20 | 6 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $2.29 – $7.96 | 6 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $1.35 – $7.14 | 6 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $2.63 – $14.20 | 10 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $2.10 – $7.96 | 10 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $1.07 – $7.14 | 10 |
| Ar gene charac alleles CPT 81204 | not published | not published | $137.00 – $622.03 | 10 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $301.35 – $1,369.07 | 10 |
| Ar gene known famil variant CPT 81174 | not published | not published | $185.20 – $842.28 | 10 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $4.83 – $10.88 | 10 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.54 – $2.35 | 9 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,110.00 | $2,220.00 | $539.81 – $1,424.00 | 18 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $980.00 | $1,960.00 | $160.73 – $1,256.00 | 18 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $510.00 | $1,020.00 | $139.84 – $754.84 | 18 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $8.49 – $220.94 | 13 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $475.56 – $1,062.33 | 6 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $881.46 – $5,650.80 | 6 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass carotid-subclavian 35606 CPT 35606 | $5,410.00 | $10,820.00 | $3,181.00 – $8,656.00 | 14 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft aor/carot/innom CPT 35526 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft aorcel/aormesen CPT 35531 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft aortofemoral CPT 35539 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft aortoiliac CPT 35537 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft aortorenal CPT 35560 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft axillary-axilry CPT 35518 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft axill-brachial CPT 35522 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft axill/fem/fem CPT 35533 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft axill-femoral CPT 35521 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft brachial-brchl CPT 35525 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft brchl-ulnr-rdl CPT 35523 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft carotid-brchial CPT 35510 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft carotid-vertbrl CPT 35508 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft contral carotid CPT 35509 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft hepatorenal CPT 35535 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft ilioiliac CPT 35563 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft ipsilat carotid CPT 35501 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft splenorenal CPT 35536 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft subclav-axilary CPT 35516 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft subclav-brchial CPT 35512 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft subclav-carotid CPT 35506 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft subclav-subclav CPT 35511 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp grft subclav-vertbrl CPT 35515 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Art byp tibial-tib/peroneal CPT 35570 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Arterial blood draw/perc 36620 CPT 36620 | $317.50 | $635.00 | $250.19 – $6,291.00 | 14 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Artery to vein shunt CPT 36835 | not published | not published | $4,757.47 – $17,439.00 | 8 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Artery xray each vessel 7577426 CPT 75774 | $1,070.00 | $2,140.00 | $220.00 – $1,940.88 | 14 |
| Artery xray of abdomen 75726-26 CPT 75726 | $4,110.00 | $8,220.00 | $220.00 – $10,819.22 | 18 |
| Artery x-rays adrenal gland CPT 75731 | $3,195.00 | $6,390.00 | $220.00 – $6,299.55 | 18 |
| Artery x-rays adrenals CPT 75733 | $3,995.00 | $7,990.00 | $220.00 – $6,392.00 | 18 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,540.00 | $7,080.00 | $220.00 – $6,299.55 | 18 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $4,425.00 | $8,850.00 | $220.00 – $7,080.00 | 18 |
| Artery x-rays chest CPT 75756 | $3,870.00 | $7,740.00 | $220.00 – $6,299.55 | 18 |
| Artery x-rays lung CPT 75741 | $2,390.00 | $4,780.00 | $220.00 – $6,299.55 | 18 |
| Artery x-rays lung CPT 75746 | $2,610.00 | $5,220.00 | $220.00 – $6,299.55 | 18 |
| Artery x-rays lungs CPT 75743 | $2,990.00 | $5,980.00 | $220.00 – $6,299.55 | 18 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $3,825.00 | $7,650.00 | $220.00 – $10,819.22 | 18 |
| Artery x-rays spine CPT 75705 | $3,260.00 | $6,520.00 | $220.00 – $10,819.22 | 18 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Arthrd ant dfrm 2-3 vrt sgm CPT 22808 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Arthrd ant dfrm 4-7 vrt sgm CPT 22810 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Arthrd ant dfrm 8+ vrt sgm CPT 22812 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $12,700.00 – $25,752.25 | 8 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Arthrd ant ntrbd min dsc thc CPT 22556 | not published | not published | $24,003.00 – $47,462.00 | 4 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $12,700.00 – $25,752.25 | 8 |
| Arthrd ant toral/xoral c1-c2 CPT 22548 | not published | not published | $24,003.00 – $47,462.00 | 4 |
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.