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 |
|---|---|---|---|---|
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $2,916.72 | 10 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $1,400.32 | 10 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $12,700.00 – $25,111.00 | 4 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $297.62 | 10 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $122.03 | 14 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $235.04 | 14 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $32.91 | 14 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $129.47 | 14 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $71.50 | 14 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $45.03 – $59.62 | 4 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $6,826.31 – $16,631.80 | 7 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $1,357.71 – $3,309.43 | 7 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $78.42 – $192.74 | 7 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $52.55 – $126.93 | 7 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $1,013.54 – $2,467.98 | 7 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $1,140.05 – $2,778.24 | 7 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $185.87 – $321.57 | 7 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $236.49 – $475.96 | 7 |
| Multiple sleep latency test CPT 95805 | $2,430.00 | $4,860.00 | $802.01 – $4,841.00 | 18 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $5,520.95 – $13,449.30 | 7 |
| Mumps antibody igg CPT 86735 | $82.50 | $165.00 | $13.05 – $116.00 | 18 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $400.64 – $623.25 | 7 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $236.49 – $592.31 | 7 |
| Muscle test larynx CPT 95865 | not published | not published | $194.83 – $676.58 | 7 |
| Muscle test one fiber CPT 95872 | not published | not published | $236.49 – $979.72 | 7 |
| Muscle transfers CPT 23397 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Mycobacteria dna amp probe CPT 87551 | $492.50 | $985.00 | $48.24 – $788.00 | 18 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $108.70 | 14 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $235.04 | 14 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.26 – $0.54 | 6 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.61 – $14.57 | 9 |
| Mycoplasma antibody igm CPT 86738 | $87.50 | $175.00 | $13.24 – $140.00 | 18 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $397.50 | $795.00 | $175.40 – $797.63 | 18 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $395.80 – $1,581.26 | 10 |
| Myelography l-s spine CPT 72265 | not published | not published | $312.46 – $1,581.26 | 10 |
| Myelography neck spine CPT 72240 | not published | not published | $309.49 – $1,581.26 | 10 |
| Myelography thoracic spine CPT 72255 | not published | not published | $291.63 – $1,581.26 | 10 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $970.00 | $1,940.00 | $764.36 – $6,071.00 | 18 |
| Myelography via inj w/s&i cervical CPT 62302 | $875.00 | $1,750.00 | $689.50 – $6,071.00 | 18 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $875.00 | $1,750.00 | $689.50 – $6,071.00 | 18 |
| Myelography via inj w/s&i thoracic CPT 62303 | $875.00 | $1,750.00 | $689.50 – $6,071.00 | 18 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $187.50 | $375.00 | $11.53 – $76.00 | 18 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Myocrd img pet 1std rst/strs CPT 78491 | $4,850.00 | $9,700.00 | $1,980.00 – $8,455.16 | 18 |
| Myocrd img pet 1 std w/ct CPT 78429 | $4,850.00 | $9,700.00 | $1,980.00 – $8,481.96 | 18 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $2,797.05 – $9,900.96 | 7 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $2,948.20 – $10,823.61 | 7 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $2,204.67 – $9,049.26 | 8 |
| Myocrd img pet rst&strs CT CPT 78431 | $4,300.00 | $8,600.00 | $2,006.00 – $8,598.10 | 18 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $2,810.00 | $5,620.00 | $2,006.00 – $8,455.16 | 18 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $8,821.00 – $17,439.00 | 4 |
| Myomectomy abdom method CPT 58140 | not published | not published | $8,821.00 – $17,439.00 | 4 |
| Myomectomy vag method CPT 58145 | not published | not published | $4,805.89 – $12,362.00 | 8 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $2,379.40 – $4,874.16 | 6 |
| Myringoplasty CPT 69620 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Nabilone oral HCPCS J8650 | not published | not published | $25.82 – $94.02 | 9 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $5.33 – $10.92 | 6 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $6.15 – $13.86 | 10 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $6.58 – $23.51 | 9 |
| Narcosynthesis CPT 90865 | not published | not published | $242.85 – $996.59 | 7 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $215.00 | $430.00 | $169.42 – $388.56 | 13 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $351.00 – $6,291.00 | 8 |
| Nasal function studies CPT 92512 | not published | not published | $359.34 – $623.25 | 7 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $2,409.45 – $5,871.43 | 7 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $2,606.55 – $6,181.00 | 8 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $2,606.55 – $12,362.00 | 8 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $6,296.00 – $13,854.95 | 8 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $586.93 – $6,291.00 | 8 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $2,606.55 – $6,181.00 | 8 |
| Nasal sinus therapy CPT 30210 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $525.00 | $1,050.00 | $293.44 – $987.10 | 18 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $34.98 – $127.55 | 13 |
| Natriuretic peptide CPT 83880 | $175.00 | $350.00 | $39.26 – $288.17 | 18 |
| Natural killer cells total count CPT 86357 | $167.50 | $335.00 | $37.73 – $268.00 | 18 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | not published | not published | $139.81 – $185.13 | 4 |
| N block inj common digit CPT 64632 | not published | not published | $446.18 – $6,291.00 | 8 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $367.61 – $6,291.00 | 8 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $194.83 – $282.06 | 7 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $37.02 – $6,291.00 | 8 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $37.02 – $6,291.00 | 8 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $89.78 – $470.09 | 7 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nebulizer Breathing Treatment CPT 94640 | $210.00 | $420.00 | $94.99 – $407.07 | 18 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $232.50 | $465.00 | $82.71 – $634.00 | 18 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,285.00 | $2,570.00 | $269.08 – $2,056.00 | 18 |
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.